ABSTRACT
The authors report two cases of cor triatriatum in a 54 year old woman undergoing open heart surgery with a preoperative diagnosis of mitral stenosis, and a 24 year old woman in whom the diagnosis had been made before surgery. Resection of the abnormal intra-left atrial fibrous membrane successfully restored normal haemodynamics in both cases. The main clinical and diagnostic features of the condition are described.
Subject(s)
Heart Defects, Congenital/surgery , Adult , Female , Heart Defects, Congenital/diagnosis , Humans , Middle AgedABSTRACT
The authors report the case of a double rupture of the heart (septal and parietal intrapericardial) on the 5th day of primary transmural anterior myocardial infarction in a 73 year old women. The diagnosis of septal rupture was made after cardiac arrest and the findings of a systolic murmur, and by echocardiography. Intrapericardial free wall rupture was diagnosed at surgery. The incidence, predisposing factors, gravity, prognostic factors and different medico-surgical therapeutic approaches to septoparietal complications of acute myocardial infarction are reviewed.
Subject(s)
Heart Rupture/surgery , Heart Septum/surgery , Myocardial Infarction/complications , Pericardial Effusion , Aged , Echocardiography , Female , Heart Rupture/diagnosis , Heart Rupture/etiology , Heart Septum/pathology , Heart Ventricles/surgery , Humans , Prognosis , Time FactorsABSTRACT
The post-concussion of the brain syndrome is an often observed clinical entity. In this especially subjective syndrome, one new pathogenic approach seems very interesting for the clinical and therapeutic conclusions. This is one medical case reported for the proof of this hypothesis.