ABSTRACT
A 51-year-old man with Chagas' heart disease wearing a cardiac pacemaker developed a Superior Vena Cava Syndrome. Right-sided heart catheterization showed a Superior Vena Cava obstruction with extensive collateral flow via the azygous vein. The Superior Vena Cava Syndrome can be another complication of cardiac pacemaker implantation in patients with Chagas' heart disease.
Subject(s)
Chagas Cardiomyopathy/therapy , Pacemaker, Artificial/adverse effects , Superior Vena Cava Syndrome/etiology , Humans , Male , Middle AgedABSTRACT
PURPOSE: To show the author's experience with percutaneous transluminal coronary angioplasty (PTCA) in patients with prior coronary bypass surgery. METHODS: Between January 1989 and January 1991, 629 PTCA in 572 patients were performed. Forty-eight had previous revascularization surgery with interval range of 4 days to 10 years. The PTCA sites were divided in three groups: A) native arterial segments, not affected by surgery (26 patients); B) native arterial segments proximal (4 patients) and distal (2 patients) to graft anastomosis; C) in the coronary vein graft (16 patients). RESULTS: The overall primary success was 78%. In groups B and C, 16 procedures were successfully dilated (72%). All failures in group C were due to unstable problems in reaching (4 patients) or crossing (2 patients) the stenosis with the balloon. There was one death in group A and another in group C. CONCLUSION: Angioplasty is an effective alternative for treatment of recurrent ischemia in patients with prior myocardial revascularization surgery and in early results are comparable to the general angioplasty population.
Subject(s)
Angioplasty, Balloon, Coronary , Myocardial Ischemia/therapy , Myocardial Revascularization , Postoperative Complications/therapy , Adult , Aged , Angioplasty, Balloon, Coronary/methods , Female , Humans , Male , Middle Aged , Remission Induction , Time Factors , Treatment FailureABSTRACT
PURPOSE: To verify the validity of transluminal coronary angioplasty (PTCA) in the population over 70 years old. METHODS: Retrospectively, were analysed 115 PTCA performed in 89 elderly patients (70 to 85 years old) from January 1988 to January 1991. Three groups were defined: A) single vessel-77 (86.5%) patients; B) double vessel-9 (10.1%) patients; C) three vessel-3 (3.4%) patients. RESULTS: Of the 89 treated patients, 81.8% in group A, 72.2% in group B and 75% in group C were successfully dilated. The learning curve had showed increase in success rate after the first 250 angioplasties (from 60.6% to 82.5%). Treatment of acute myocardial infarction by direct thrombolysis was made in 7 patients (6 S, 1 I). Major complications included: deaths (4.4%), ventricular fibrillation (1.08%), acute coronary occlusion (6.6%). Emergency coronary artery bypass grafting was required in 4.4% with one death. CONCLUSION: Coronary angioplasty is an effective treatment in elderly patients and may be performed with acceptable success and with low complications.
Subject(s)
Angioplasty, Balloon, Coronary , Aged , Aged, 80 and over , Angina Pectoris/diagnostic imaging , Angina Pectoris/epidemiology , Angina Pectoris/therapy , Angioplasty, Balloon, Coronary/statistics & numerical data , Brazil/epidemiology , Coronary Angiography , Female , Humans , Male , Myocardial Ischemia/diagnostic imaging , Myocardial Ischemia/epidemiology , Myocardial Ischemia/therapy , Recurrence , Remission InductionABSTRACT
The superior vena cava syndrome that causes difficulties on venous return to the heart is a uncommon clinical entity and actually, more than 90% of the cases are secondary to a malignant intrathoracic process, rather than the intrinsic diseases of the aorta that is a rare etiology of the compression. The present report documents an aortic ascending atherosclerotic aneurysm that developed a superior vena cava compression syndrome. The literature was reviewed, stressing some important aspects about the etiology, physiopathology, diagnostic procedures, prognostic and treatment of this syndrome.
Subject(s)
Aortic Aneurysm/complications , Superior Vena Cava Syndrome/etiology , Aorta, Thoracic/diagnostic imaging , Aortic Aneurysm/diagnostic imaging , Humans , Male , Middle Aged , Radiography , Superior Vena Cava Syndrome/diagnostic imagingABSTRACT
PURPOSE: To show the initial experience of this service with the technique of percutaneous transluminal coronary angioplasty. PATIENTS AND METHODS: Between january 1988 and december 1989, 305 coronary angioplasties were performed in 280 patients with age range of 33 to 82 years (being 49% above 60 years old) and 71% male. Among those, 212 (75%) experienced clinical picture of stable angina and 68 (25%) of unstable angina or myocardial infarction. Patients were divided in three groups: group A--those with lesions of 70% or worse in more than one vessel or in the same vessel with or without any other vessel total occlusion (multiple lesions or multiple vessels: 36 patients; group B--those with lesions of 70% or worse in one vessel with at least one occluded vessel: 64 patients; group C--those with lesions of 70% or worse isolated in a single vessel: 180 patients. RESULTS: Of the 280 treated patients, 229 were considered successful (75%). There has been 22 complications (7%) and 9 deaths (3%). The late follow-up (from 1 to 24 months), displayed 28 new procedures based on clinical suspicion of restenosis. Obstruction or occlusion were present in 16 of the later, with 10 being selected to undergo new procedure, one of those twice. The remaining 12 patients received clinical or surgical treatment. CONCLUSION: Aside from the fact that early and midterm results indeed are promising, the procedure is not safe from immediate risks, and limiting late restenosis. Nevertheless, the lesions might be redilated by the same technique, with success rates comparable to the initial one.
Subject(s)
Angioplasty, Balloon, Coronary , Coronary Disease/therapy , Adult , Aged , Aged, 80 and over , Angioplasty, Balloon, Coronary/adverse effects , Female , Humans , Male , Middle Aged , Myocardial Infarction/therapy , PrognosisABSTRACT
Com o objetivo de analisarmos a incidencia de patologia tireoidiana no Hospital das Clinicas de Ribeirao Preto da Universidade de Sao Paulo, fizemos um levantamento de dados durante um periodo de dois anos (janeiro de 1980 a dezembro de 1981). Encontramos maior frequencia de bocio tireoidiano no sexo feminino (90%), sendo a faixa etaria predominante de 50 a 60 anos. O bocio foi clinicamente atoxico em 69% e toxico em 28,7%, e com predominio de raca branca (78,2%). As tireoidites e carcinomas tireoidianos sao entidades nosologicas pouco frequentes em nossa estatistica. O tipo de cirurgia mais frequente foi a tireoidectomia subtotal (57,9%) e como complicacoes mais frequentes encontramos a disfonia e a cicatriz queloidiana. Ao exame anatomopatologico o bocio nodular atoxico foi mais frequente nos pacientes que tinham nodulo frio
