RESUMO
We present a case of acute endocarditis due to enterococcus faecalis involving partially A2 and completely A3 (Carpentier classification) with destruction of the free margin of the mitral valve. Repair was performed by using glutaraldehyde treated porcine pericardium to replace the defect and neochordae of polytetrafluoroethylene sutured to the free margin of the pericardium to achieve competence. Intraoperative and follow-up echocardiogaphies showed no regurgitation.
Assuntos
Endocardite Bacteriana/complicações , Insuficiência da Valva Mitral/etiologia , Insuficiência da Valva Mitral/cirurgia , Pericárdio/transplante , Técnicas de Sutura , Adulto , Procedimentos Cirúrgicos Cardíacos/métodos , Cordas Tendinosas/cirurgia , Ecocardiografia Transesofagiana , Endocardite Bacteriana/microbiologia , Feminino , Seguimentos , Infecções por Bactérias Gram-Positivas/complicações , Infecções por Bactérias Gram-Positivas/microbiologia , Humanos , Insuficiência da Valva Mitral/diagnóstico por imagem , Politetrafluoretileno , Cuidados Pré-Operatórios , Medição de Risco , Transplante Autólogo , Resultado do TratamentoRESUMO
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute ischemic coronary events. It is more prevalent in young women, particularly in the peripartum period. In men it is an extremely rare cause. We described the clinical course of a patient, man, presenting pain chest and ventricular malignant arrhythmias. Four days after admission the patient underwent coronary angiography, showing a large SCAD. After this, he had undergone coronary artery bypass surgery. He presented an angiography and clinical resolution and he was still asymptomatic at a 6-month clinical follow up. Pathophysiologic aspects and treatment options of spontaneous coronary artery dissection are discussed.
Assuntos
Dissecção Aórtica/diagnóstico por imagem , Aneurisma Coronário/diagnóstico por imagem , Taquicardia Ventricular/diagnóstico por imagem , Adulto , Dissecção Aórtica/complicações , Aneurisma Coronário/complicações , Angiografia Coronária/métodos , Humanos , Masculino , Homens , Taquicardia Ventricular/complicaçõesRESUMO
We report a case of a 51-year-old patient with suspected prosthetic valve endocarditis. Capnocytophaga haemolytica was isolated in blood cultures and the repeated echocardiograms showed growth of vegetations and disruption of the proximal prosthetic valve suture line with progressive aortic regurgitation. The patient underwent a root debridement and replacement with a stentless bioprosthesis.
