RESUMO
We are reporting here the 15-year history of a patient affected by a chronic and evolutive coral reef aorta successfully treated by repeated revascularization.
Assuntos
Aorta Torácica/cirurgia , Doenças da Aorta/cirurgia , Arteriopatias Oclusivas/cirurgia , Procedimentos Cirúrgicos Vasculares , Aorta Torácica/diagnóstico por imagem , Doenças da Aorta/complicações , Doenças da Aorta/diagnóstico por imagem , Arteriopatias Oclusivas/complicações , Arteriopatias Oclusivas/diagnóstico por imagem , Doença Crônica , Progressão da Doença , Feminino , Humanos , Pessoa de Meia-Idade , Reoperação , Fatores de Tempo , Resultado do TratamentoRESUMO
Cases of Mycoplasma hominis infections after allograft are rare. We report a case of M. hominis wound infection after a vascular allograft. The allograft was positive before having any contact with the recipient, and our investigation suggests that M. hominis may have been transmitted from the donor to the recipient. It is not clear, however, whether specific diagnosis of M. hominis should be performed on tissue before grafting in order to prevent such donor-to-host transmission.
Assuntos
Infecções por Mycoplasma/diagnóstico , Mycoplasma hominis/isolamento & purificação , Transplante Homólogo/efeitos adversos , Infecção dos Ferimentos/microbiologia , Idoso , Humanos , MasculinoRESUMO
A 60-year-old man, was admitted in the emergency ward, following a motor vehicle accident. At the time of arrival his clinical state was stable. The initial investigations showed a moderate left haemopneumothorax and fractured ribs. After insertion of a thoracostomy tube into the left pleural cavity he had to undergo surgery for an open fracture of the left arm. Following induction of anaesthesia, a cardiovascular collapse occurred rapidly. An emergency thoracotomy was performed which showed a right ventricular perforation by a rib fragment. The authors discuss the role of possible changes in heart position produced by induction of general anaesthesia. Indeed the decrease in functional residual capacity following induction of anaesthesia with a cephalad diaphragmatic shift may have secondarily exposed the right ventricle to the bevel of a fractured rib.
Assuntos
Traumatismos Cardíacos/etiologia , Ventrículos do Coração/lesões , Fraturas das Costelas/complicações , Traumatismos Torácicos/complicações , Ferimentos não Penetrantes/complicações , Traumatismos do Braço/cirurgia , Evolução Fatal , Hemopneumotórax/complicações , Humanos , Complicações Intraoperatórias , Masculino , Pessoa de Meia-IdadeRESUMO
A patient presented with a ruptured azygos vein following esophagoscopy. The diagnosis was difficult. Selective angiography was helpful and surgical treatment ensured good result. This is the first case of this type to be reported in the literature.
Assuntos
Veia Ázigos/lesões , Esofagoscopia/efeitos adversos , Idoso , Feminino , Humanos , Derrame Pleural/etiologia , Enfisema Subcutâneo/etiologiaRESUMO
A patient presented with a ruptured azygos vein following esophagoscopy. The diagnosis was difficult. Selective angiography was helpful and surgical treatment ensured good result. This is the first case of this type to be reported in the literature.