Subject(s)
Autoantibodies/immunology , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/therapy , Myositis/pathology , Oropharyngeal Neoplasms/therapy , Transcription Factors/immunology , Aged , Biopsy, Needle , Carcinoma, Squamous Cell/diagnostic imaging , Enzyme-Linked Immunosorbent Assay/methods , False Positive Reactions , Humans , Immunohistochemistry , Magnetic Resonance Imaging/methods , Male , Myositis/diagnosis , Myositis/drug therapy , Oropharyngeal Neoplasms/diagnostic imaging , Oropharyngeal Neoplasms/pathology , Prednisolone/therapeutic use , Prognosis , Rare DiseasesABSTRACT
Aortic valve replacement, ascending aorta replacement and coronary artery bypass grafting were performed in a 61-year-old woman with aortic stenosis, ascending aortic aneurysm, and angina pectoris. However, immediately after surgery, transient hypotension and pulmonary hypertension repeated every few beats.Transesophageal echocardiography revealed a stuck valve, and reimplantation was carried out. The patient's postoperative course was uneventful. We present a case of successful treatment of valve dysfunction immediately after valve replacement.
Subject(s)
Aortic Valve Insufficiency/etiology , Aortic Valve/surgery , Aortic Valve/diagnostic imaging , Aortic Valve Insufficiency/diagnostic imaging , Echocardiography, Transesophageal , Female , Heart Valve Prosthesis , Humans , Middle AgedABSTRACT
We report on a 74-year-old woman with an absence of right superior vena cava in visceroatrial situs solitus who underwent mitral valve plasty for severe mitral regurgitation. Preoperative three-dimensional computed tomography revealed an absent right and persistent left superior vena cava that drained into the right atrium by way of the coronary sinus. Perioperaively, placement of pulmonary artery catheter, site of venous cannulation, and management of associated rhythm abnormalities were great concern. Obtaining the information about this central venous malformation preoperatively, we performed mitral valve plasty without any difficulties related to this anomaly.
Subject(s)
Heart Defects, Congenital/pathology , Mitral Valve Insufficiency/surgery , Mitral Valve/surgery , Vena Cava, Superior/pathology , Aged , Cardiac Surgical Procedures , Female , Heart Valve Prosthesis Implantation , Humans , Tomography, X-Ray Computed , Vena Cava, Superior/diagnostic imagingABSTRACT
Coronary aneurysms in adults are rare. The natural history of such coronary aneurysms is unknown. Surgical treatment is often concomitant with the treatment of obstructive coronary lesions. However, the ideal treatment strategy is poorly defined. We herein present a case of successful treatment of a large coronary artery aneurysm with interposition of a reverse saphenous vein graft. This modality offers important benefits over other currently used surgical and percutaneous techniques, and should be considered as an effective option.
