Résumé
Coronary artery perforation especially type III is a rare and catastrophic complication of percutaneous coronary intervention. It mandates emergency open heart surgery if hemostasis is not achieved promptly. We report a case of type III left anterior descending artery (LAD) perforation which was managed successfully with cyanoacrylate glue.
Sujets)
Angioplastie coronaire par ballonnet/effets indésirables , Vaisseaux coronaires/traumatismes , Cyanoacrylates/usage thérapeutique , Hémodynamique/effets des médicaments et des substances chimiques , Humains , Mâle , Adulte d'âge moyen , Traumatismes des tissus mous/traitement médicamenteuxRésumé
Aortopulmonary window is a rare congenital heart disease occurring in 0.2-0.6% of all patients with congenital heart disease. It is usually nonrestrictive and is conventionally treated surgically at an early age to prevent the development of pulmonary vascular obstructive disease. In 10% of the patients, it is restrictive and case reports of its percutaneous closure are mostly limited to these patients. We report percutaneous device closure of nonrestrictive AP window in a 4 months old, 4 kg child. To the best of our knowledge this is the youngest child to have undergone percutaneous device closure of an AP window.
Sujets)
Aorte/malformations , Communication aortopulmonaire/thérapie , Occlusion par ballonnet/méthodes , Échocardiographie , Cathétérisme cardiaque/méthodes , Humains , Nourrisson , MâleRésumé
Aortic dissection is a rare manifestation of Takayasu's aortitis. We report a patient of Takayasu's aortitis who presented with severe intermittent claudication of the thigh and buttock region due to the dissection of abdominal aorta. Patient was managed by implantation of self expanding stents in the abdominal aorta. Patient continues to be asymptomatic on follow-up of eleven months.
Sujets)
Adulte , Rupture aortique/étiologie , Humains , Mâle , Maladie de Takayashu/complicationsRésumé
We describe a new technique of sealing cardiac perforation resulting in cardiac tamponade during transvenous mitral commissurotomy by percutaneous instillation of cyanoacrylate glue at the perforation site, thus avoiding surgery.