ABSTRACT
We present a case of acute endocarditis due to enterococcus faecalis involving partially A2 and completely A3 (Carpentier classification) with destruction of the free margin of the mitral valve. Repair was performed by using glutaraldehyde treated porcine pericardium to replace the defect and neochordae of polytetrafluoroethylene sutured to the free margin of the pericardium to achieve competence. Intraoperative and follow-up echocardiogaphies showed no regurgitation.
Subject(s)
Endocarditis, Bacterial/complications , Mitral Valve Insufficiency/etiology , Mitral Valve Insufficiency/surgery , Pericardium/transplantation , Suture Techniques , Adult , Cardiac Surgical Procedures/methods , Chordae Tendineae/surgery , Echocardiography, Transesophageal , Endocarditis, Bacterial/microbiology , Female , Follow-Up Studies , Gram-Positive Bacterial Infections/complications , Gram-Positive Bacterial Infections/microbiology , Humans , Mitral Valve Insufficiency/diagnostic imaging , Polytetrafluoroethylene , Preoperative Care , Risk Assessment , Transplantation, Autologous , Treatment OutcomeABSTRACT
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute ischemic coronary events. It is more prevalent in young women, particularly in the peripartum period. In men it is an extremely rare cause. We described the clinical course of a patient, man, presenting pain chest and ventricular malignant arrhythmias. Four days after admission the patient underwent coronary angiography, showing a large SCAD. After this, he had undergone coronary artery bypass surgery. He presented an angiography and clinical resolution and he was still asymptomatic at a 6-month clinical follow up. Pathophysiologic aspects and treatment options of spontaneous coronary artery dissection are discussed.
Subject(s)
Aortic Dissection/diagnostic imaging , Coronary Aneurysm/diagnostic imaging , Tachycardia, Ventricular/diagnostic imaging , Adult , Aortic Dissection/complications , Coronary Aneurysm/complications , Coronary Angiography/methods , Humans , Male , Men , Tachycardia, Ventricular/complicationsABSTRACT
Continuous electrocardiograph monitoring in initial phases of Acute Coronary Syndrome (ACS) is well established. We present a patient case with ACS without ST elevation who developed transient pathological Q waves accompanying angina symptoms. The possible mechanisms and prognostic implications are discussed.
Subject(s)
Electrocardiography , Myocardial Stunning/diagnosis , Humans , Male , Middle Aged , Myocardial Infarction/diagnosis , Myocardial Infarction/therapyABSTRACT
The infectious complications that occur following vascular access for catheterization are frequently associated with an unfavourable outcome, mainly because diagnosis is delayed. Although its incidence is low, clinicians should be aware of this complication as the use of invasive procedures is increasing. Here, we report our experience with five patients.
Subject(s)
Catheterization/adverse effects , Escherichia coli Infections/etiology , Staphylococcal Infections/etiology , Vascular Diseases/microbiology , Adult , Aged , Humans , Male , Middle AgedABSTRACT
Las complicaciones infecciosas del acceso vascular tras el cateterismo se asocian con frecuencia con una evolución desfavorable debido a un retraso en el diagnóstico. A pesar de su baja incidencia, los clínicos deben estar atentos ante su aparición debido al creciente uso de técnicas intervencionistas. Presentamos nuestra experiencia con 5 pacientes
The infectious complications that occur following vascular access for catheterization are frequently associated with an unfavourable outcome, mainly because diagnosis is delayed. Although its incidence is low, clinicians should be aware of this complication as the use of invasive procedures is increasing. Here, we report our experience with five patients
