RESUMO
Presented herein is a clinical case report concerning successful surgical management of a rare variety of a primary tumour of the heart, i. e., a capillary haemangioma of the left atrium, simulating by the contours and localization a myxoma. The final diagnosis was verified only by histological examination. The authors describe difficulties of diagnosis of the disease involved, underlying the necessity of plastic correction for restoration of the normal anatomical configuration of the heart. This is followed by a review of the literature, reflecting a possible course of the disease, problems of diagnosis, and therapeutic policy.
Assuntos
Procedimentos Cirúrgicos Cardíacos/métodos , Átrios do Coração , Neoplasias Cardíacas , Hemangioma , Idoso , Diagnóstico Diferencial , Feminino , Átrios do Coração/diagnóstico por imagem , Átrios do Coração/patologia , Neoplasias Cardíacas/diagnóstico , Neoplasias Cardíacas/patologia , Neoplasias Cardíacas/fisiopatologia , Neoplasias Cardíacas/cirurgia , Hemangioma/diagnóstico , Hemangioma/patologia , Hemangioma/fisiopatologia , Hemangioma/cirurgia , Humanos , Resultado do TratamentoRESUMO
Systematised herein are the results of large-scale randomized studies, as well as own findings regarding the use of beta-adrenoblockers and statins in vascular patients. Administration of selective beta-adrenoblockers and statins appeared to decrease the cardiac-complication rate in this cohort of patients.
Assuntos
Antagonistas Adrenérgicos beta/uso terapêutico , Anticolesterolemiantes/uso terapêutico , Doenças Cardiovasculares/tratamento farmacológico , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Hipolipemiantes/uso terapêutico , Sinvastatina/uso terapêutico , Antagonistas Adrenérgicos beta/administração & dosagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Anticolesterolemiantes/administração & dosagem , Doenças Cardiovasculares/fisiopatologia , Método Duplo-Cego , Humanos , Inibidores de Hidroximetilglutaril-CoA Redutases/administração & dosagem , Hipolipemiantes/administração & dosagem , Masculino , Pessoa de Meia-Idade , Ensaios Clínicos Controlados Aleatórios como Assunto , Fatores de Risco , Sinvastatina/administração & dosagem , Volume Sistólico , Fatores de TempoRESUMO
The article deals with the findings of studying the use of rosuvastatin in patients after endured reconstructive operations on the brachiocephalic arteries and aortofemoral segment in order to prevent cardiac atherothrombotic complications. A total of thirty patients were given "Crestors" at a daily dose of 10 mg for two weeks prior to surgery and for two weeks postoperatively and were found to have a significant decrease in the average levels of total cholesterol and low-density lipoproteins, which was accompanied and followed by certain improvement in the functional state of the vascular wall, with no cardiac complications being observed in either case.
Assuntos
Aterosclerose/cirurgia , Embolia de Colesterol/prevenção & controle , Fluorbenzenos/uso terapêutico , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Pirimidinas/uso terapêutico , Sulfonamidas/uso terapêutico , Procedimentos Cirúrgicos Vasculares/efeitos adversos , Adulto , Idoso , Aorta Abdominal/cirurgia , Tronco Braquiocefálico/cirurgia , Relação Dose-Resposta a Droga , Embolia de Colesterol/etiologia , Feminino , Fluorbenzenos/administração & dosagem , Seguimentos , Humanos , Inibidores de Hidroximetilglutaril-CoA Redutases/administração & dosagem , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Pirimidinas/administração & dosagem , Rosuvastatina Cálcica , Sulfonamidas/administração & dosagem , Fatores de Tempo , Resultado do TratamentoAssuntos
Modalidades de Fisioterapia , Traumatismos Torácicos/complicações , Procedimentos Cirúrgicos Torácicos/métodos , Síndrome de Tietze , Biópsia , Diagnóstico Diferencial , Humanos , Prognóstico , Radiografia Torácica , Síndrome de Tietze/diagnóstico , Síndrome de Tietze/etiologia , Síndrome de Tietze/terapiaRESUMO
Presented herein is the authors'experience with transcutaneous laser coagulation (TLC) used for treatment of various-localization venous angiodysplasias in a total of twenty-one patients. Also described are the issues concerning the methodology involved and the course of the operational procedure. The main criteria used while analysing the outcomes of TLC were the clinical patterns and the findings of duplex scanning. Good to satisfactory results were eventually observed in 71.4% of the patients. Based on the outcomes obtained after TLC, the authors worked out the principles of appropriate practical application of laser-mediated technologies in patients presenting with venous angiodysplasias.
