RESUMO
Anomalous origin of the right coronary artery (RCA) from the pulmonary artery is a rare entity that causes chronic left-to-right shunting of blood from the RCA, through the coronary collaterals into the pulmonary artery. This results in persistent myocardial ischemia and ventricular dysfunction. Association of this anomaly with an aortopulmonary window worsens the condition further due to an additional shunt. We encountered a combination of these two anomalies along with an ostium secundum atrial septal defect in a 10-month-old baby who presented with excessive crying and failure to thrive. Evaluation by transthoracic echocardiography and cardiac computed tomography scan confirmed the diagnosis. Intrapulmonary baffle was done using a pericardial patch to connect the RCA origin to ascending aorta through the aortopulmonary window, similar to Takeuchi procedure. Concomitantly, ostium secundum atrial septal defect was also closed.
Assuntos
Anormalidades Múltiplas/diagnóstico por imagem , Aorta Torácica/anormalidades , Tronco Braquiocefálico/anormalidades , Permeabilidade do Canal Arterial/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Malformações Vasculares/diagnóstico por imagem , Anormalidades Múltiplas/cirurgia , Aorta Torácica/diagnóstico por imagem , Aorta Torácica/cirurgia , Tronco Braquiocefálico/diagnóstico por imagem , Tronco Braquiocefálico/cirurgia , Permeabilidade do Canal Arterial/cirurgia , Humanos , Lactente , Malformações Vasculares/cirurgiaAssuntos
Cardiomegalia , Equinococose , Adulto , Procedimentos Cirúrgicos Cardíacos , Cardiomegalia/diagnóstico por imagem , Cardiomegalia/etiologia , Equinococose/complicações , Equinococose/diagnóstico por imagem , Ecocardiografia Transesofagiana/métodos , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Radiografia , Doenças Raras , Resultado do TratamentoRESUMO
Parathyroid cysts are rare lesions arising in the neck and anterior mediastinum. Fewer than 250 cases have been pub lished in the literature. Parathyroid cysts constitute only 0.6% of all thyroid and parathyroid lesions, but should be considered in the differential diagnosis of anterior neck masses, particularly in the presence of hypercalcaemia.
RESUMO
Hydatid disease is a parasitic infestation of humans and herbivorous animals, caused by Echinococcu granulosus. Dogs and some wild carnivores, like foxes, are definitive hosts, harboring worms in their intestines. Musculoskeletal cysts account for 0.7-3% of total cases of hydatidosis. Primarymuscular hydatidosis without involving the thoracic or abdominal organs is extremely rare. Intramuscular infestation may mimic a soft tissue tumor leading to inappropriate cyst rupture with the attendant risks of anaphylaxis and dissemination to other organs. So preoperative evaluation is critical to avoid lifethreatening complications. We report a case of 34-year-old male patient with a cystic gluteal swelling turning out to be hydatid cyst on surgical exploration. Surgical excision with a pharmacology complementary treatment with antihelementhics is necessary to achieve the complete healing.