RESUMEN
Closure of atrial septal defects (ASDs) can be achieved by various methods right from direct closure to patch closure using various materials viz. pericardium, Dacron and Teflon, to device closure using percutaneous techniques. Although percutaneous techniques are the most commonly practised method in developed countries, a subset of patients will require surgical closure. Various patch materials have been used for long, but all of them have some complications and risks associated with them. We report a case of novel technique of ASD closure done using a pedicled, vascularised and contractile right atrial wall flap.
Asunto(s)
Atrios Cardíacos/trasplante , Defectos del Tabique Interatrial/cirugía , Pericardio/trasplante , Adolescente , Ecocardiografía Transesofágica , Defectos del Tabique Interatrial/diagnóstico por imagen , Humanos , Masculino , Colgajos Quirúrgicos , Técnicas de Sutura , Trasplante Autólogo , Resultado del TratamientoRESUMEN
Right ventricular outflow tract obstruction secondary to an isolated organized thrombus is a rare entity. Proper diagnosis of this condition is essential for the survival of such patients. We describe the case of a middle aged woman who presented with dyspnea and decreased effort tolerance, and was managed with surgical excision of a firm mass which was identified as organized thrombus.