ABSTRACT
La transposición congénitamente corregida de grandes arterias (TGAcc) implica una doble discordancia: atrio-ventricular y ventriculo-arterial. Presentamos las imágenes de resonancia magnética cardíaca de una paciente de 9 años con TGAcc, comunicación interventricular y coartación de aorta, a quien se le realizó cerclaje pulmonar, corrección de la coartación y posterior "doble switch". Se realiza una revisión de la patología y de las complicaciones a evaluar tras la intervención quirúrgica
Congenitally corrected transposition of the great vessels implies double discordance: atrioventricular and ventriculoarterial. We present cardiac magnetic resonance images from a 9-year-old girl with congenitally corrected transposition of the great vessels, interventricular communication, and coarctation of the aorta who was treated with pulmonary artery banding, correction of coarctation, and posterior double switch. We also review the disease and the complications that should be evaluated after the surgical intervention
Subject(s)
Humans , Female , Child , Transposition of Great Vessels/diagnostic imaging , Arterial Switch Operation/methods , Aortic Coarctation/diagnostic imaging , Transposition of Great Vessels/surgery , Aortic Coarctation/surgery , Treatment OutcomeABSTRACT
Congenitally corrected transposition of the great vessels implies double discordance: atrioventricular and ventriculoarterial. We present cardiac magnetic resonance images from a 9-year-old girl with congenitally corrected transposition of the great vessels, interventricular communication, and coarctation of the aorta who was treated with pulmonary artery banding, correction of coarctation, and posterior double switch. We also review the disease and the complications that should be evaluated after the surgical intervention.
Subject(s)
Congenitally Corrected Transposition of the Great Arteries/diagnostic imaging , Magnetic Resonance Imaging , Aortic Coarctation/diagnostic imaging , Aortic Coarctation/surgery , Arterial Switch Operation/methods , Child , Congenitally Corrected Transposition of the Great Arteries/surgery , Female , Heart Septal Defects, Ventricular/diagnostic imaging , Heart Septal Defects, Ventricular/surgery , HumansABSTRACT
The ascending aortic dilatation and its dissection is a not very frequent finding in patients with Turner syndrome. The high incidency of structural anomalies in the aortic wall and the severity of its complications, makes it necessary to watch these patients very closely. We present an asymptomatic patient, affected with Turner syndrome, ascending aortic dilatation and aortic wall dissection.
Subject(s)
Aorta/pathology , Aortic Aneurysm, Thoracic/pathology , Aortic Dissection/pathology , Turner Syndrome/pathology , Adult , Aortic Dissection/complications , Aortic Aneurysm, Thoracic/complications , Dilatation, Pathologic/complications , Dilatation, Pathologic/pathology , Female , Humans , Turner Syndrome/complicationsABSTRACT
Reviewed are the current surgical methods for the treatment of mechanical complications after an acute myocardial infarction, specially the subacute ventricular rupture, the most frequent complication, and in which we have the greatest experience in the world. Mechanical complications constitute the second cause of death after myocardial infarction, following pump failure. The most frequent mechanical complication is ventricular rupture, which is the cause of death in 26% of the cases of acute myocardial infarction. The setting of solid diagnostic tools, with the association of echocardiographic and hemodynamic criteria, has permitted the identification of a large number of patients with subacute ventricular rupture before death, and has allowed them to be treated surgically. The surgical techniques have evolved to more conservative methods and, nowadays, nearly all the patients can be operated on without extracorporeal circulation and using sutureless techniques. The results is greater surgical survival with satisfactory functional status at follow up. The incidence of septal and papillary muscle rupture is considerably less frequent, but of great interest. The surgical results have been improved on the basis of early diagnosis, aggressive surgical attitude, and better reparative and myocardial protection techniques.
