ABSTRACT
The aneurysm of subclavian artery is uncommon, and its differential diagnosis is posed with other mediastinal expansive processes in a conventional RX level. A case of right subclavian aneurysm is presented.
Subject(s)
Aneurysm/diagnostic imaging , Subclavian Artery/diagnostic imaging , Adult , Humans , Male , Tomography, X-Ray ComputedABSTRACT
Three cases of fracture of a Carpentier-Edwards ring in tricuspid position are presented. In all three cases the shape of the ring was shown to be abnormal by roentgenogram examination; there was an abrupt bend in the middle portion of each ring. At the time of operation, fracture of the ring skeleton at this midpoint was found in all three instances. Roentgenogram examination seems to be a reliable method of diagnosing this uncommon entity, and tricuspid valve replacement is required for its correction.
Subject(s)
Bioprosthesis/adverse effects , Heart Valve Prosthesis/adverse effects , Tricuspid Valve/surgery , Adult , Evaluation Studies as Topic , Female , Fluoroscopy , Heart Valve Diseases/complications , Heart Valve Diseases/surgery , Humans , Male , Prosthesis Failure , Recurrence , Reoperation , Tricuspid Valve Insufficiency/diagnostic imaging , Tricuspid Valve Insufficiency/surgerySubject(s)
Coronary Artery Bypass , Heart Valve Prosthesis , Adult , Aged , Coronary Artery Bypass/adverse effects , Coronary Artery Bypass/mortality , Coronary Disease/complications , Coronary Disease/surgery , Evaluation Studies as Topic , Female , Heart Valve Diseases/complications , Heart Valve Diseases/surgery , Heart Valve Prosthesis/adverse effects , Heart Valve Prosthesis/mortality , Hemodynamics , Humans , Male , Middle Aged , SpainABSTRACT
Aneurysms of the sinus of Valsalva are rare, and in this type of aneurysm, those of the left sinus are the least common. Aneurysms that ruptured into the left and right atria have also been reported; however, we report an unusual case of congenital aneurysm of the left aortic sinus that ruptured into the left ventricle.
Subject(s)
Internal Mammary-Coronary Artery Anastomosis , Myocardial Revascularization , Adult , Aged , Evaluation Studies as Topic , Female , Graft Occlusion, Vascular , Humans , Internal Mammary-Coronary Artery Anastomosis/adverse effects , Internal Mammary-Coronary Artery Anastomosis/methods , Male , Middle Aged , Myocardial Revascularization/adverse effects , Myocardial Revascularization/methodsABSTRACT
Of 152 left ventricular aneurysms that occurred after infarction and were treated surgically, eight were located in the posterobasal segment. All of them were true aneurysms. Combined procedures, performed at the time of the aneurysm resection, included mitral valve replacement (two patients), coronary artery bypass grafting (five patients), closure of an interventricular septal defect (one patient), and carotid artery endarterectomy (one patient). Four had slight mitral regurgitation that disappeared after resection of the aneurysm, and two exhibited severe mitral regurgitation that required mitral valve replacement. Six patients survived operation and are free of symptoms. The literature shows a high incidence of false aneurysms that have a propensity toward rupture in this anatomical location. At times, there are difficulties in the differential diagnosis of true and false aneurysms and, consequently, we recommend an aggressive surgical approach.