ABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Intra-Aortic Balloon Pumping/methods , Intra-Aortic Balloon Pumping/trends , Myocardial Revascularization/methods , Intra-Aortic Balloon Pumping/instrumentation , Intra-Aortic Balloon Pumping , Echocardiography, DopplerABSTRACT
No disponible
Subject(s)
Male , Middle Aged , Humans , Aortic Aneurysm/complications , Aortic Aneurysm/diagnosis , Aortic Aneurysm/surgery , Ischemia/complications , Ischemia/diagnosis , Ischemia/surgery , Thiopental/administration & dosage , Thiopental/therapeutic use , Aortic Aneurysm, Abdominal/complications , Aortic Aneurysm, Abdominal/surgery , Aortic Aneurysm, Abdominal/diagnosis , Magnetic Resonance Spectroscopy , Risk Factors , Intraoperative Complications/diagnosis , Intraoperative Care/standards , Paraplegia/complications , Paraplegia/epidemiology , Paraparesis, Tropical Spastic/complications , Paraparesis, Tropical Spastic/epidemiology , Barbiturates/administration & dosage , Barbiturates/therapeutic useABSTRACT
Cardiac tumors are a rare disease. We show here one patient with a heart osteogenic sarcoma with chondroblastic differentiation. The clinical status was initiated with a cadre of cardiac tamponade. Transesophageal echocardiography and thoracic scanner were used to diagnose the cardiac tumor. The definitive diagnosis was confirmed with biopsy. At the present moment, there are very few cases reported in the references on osteogenic sarcoma with chondroblastic differentiation. The methods of diagnosis, the treatment and the histopathology are discussed.
Subject(s)
Heart Neoplasms/pathology , Osteosarcoma/pathology , Echocardiography, Transesophageal , Electrocardiography , Female , Heart Atria , Heart Neoplasms/diagnosis , Humans , Middle Aged , Osteosarcoma/diagnosis , PrognosisABSTRACT
INTRODUCTION AND OBJECTIVES: To study the relationship between hemodynamic parameters before heart transplantation and the mortality rate at the first week posttransplant. METHODS: 85 patients had an orthotopic heart transplant. Before the operation we measured: vascular pulmonary resistance, index of vascular pulmonary resistance, pulmonary arterial pressure systolic and median and transpulmonary gradient. Ten patients with values of vascular pulmonary resistance higher than four Wood units and/or pulmonary artery systolic pressure higher than 60 mmHg, had a test of pulmonary vascular reactivity, the result of that test did not contraindicate the transplant. We used the Student's t test and chi 2 with continuity correction and the Fisher's exact test for the analysis of the data. RESULTS: During the study period eight patients were dead (9.4%). The causes of death were: acute disfunction of the graft, 5 patients; multiorgan failure, 2 patients and septic shock, 1 patient. We compared the parameters of both groups of patients live and dead and could find a significant difference between the data with higher values in the death group: pulmonary arterial systolic pressure (p < 0.01); pulmonary arterial median pressure (p < 0.03) and transpulmonary gradient (p < 0.02). We also saw that the relative risk of mortality was 10.4 when the pulmonary artery systolic pressure was > or = 50 mmHg and 5.7 when the pulmonary vascular resistance was > or = 5 Wood units. CONCLUSIONS: It is important a good evaluation of the pulmonary hemodynamic before the heart transplantation for a better selection of the receptor. The severe pulmonary hypertension (pulmonary vascular resistance > or = 5 Wood units or pulmonary artery systolic pressure > or = 50 mmHg) was associated with a higher rate of early death.
Subject(s)
Heart Transplantation/physiology , Hypertension, Pulmonary/physiopathology , Adolescent , Adult , Aged , Cause of Death , Chi-Square Distribution , Female , Heart Transplantation/mortality , Heart Transplantation/statistics & numerical data , Hemodynamics , Humans , Hypertension, Pulmonary/mortality , Male , Middle Aged , Postoperative Period , Risk , Time FactorsABSTRACT
3 cases of endobronchial TB are described. They were diagnosed as endobronchial mass which deviated the diagnosis to another pathology in absence of sputum culture. The TB treatment produced a complete resolution of the lesions. We highlight the endobronchial mass as a non-frequent clinical feature of EBTB and we should bear this etiology in mind in differential diagnosis of all endobronchial masses even if the clinical and endoscopic data are of bronchial tumor.
Subject(s)
Bronchial Diseases/diagnosis , Tuberculosis, Pulmonary/diagnosis , Adolescent , Biopsy , Bronchi/pathology , Bronchoscopy , Diagnosis, Differential , Female , Humans , Male , Middle AgedABSTRACT
A case of toxic liver disease induced by cyanamide in a patient in treatment with this drug during 18 months, is presented. We reviewed the different liver cell alterations produced by a long-term treatment with cyanamide, which produces fibrosis and portal inflammation, as well as polished cells with different characteristic features. These alterations forced the establishing of close controls of patients in treatment with this type of anti-alcoholism drug, as well as the reduction of the duration of therapy, this questioning the efficacy of the treatment of chronic alcoholism with this aversive drug.
