ABSTRACT
Flash pulmonary edema is a paroxismal pulmonary edema associated to a hypertensive crisis, that subsides in hours with the usual therapeutic measures. It occurs in patients with renal artery stenosis. We report two male patients aged 71 and 74 years old, presenting with acute dyspnea and high blood pressure. Diffuse rales were auscultated and arterial blood pressure was high in both. Dyspnea subsided in few hours with diuretics and oxygen. In both, a critical renal arterial stenosis was found and an angioplasty with stent placement was performed. After 5 and 6 months of follow up, the patients remain asymptomatic
Subject(s)
Humans , Male , Aged , Pulmonary Edema , Hypertension, Renovascular/complications , Angioplasty , Hemodynamics/physiology , Renal Artery Obstruction/complicationsABSTRACT
We report a 54 years old male that received a renal allograft without complications. One year after the transplantation, she was receiving cyclosporine doses of 2 to 3 mg/kg and maintained serum levels of 60 to 90 mg/dl. An abrupt increase in cyclosporine serum levels to 469 and 600 mg/dl was noted after 15 months of transplantation. After a careful interrogation the patient admitted the use of Geum chiloense (hierba del clavo). Discontinuing this herbal remedy, cyclosporine levels decreased to 55 mg/dl, despite the maintenance of the same cyclosporine dose. The potential side effects of herbal remedies must be borne in mind
Subject(s)
Humans , Male , Middle Aged , Plants, Medicinal , Cyclosporine , Immunosuppression Therapy , Kidney Transplantation , Virilism , Cyclosporine , Herbal Medicine , Drug Incompatibility , Drug Interactions , Prostatic Hyperplasia/drug therapyABSTRACT
Se presenta la experiencia del autor en 25 pacientes portadores de bronquiectasias, con 26 intervenciones quirúrgicas resectivas, analizando su etiología, distribución etaria, síntomas y evaluando las dificultades técnicas encontradas durante el acto quirúrgico; se hace hincapié en las complicaciones y estado funcional pre y postoperatorio, y los buenos resultados a largo plazo, con una mortalidad de 3,8%y mejoría de los síntomas en el 70%de los casos
Subject(s)
Bronchiectasis/surgery , Bronchiectasis/complications , Pneumonectomy , Thoracic SurgeryABSTRACT
La Cirugía Torácica se ha desarrollado fundamentalmente gracias a la experiencia y conocimientos aportados por el tratamiento quirúrgico de la Tuberculosis pulmonar. Se revisa la Colapsoterapia, actualmente en desuso, y el criterio actual de tratamiento quirúrgico de la TBC, con sus principales indicaciones, contra-indicaciones, problemas perioperatorios, complicaciones y mortalidad