ABSTRACT
Although spinal ischemia is a very well recognized complication after operation on the thoraco-abdominal and abdominal aorta, it is very rare following coronary artery bypass surgery. A case of a 56-year-old man, who had juxtarenal aortic occlusion and became paraplegic after internal mammary artery grafting for ischemic heart disease is reported. The complete paraplegia was thought to be due to interruption of critical collateral blood supply to the spinal cord.
Subject(s)
Internal Mammary-Coronary Artery Anastomosis/adverse effects , Ischemia/etiology , Spinal Cord/blood supply , Humans , Male , Middle Aged , Paraplegia/etiologyABSTRACT
Intrapericardial teratoma was diagnosed in a nine-year-old male infant with a three-month history of labored breathing and cough. The tumor was completely resected and found to be a mature teratoma, containing pancreatic tissue and producing insulin. A few glucagon and somatostatin containing cells were also present in the periphery of the islets. Postoperative course was uneventful. This is to our knowledge, the first report of an intrapericardial teratoma with such endocrine activity.
Subject(s)
Heart Neoplasms/diagnosis , Teratoma/diagnosis , Cough/etiology , Diagnosis, Differential , Dyspnea/etiology , Echocardiography, Doppler , Heart Neoplasms/diagnostic imaging , Heart Neoplasms/pathology , Heart Neoplasms/surgery , Humans , Immunohistochemistry , Infant , Islets of Langerhans/metabolism , Male , Mediastinal Cyst/diagnosis , Mediastinal Cyst/diagnostic imaging , Mediastinal Cyst/pathology , Mediastinal Cyst/surgery , Teratoma/diagnostic imaging , Teratoma/pathology , Teratoma/surgery , Tomography, X-Ray ComputedABSTRACT
A 7-month-old girl was admitted with severe respiratory distress. Chest roentgenogram showed hyperinflation of the right middle lobe and mediastinal shift. Bronchogram showed tracheal lobe displaced superiorly by the hyperinflated right middle lobe. Echocardiography showed left-to-right shunt at the ventricular level. The patient responded well after surgical correction of cardiac defect. Four years after the operation, computed tomography examinations showed no evidence of emphysema.
Subject(s)
Bronchi/abnormalities , Heart Defects, Congenital/complications , Pulmonary Emphysema/etiology , Trachea/abnormalities , Bronchography , Female , Humans , Infant , Pulmonary Emphysema/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
Cardiac involvement of hydatid disease is uncommon, and establishing a diagnosis is difficult because the presenting symptoms are variable. Between 1985 and 1997, eight patients ranging in age from 8 to 56 years underwent surgical excision of cardiac hydatid cysts, located in the interventricular septum in two, the right atrium in one, and the intrapericardium in five. There was one hospital death due to septic shock, but the other seven patients recovered uneventfully.
Subject(s)
Cardiomyopathies/surgery , Echinococcosis/surgery , Adolescent , Adult , Cardiomyopathies/diagnosis , Cardiomyopathies/pathology , Child , Echinococcosis/diagnosis , Echinococcosis/pathology , Echocardiography , Female , Humans , Male , Middle Aged , Pericardium/pathology , Pericardium/surgery , Retrospective Studies , Tomography, X-Ray ComputedABSTRACT
An unusual case of subclavian-aortic steal syndrome in a pediatric patient with hypoplastic aortic arch with coarctation of the aorta of unusual location is described. Aortography showed hypoplasia of the arcus aorta and severe coarctation proximal to the left subclavian artery associated with an aneurysm formation on the isthmus and descending aorta. The enlargement of the arcus aorta was accomplished by prosthetic patch aortoplasty extending from the ascending to descending aorta via median sternotomy using cardiopulmonary bypass and moderate hypothermia. Postoperatively, the patient is doing well with equalized blood pressure.
Subject(s)
Aorta, Thoracic/pathology , Aortic Aneurysm, Thoracic/complications , Aortic Coarctation/complications , Subclavian Steal Syndrome/complications , Child, Preschool , Female , Humans , Severity of Illness Index , Subclavian Steal Syndrome/congenitalABSTRACT
Penetrating cardiac trauma can result in a wide range of injuries to intracardiac structures. Missile injury, in particular, can cause damage in more than one cardiac chamber that may be difficult to identify at initial emergent operation. We report a case of late repair of traumatic ventricular septal defect and tricuspid valve perforation from gunshot wound. This case illustrates the importance of thorough examination of intracardiac anatomy during emergent and delayed repair for penetrating cardiac trauma.
