ABSTRACT
ABSTRACT Rupture of the left ventricular wall after mitral valve replacement is an infrequent but lethal complication. Reporting correction technique of ventricular rupture with bovine pericardium patch secured with glue and without suturing: a 51 years-old female patient, with double rheumatic mitral lesion, severe stenosis and discrete insufficiency, who had a mitral valve replacement. During surgery, the patient presented a ventricular rupture of the posterior wall (atrioventricular disruption), which was successfully repaired using bovine pericardium with sutureless biological glue over the epicardium of the damaged area. Sixty months after surgery the patient has no symptoms.
Subject(s)
Animals , Cattle , Female , Humans , Middle Aged , Heart Ventricles/injuries , Hemostasis, Surgical/methods , Intraoperative Complications , Mitral Valve/surgery , Pericardium/transplantation , Tissue Adhesives/therapeutic use , Bioprosthesis , Follow-Up Studies , Rupture/complications , Suture Techniques , Treatment OutcomeABSTRACT
Para se estudar a incidência e prevalência da doença aterosclerótica em pacientes portadores de diabetes melitus tipo II foi realizado o presente estudo. Nele demonstrou-se que lesöes assintomáticas estavam presentes em 33% dos pacientes estudados. Estas lesöes, contudo, somente foram demonstradas através do teste de fluxometria Doppler pós hiperemia reativa por ser ainda incipiente. Este teste é aqui indicado como potencialmente factível no estudo da doença aterosclerótica do paciente diabético