RESUMO
Atrial myxoma is the most common benign tumor of the heart; moreover, atrial myxoma embolization to the peripheral vessels is rare. We present an unusual case of total acute infrarenal aortic occlusion resulting from embolic implantation from a left ventricular myxoma. A 37-year-old man with acute lower limbs ischemia, spinal cord ischemia, and acute renal insufficiency was urgently operated and discharged after surgery.
RESUMO
INTRODUCTION: Treatment of an infected aortic prosthesis is difficult and the ideal graft material is subject to debate. REPORT: A case of infected aortic prosthesis treated using bilateral thrombosed superficial femoral veins (SFVs) is presented. Bilateral reversed SFVs were cut longitudinally at both proximal ends about 3-4 cm and were sutured side by side. The operating time was 5 h. No sign of recurrent infection was observed when the patient suffered a myocardial infarction and died 6 months post-operatively. DISCUSSION: Thrombosed SFVs may be considered as a therapeutic option for infected aortic graft replacement.
Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Ruptura Aórtica/cirurgia , Implante de Prótese Vascular/métodos , Prótese Vascular/efeitos adversos , Artéria Femoral/cirurgia , Veia Femoral/transplante , Infecções Relacionadas à Prótese/terapia , Dor Abdominal/etiologia , Dor Abdominal/cirurgia , Idoso , Antibacterianos/uso terapêutico , Aorta Abdominal/microbiologia , Aorta Abdominal/fisiopatologia , Aorta Abdominal/cirurgia , Prótese Vascular/microbiologia , Artéria Femoral/fisiopatologia , Veia Femoral/diagnóstico por imagem , Veia Femoral/patologia , Febre/etiologia , Febre/cirurgia , República da Geórgia , Humanos , Masculino , Inibidores da Agregação Plaquetária/uso terapêutico , Infecções Relacionadas à Prótese/sangue , Infecções Relacionadas à Prótese/complicações , Infecções Relacionadas à Prótese/microbiologia , Staphylococcus aureus/isolamento & purificação , Trombectomia , Trombose/diagnóstico por imagem , Trombose/prevenção & controle , Trombose/cirurgia , Tomografia Computadorizada por Raios X , Transplante Autólogo/métodos , Grau de Desobstrução VascularRESUMO
Basilic vein elevation (BVE) is a procedure where the basilic vein (BV) is surgically exposed, mobilized, and elevated into a more superficial position for the purpose of facilitating arteriovenous fistula (AVF) cannulation. The purpose of this study is to review the use of BVE as an adjunct to fistula maturation. Between January 2009 and December 2013, 60 patients received BVE. After performing the anastomosis between brachial artery and BV, the elevated vein was placed just anterior to the surgical incision, 3 to 4 mm deep. Patients' morbidity, mortality, and patency rates were evaluated. The 90-day mortality was 0%. Maturation rates were 91.6%. The mean time to maturation was 52 days (range, 25-75 days). Primary patency rate at 12 months was 90% and secondary patency rate was 95%. The mean vein size was 4.5 ± 0.5 mm. AVF surgery via BVE offers satisfactory results in patients with chronic hemodialysis.
