Résumé
A retrospective study was done to determine the frequency of coronary artery anomalies in terms of their origin, course, and structure. The clinical history, catheterization data and surgical reports of patients undergoing coronary angiography at the Cardiovascular Center of Puerto Rico and the Caribbean, from 1999 to 2004, were analyzed. Thirty-eight patients were identified with a coronary artery anomaly in this population. These anomalies were classified according to their clinical consequences and the need for surgical intervention.
Sujets)
Humains , Mâle , Femelle , Nourrisson , Adulte , Adulte d'âge moyen , Sujet âgé de 80 ans ou plus , Anomalies congénitales des vaisseaux coronaires , Anomalies congénitales des vaisseaux coronaires/épidémiologie , Anomalies congénitales des vaisseaux coronaires/chirurgie , Procédures de chirurgie cardiovasculaire , Enfant , Enfant d'âge préscolaire , Coronarographie , Porto Rico/épidémiologie , Études rétrospectives , Résultat thérapeutique , Vaisseaux coronaires/chirurgieRésumé
Myxomas are the most common type of primary cardiac tumors. Around 70% of patients who have them are females, 86% occur in the left atrium and more than 90% are solitary. In the left atrium the usual site of attachment is in the fossa ovalis. Less common sites within the left atrium are the mitral valve or in areas near it. This patient, with a left atrial myxoma originating low in the interatrial septum near the mitral valve, is one of the first cases reported in Puerto Rico. The patient is a 41 year old female with no previous history of systemic illnesses who one month prior to admission developed episodes of chest pain and shortness of breath. A 2D echo, done by a local physician, revealed a mobile left atrial mass causing diastolic obstruction of the valve. She was referred to our institution for further evaluation. A transesophageal echo was done showing a large bilobulated mass connected to the lowermost portion of the atrial septum, close to the mitral annulus, specially to the anterior leaflet. It also showed concurrent mitral regurgitation caused by the mass. The tumor was successfully resected without major complications and it was proven to be connected to the septum 1 cm above the mitral annulus. Pathological examination confirmed it to be a myxoma
Sujets)
Humains , Femelle , Adulte , Tumeurs du coeur , Myxome , Septum du coeur , Échocardiographie transoesophagienne , Électrocardiographie , Atrium du coeur , Insuffisance mitrale/étiologie , Résultat thérapeutiqueRésumé
We are reporting our experience of eleven years with the Medtronic Hall Valve. Four hundred twenty two patients received the valve with a mortality of 7.9 por cento