RESUMO
We report the case of a young African woman with a history of right ventricular failure. Image studies suggested endomyocardial fibrosis affecting only the right side of the heart. The right ventricle was extremely small and restricted. The surgical approach entailed endocardectomy and a bidirectional cavopulmonary shunt to improve weaning off bypass and postoperative recovery, both of which were successfully achieved.
Assuntos
Procedimentos Cirúrgicos Cardíacos/métodos , Fibrose Endomiocárdica/cirurgia , Técnica de Fontan/métodos , Ventrículos do Coração/cirurgia , Disfunção Ventricular Direita/cirurgia , Diagnóstico Diferencial , Ecocardiografia Transesofagiana , Fibrose Endomiocárdica/complicações , Fibrose Endomiocárdica/diagnóstico , Feminino , Seguimentos , Humanos , Imagem Cinética por Ressonância Magnética , Disfunção Ventricular Direita/diagnóstico , Disfunção Ventricular Direita/etiologia , Adulto JovemRESUMO
The great saphenous vein remains the most commonly used conduit for coronary artery bypass grafting. The endoscopic vein harvesting technique is widely used due to reduced postoperative complications. We present the case of 5 patients with a history of inguinal hernia undergoing coronary artery bypass grafting, which resulted in CO2 infiltration through the deep inguinal ring and into the scrotum leading to acute scrotal enlargement. Due to the risk of impediment of vascular blood supply and necrosis, endoscopic vein harvesting was withdrawn, and the vein was harvested by using the bridging technique. Postoperatively, severe contusion, inflammation, and erythematous vesicular eruption resulted in a lengthened hospital stay.
