RESUMO
Massive pulmonary artery aneurysms, while extremely rare, might require surgical intervention. Most previous cases have been repaired either by pulmonary artery plication or synthetic graft replacement. We report a case of massive pulmonary artery aneurysm that was successfully repaired using an 'overlapping-plasty' technique with the help of 3D image simulation. This specially designed procedure might be useful as a surgical option for pulmonary artery aneurysms.
Assuntos
Aneurisma , Artéria Pulmonar , Aneurisma/diagnóstico por imagem , Aneurisma/cirurgia , Humanos , Imageamento Tridimensional , Pulmão , Artéria Pulmonar/diagnóstico por imagem , Artéria Pulmonar/cirurgiaRESUMO
Highlight A 51-year-old man was referred for further evaluation of a hepatic anomaly detected on abdominal ultrasonography. Contrast-enhanced computed tomography showed an extremely rare portal venous anomaly, almost like a 'portal circle'. Ataka and colleagues present the first report of this type of anomaly and describe it from an embryological perspective.
Assuntos
Veia Porta , Tomografia Computadorizada por Raios X , Humanos , Masculino , Pessoa de Meia-Idade , Veia Porta/anormalidades , Veia Porta/diagnóstico por imagem , UltrassonografiaAssuntos
Átrios do Coração/patologia , Neoplasias Cardíacas/diagnóstico , Hemangioma/diagnóstico , Derrame Pericárdico/diagnóstico , Adulto , Feminino , Átrios do Coração/cirurgia , Neoplasias Cardíacas/complicações , Neoplasias Cardíacas/cirurgia , Hemangioma/complicações , Hemangioma/cirurgia , Humanos , Derrame Pericárdico/etiologia , Derrame Pericárdico/cirurgiaRESUMO
A 33-year-old male with hereditary deficiency of antithrombin III (AT III) was diagnosed with annuloaortic ectasia and scheduled for the aortic root replacement. As perioperative anticoagulation, AT III was administered to have its activity≥70% in addition to heparin. During the operation with cardiopulmonary bypass, 3,000 IU of AT III concentrate was infused, and there was no hemorrhagic complication. After the operation low-molecular-weight heparin was used instead of unfractionated heparin to avoid bleeding. However, renal infarction occurred on postoperative day 11. Heparin was continuously given in combination with 1,500 IU/day of AT III concentrate until oral warfarin reached within therapeutic range. The patient recovered without further sequelae. Cardiac surgery might be safely performed in patients with AT III deficiency by replenishing AT III concentrate to keep its activity higher than 80%.
Assuntos
Deficiência de Antitrombina III/complicações , Antitrombina III/administração & dosagem , Aneurisma da Aorta Torácica/cirurgia , Adulto , Aneurisma da Aorta Torácica/complicações , Heparina/administração & dosagem , Humanos , MasculinoRESUMO
Mycotic aortic aneurysm due to Streptococcus pneumoniae is rare. The case of we report occurred in 62-year-old man with no antecedent infection admitted for appetite loss and lower leg edema. Chest and abdominal computed tomography, blood culture, and gene analysis to detec arterial wall pneumococci led to a diagnosis of mycotic aortic aneurysm caused by S. pneumoniae. The man had a graft replaced and was administered antibiotics. He remains well and infection-free 12 months after surgery. We also review the literature on these aortic aneurysms.
