RESUMO
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.
Assuntos
Aneurisma/diagnóstico por imagem , Artéria Subclávia/diagnóstico por imagem , Adulto , Humanos , Masculino , Tomografia Computadorizada por Raios XRESUMO
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.
Assuntos
Bioprótese/efeitos adversos , Próteses Valvulares Cardíacas/efeitos adversos , Valva Tricúspide/cirurgia , Adulto , Estudos de Avaliação como Assunto , Feminino , Fluoroscopia , Doenças das Valvas Cardíacas/complicações , Doenças das Valvas Cardíacas/cirurgia , Humanos , Masculino , Falha de Prótese , Recidiva , Reoperação , Insuficiência da Valva Tricúspide/diagnóstico por imagem , Insuficiência da Valva Tricúspide/cirurgiaAssuntos
Ponte de Artéria Coronária , Próteses Valvulares Cardíacas , Adulto , Idoso , Ponte de Artéria Coronária/efeitos adversos , Ponte de Artéria Coronária/mortalidade , Doença das Coronárias/complicações , Doença das Coronárias/cirurgia , Estudos de Avaliação como Assunto , Feminino , Doenças das Valvas Cardíacas/complicações , Doenças das Valvas Cardíacas/cirurgia , Próteses Valvulares Cardíacas/efeitos adversos , Próteses Valvulares Cardíacas/mortalidade , Hemodinâmica , Humanos , Masculino , Pessoa de Meia-Idade , EspanhaRESUMO
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.
Assuntos
Anastomose de Artéria Torácica Interna-Coronária , Revascularização Miocárdica , Adulto , Idoso , Estudos de Avaliação como Assunto , Feminino , Oclusão de Enxerto Vascular , Humanos , Anastomose de Artéria Torácica Interna-Coronária/efeitos adversos , Anastomose de Artéria Torácica Interna-Coronária/métodos , Masculino , Pessoa de Meia-Idade , Revascularização Miocárdica/efeitos adversos , Revascularização Miocárdica/métodosRESUMO
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.
