ABSTRACT
Thorough study is required to decide the appropriate management of hepatic tumors in children. We present a case report of a hepatic embryonal undifferentiated sarcoma with unfavorable prognosis in a nine-year-old girl. After undergoing a detailed cancer characteristics and extension study, a two-stage surgery approach was decided. The hepatic tumor resection was the first procedure to be performed. One week later, under cardiopulmonary bypass, deep hypothermia, and circulatory arrest, thrombectomy of the inferior vena cava and right atrium was accomplished, plus thromboendarterectomy of the right pulmonary artery. During a four-year follow-up, the patient continues to be disease-free.
Subject(s)
Cardiac Surgical Procedures/methods , Cardiopulmonary Bypass/methods , Heart Neoplasms/surgery , Liver Neoplasms/surgery , Sarcoma/surgery , Child , Echocardiography , Female , Heart Atria , Heart Neoplasms/diagnosis , Heart Neoplasms/secondary , Humans , Liver Neoplasms/diagnosis , Magnetic Resonance Imaging , Sarcoma/diagnosis , Sarcoma/secondary , Tomography, X-Ray ComputedABSTRACT
Aberrant right subclavian artery is the most frequent anomaly of the aortic arch, and in 60% of cases is associated with Kommerell diverticulum. It is usually asymptomatic but may present with dysphagia or asthma due to esophageal and tracheal compression. Indications for surgical repair have not been established; however, when Kommerell diverticulum is complicated by aortic dissection the treatment is surgery. We present the case of a 54-year-old man with thoracic pain due to dissection of an aberrant right subclavian artery associated with Kommerell diverticulum. Elective surgical treatment was performed.
Subject(s)
Aortic Aneurysm , Aortic Dissection , Cardiovascular Abnormalities , Subclavian Artery/abnormalities , Aortic Dissection/diagnostic imaging , Aortic Dissection/physiopathology , Aortic Dissection/surgery , Aorta/diagnostic imaging , Aorta/physiopathology , Aorta/surgery , Aortic Aneurysm/diagnostic imaging , Aortic Aneurysm/physiopathology , Aortic Aneurysm/surgery , Cardiovascular Abnormalities/diagnostic imaging , Cardiovascular Abnormalities/physiopathology , Cardiovascular Abnormalities/surgery , Computed Tomography Angiography , Endovascular Procedures , Humans , Male , Middle Aged , Subclavian Artery/diagnostic imaging , Subclavian Artery/physiopathology , Subclavian Artery/surgeryABSTRACT
The incidence of allergic reactions due to mechanical prosthesis or rings is not well established. We report the case of a 56-year-old man who presented a persistent urticarial rash and anaphylactic shock after a mitral valve repair operation. Prick skin tests were positive for nickel. After the nucleus from the mitral annulus was removed, the urticarial rash disappeared.
