RESUMO
A 36-year-old man with a short neck, low hairline, and mild kyphoscoliosis, presented with history of syncope. Chest radiography revealed a diaphragmatic hernia. Computed tomography demonstrated fusion of C2-C6 vertebral bodies, Electrocardiography indicated complete heart block. Ultrasonography showed a right pelvic kidney. He was diagnosed with Klippel-Feil syndrome and underwent permanent pacemaker implantation and corrective surgery for the congenital diaphragmatic hernia.
Assuntos
Bloqueio Cardíaco/congênito , Síndrome de Klippel-Feil/complicações , Adulto , Estimulação Cardíaca Artificial , Bloqueio Cardíaco/complicações , Bloqueio Cardíaco/diagnóstico , Bloqueio Cardíaco/terapia , Hérnia Diafragmática/diagnóstico , Hérnia Diafragmática/cirurgia , Hérnias Diafragmáticas Congênitas , Herniorrafia , Humanos , Síndrome de Klippel-Feil/diagnóstico , Masculino , Síncope/etiologia , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
BACKGROUND: Coronary artery anomalies are very rare. Recognizing these anomalies are clinically relevant as they can mimic symptoms of coronary artery disease, and sporadic cases of sudden death have been described in these patients. METHOD: This report describes a 55-year-old patient with left main disease and an anomalous left anterior descending artery arising from anterior coronary sinus who presented with palpitations. RESULT: Patient underwent coronary artery bypass grafting with left internal mammary artery to the ramus intermedius with cardiopulmonary bypass using antegrade blood cardioplegia. The anomalous left anterior descending artery was crossing the right ventricular outflow tract and running on the interventricular groove. CONCLUSION: The diagnosis and management of coronary artery anomalies is the subject of this review.
Assuntos
Doença da Artéria Coronariana/etiologia , Anomalias dos Vasos Coronários/diagnóstico , Ponte de Artéria Coronária , Doença da Artéria Coronariana/cirurgia , Anomalias dos Vasos Coronários/complicações , Anomalias dos Vasos Coronários/cirurgia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
A 28-year-old man presented with acute onset of chest pain. Transthoracic echocardiography confirmed an aneurysm of the sinus of Valsalva dissecting into the interventricular septum. During the next 12 h, the aneurysm enlarged to involve the entire interventricular septum, and the patient developed features of cardiac tamponade. He underwent successful surgical repair.
