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1.
Indian J Thorac Cardiovasc Surg ; 36(1): 60-63, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33061096

RESUMO

Aneurysms of the right atrial appendage are usually congenital in origin, with rare citations. We report a case of a large atrial aneurysm in an adult male presenting with atrial flutter and right ventricular dysfunction, who underwent a successful aneurysmectomy, repaired with a novel technique with uneventful recovery.

2.
Indian J Thorac Cardiovasc Surg ; 36(1): 67-70, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33061098

RESUMO

We describe a case of a 20-year-old woman with recurrent bronchogenic cyst. The cyst made its debut at the age of six, which was excised surgically. Preoperative investigations revealed a mass in the right parasternal region extending from around the pericardium, present between the second and fourth ribs and abutting the right mediastinal structures. Dense adhesions were noted and released selectively to avoid iatrogenic injury. Complete evacuation and excision of the cyst from around the pericardium and phrenic nerve with marsupialization of the sac were performed. The patient's post-operative course was uneventful.

3.
Ann Pediatr Cardiol ; 13(2): 160-162, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32641892

RESUMO

Lymphangiomas are relatively uncommon lesions of the lymphatic channels which can arise in virtually any part of the body. Although the most common site is the head/neck region, they could be found in the mediastinum. If mediastinal lymphangiomas are said to be rare, the thymic subentity is even scanty. We describe one case of mediastinal lymphangioma with a true intrathymic localization, which to our knowledge has been reported just once in the literature. This case report elucidates the surgical management of the first lymphangioma reported in an infant.

4.
Ann Card Anaesth ; 23(1): 14-19, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31929241

RESUMO

Background: Patients with congenital heart defects may present with concomitant defects involving other organ systems. Roughly 4 percent of this nature are airway anomalies. Presence of anomalous airways summon major challenge before the anesthesiologist, surgeon, and intensivist in the perioperative management of such patients. There is paucity of literature in the study of airway anomalies in the subset of congenital anomalous pulmonary venous connections. We present the analysis of three cases of airway anomalies in patients operated for anomalous venous drainage at our center. We hope to explicate the clinical implications and management of such rare presentations. Methods: The records of all patients who underwent surgical correction for anomalous venous return between January 2016 and January 2018 were reviewed retrospectively. The records were examined for presence of any airway issues, abnormal radiological findings, perioperative intubation or extubation issues and perioperative surgical findings. Results: Amidst the 410 cases operated for congenital heart defects in this period, 92 were operated cases for anomalous pulmonary venous return, of which 3 patients presented with airway issues. One patient had an aberrant right tracheal bronchus with normal carina and bilateral main bronchial stenosis, the second patient had a hypoplastic left lung and the third patient had congenital lobar emphysema of the left lung. Conclusion: Prudent perioperative management necessitates prior evaluation and preemptive planning for airway anomalies in patients with anomalous venous return, since they can belong to the "Malinosculation Syndrome" group, which involves anomalous communication by means of small openings between the different components of lung tissue, namely, the lung parenchyma, tracheobronchial tree, arteries, and veins.


Assuntos
Pneumopatias/complicações , Pulmão/anormalidades , Síndrome de Cimitarra/complicações , Traqueia/anormalidades , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Pulmão/diagnóstico por imagem , Pneumopatias/diagnóstico por imagem , Masculino , Radiografia , Estudos Retrospectivos , Traqueia/diagnóstico por imagem , Adulto Jovem
5.
World J Pediatr Congenit Heart Surg ; 11(4): NP210-NP212, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30336739

RESUMO

Partial anomalous pulmonary venous return is a congenital anomaly in which some of the pulmonary veins drain into the right atrium or one of its venous tributaries. Although excellent long-term results have been described for the classic two-patch technique repair in older patients, The Warden procedure has an important role in smaller and younger patients and those patients in whom the superior vena cava (SVC) may be small and the right-sided pulmonary veins may connect high, at or above the azygos vein. In addition to prevention of early and late sinus node dysfunction, the Warden procedure helps to avoid systemic or pulmonary venous obstruction if care is taken to ensure a tension-free Warden anastomosis. Patch extension or interposition of prosthetic grafts with no growth potential have been used in instances of high partial anomalous pulmonary venous connection (PAPVC) to SVC. We report three cases of high PAPVC to SVC using an innovative technique of incorporating the azygos vein into the Warden anastomosis for a tension-free suture line.


Assuntos
Veia Ázigos/cirurgia , Circulação Pulmonar/fisiologia , Veias Pulmonares/anormalidades , Síndrome de Cimitarra/cirurgia , Procedimentos Cirúrgicos Vasculares/métodos , Veia Cava Superior/cirurgia , Anastomose Cirúrgica/métodos , Criança , Pré-Escolar , Humanos , Veias Pulmonares/cirurgia
8.
Int Ophthalmol ; 30(3): 311-4, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19639264

RESUMO

To report a rare case of unilateral foveal neovascularisation in an asymptomatic patient with 15-year history of insulin-dependent diabetes mellitus and bilateral proliferative diabetic retinopathy and diabetic macular edema. Fundus fluorescein angiography and optical coherence tomography scan confirmed the presence of foveal neovascularisation. There was complete regression of the foveal neovascularisation after pan retinal laser photocoagulation. We review the literature on foveal neovascularisation in diabetic retinopathy and propose a possible pathogenic mechanism for development of foveal neovascularisation in diabetic retinopathy and the reason for the response to pan retinal laser photocoagulation.


Assuntos
Retinopatia Diabética/patologia , Fóvea Central/irrigação sanguínea , Neovascularização Patológica/patologia , Adulto , Diabetes Mellitus Tipo 1/complicações , Retinopatia Diabética/diagnóstico por imagem , Feminino , Angiofluoresceinografia , Fóvea Central/diagnóstico por imagem , Humanos , Neovascularização Patológica/diagnóstico por imagem , Radiografia , Tomografia de Coerência Óptica , Acuidade Visual
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