RESUMO
Atrial septum aneurysm (ASA) is an uncommon congenital malformation, which is more frequently diagnosed since the introduction of transoesophageal echocardiography. ASA is often involved in the etiology of cerebral and systemic embolic events. The purpose of our study is to determine from our experience the frequency, the diagnostic aspect and therapeutic modalities of ASA. We report in this study 20 cases of ASA collected from the echocardiographic register. The prevalence of this malformation is 0.08%, with a high male predominance. The mean age was 51 years. ASA was detected after brain embolism in 55% of cases. The diagnosis was established in all cases by transesophageal echocardiography, however only 5 cases were diagnosed by Transthoracic echocardiography. The patients showed favorable evolutions after a of follow up of three years.
Assuntos
Ecocardiografia , Aneurisma Cardíaco/diagnóstico , Aneurisma Cardíaco/epidemiologia , Comunicação Interatrial/diagnóstico , Comunicação Interatrial/epidemiologia , Adulto , Idoso , Feminino , Aneurisma Cardíaco/patologia , Comunicação Interatrial/patologia , Humanos , Embolia Intracraniana/etiologia , Masculino , Pessoa de Meia-Idade , Prevalência , Prognóstico , Fatores SexuaisRESUMO
We report the case of a 32 years old patient, with a known diagnostic of hypertrophic cardiomyopathy; who has presented at the first trimester of pregnancy a ventricular fibrillation treated by electric shock with a favorable outcome. The risks for the mother and the foetus are discussed; The recommendations for the conduct of the delivery are reviewed.
Assuntos
Cardiomiopatia Hipertrófica/terapia , Complicações na Gravidez , Fibrilação Ventricular/etiologia , Adulto , Cardiomiopatia Hipertrófica/patologia , Cardioversão Elétrica , Feminino , Humanos , Gravidez , Resultado da Gravidez , Prognóstico , Fibrilação Ventricular/terapiaRESUMO
The left atrial spontaneous contrast is uncommon finding during transthoracic échocardiography. Transesophageal echocardiography provides superior imaging of the left atrium and left spontaneous contrast has been detected more frequently by this technique in rheumatic mitral stenosis. In order to analyze the significance of spontaneous contrast, we have studied 100 patients with mitral stenosis. Trans thoracic and transesophageal echocardiography were performed in all patients. Left atrial spontaneous echo contrast was detected in 60 patients (group A) and was absent in 40 patients (group B) The mean of mitral valvular area was 0.9 10.2 mm in group A and 48 9.5 mm in group B (p < 0.001). Ther was a high incidence of atrial fibrillation in group A; 63% VS 12% in group B (p < 0.001). A systemic embolization was noted in 20% of patients in group A; No one of group B has presented this complication (p < 0.001).
