RESUMO
We present the case of a 62-year-old woman who presented with recoarctation and then experienced rupture of the aorta and severe clinical deterioration after a stent was deployed. She was treated immediately by intrastent deployment of a stent-graft, which resolved the extremely serious situation.
Assuntos
Coartação Aórtica/cirurgia , Ruptura Aórtica/cirurgia , Implante de Prótese Vascular/instrumentação , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Stents , Anastomose Cirúrgica , Ruptura Aórtica/diagnóstico , Ruptura Aórtica/etiologia , Feminino , Humanos , Angiografia por Ressonância Magnética , Pessoa de Meia-Idade , Desenho de Prótese , Recidiva , Reoperação , Falha de TratamentoRESUMO
A through review of the literature identified only 20 reported cases of fistula involving the internal mammary (internal thoracic) artery and a lobar branch of a pulmonary artery. Surgical closure was frequently done to avoid complications associated with this anomaly. We report the first patient in whom percutaneous treatment was accomplished with a combined technique involving an Amplatzer Duct Occluder device and coils.
Assuntos
Fístula Artério-Arterial/congênito , Fístula Artério-Arterial/terapia , Artéria Torácica Interna/anormalidades , Artéria Pulmonar/anormalidades , Procedimentos Cirúrgicos Vasculares/métodos , Adulto , Angiografia , Fístula Artério-Arterial/diagnóstico por imagem , Humanos , Masculino , Artéria Torácica Interna/diagnóstico por imagem , Artéria Pulmonar/diagnóstico por imagem , Resultado do TratamentoRESUMO
Nonsurgical septal reduction by induced septal infarction is one of the management options in the treatment of patients with hypertrophic obstructive cardiomyopathy. Good immediate and long-term clinical and hemodynamic results have been reported with this technique for occlusion of the first septal branch of the anterior descending coronary artery followed by ethanol infusion. This is the first report of a case in which nonsurgical septal reduction with microcoils has been attempted.
Assuntos
Cardiomiopatia Hipertrófica/cirurgia , Procedimentos Cirúrgicos Cardíacos/instrumentação , Feminino , Septos Cardíacos , Humanos , Pessoa de Meia-IdadeRESUMO
La ablación no quirúrgica del septo mediante la inducción de un infarto septal es una de las alternativas existentes en el tratamiento de la miocardiopatía hipertrófica obstructiva. Se han comunicado buenos resultados clínicos y hemodinámicos con esta técnica, inmediatos y a largo plazo, cuando se emplea la oclusión de la primera rama septal de la coronaria descendente anterior y la posterior infusión de etanol. Éste es el primer caso comunicado en el que se intenta efectuar la ablación no quirúrgica del septo con micro-coils (AU)
