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1.
Rev. bras. cir. cardiovasc ; 36(3): 433-435, May-June 2021. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1288244

RESUMEN

Abstract A 32-year-old man diagnosed with Kawasaki disease at the age of three years presented with coronary artery aneurysm (CAA). The aneurysm increased in size, and the patient was referred to our hospital for surgery. Preoperative computed tomography scan showed a super-giant right CAA and giant left CAAs; surgery was performed. The super-giant right CAA was resected, and the ostium of the right coronary artery was closed; then, coronary artery bypass grafting was performed. The left CAAs were not treated surgically because the risk of rupture was low. Here, we describe the successful surgical treatment of a right super-giant CAA.


Asunto(s)
Humanos , Masculino , Preescolar , Adulto , Aneurisma Coronario/cirugía , Aneurisma Coronario/etiología , Aneurisma Coronario/diagnóstico por imagen , Síndrome Mucocutáneo Linfonodular/complicaciones , Tomografía Computarizada por Rayos X , Puente de Arteria Coronaria , Vasos Coronarios/cirugía , Vasos Coronarios/diagnóstico por imagen
2.
Rev. bras. cir. cardiovasc ; 34(5): 627-629, Sept.-Oct. 2019. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1042036

RESUMEN

Abstract A 27-year-old woman with sudden back pain was transported to our hospital. Abdominal ultrasonography revealed pregnancy of 28 weeks' gestation. Computed tomography demonstrated a type A aortic dissection. Because of progressive fetal deterioration, an emergency cesarean section was forced to perform. The next day, simple hysterectomy followed by an aortic procedure was completed. Valve-sparing aortic replacement and total arch replacement were employed as central operations. The mother and baby are well 9 months postoperatively. Although the strategy for acute type A aortic dissection during pregnancy is controversial, collaborations among neonatologists, obstetricians, and cardiovascular surgeons can ensure mother and infant survival.


Asunto(s)
Humanos , Femenino , Embarazo , Adulto , Aneurisma de la Aorta/cirugía , Complicaciones Cardiovasculares del Embarazo/cirugía , Implantación de Prótesis de Válvulas Cardíacas/métodos , Disección Aórtica/cirugía , Aneurisma de la Aorta/diagnóstico por imagen , Complicaciones Cardiovasculares del Embarazo/diagnóstico por imagen , Resultado del Embarazo , Tomografía Computarizada por Rayos X , Cesárea , Resultado del Tratamiento , Disección Aórtica/diagnóstico por imagen
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