RESUMO
BACKGROUND AND AIM: We report a case of intravenous drug use associated tricuspid valve endocarditis in a 28-year-old pregnant female at 26-week gestation. METHODS: Patient management required a multidisciplinary collaboration between cardiac surgery, obstetrics and gynecology, and neonatal critical care. RESULTS: Despite appropriate intravenous antibiotics, the patient developed life-threatening complications and underwent planned cesarean delivery at 28 weeks 6 days gestation followed by interval tricuspid valve replacement 1 week later. CONCLUSIONS: Both the patient and her infant were successfully managed through the perioperative period.
Assuntos
Procedimentos Cirúrgicos Cardíacos , Endocardite Bacteriana , Endocardite , Preparações Farmacêuticas , Adulto , Endocardite/cirurgia , Endocardite Bacteriana/cirurgia , Feminino , Humanos , Recém-Nascido , Gravidez , Valva Tricúspide/diagnóstico por imagem , Valva Tricúspide/cirurgiaAssuntos
Educação de Pós-Graduação em Medicina , Liderança , Cirurgiões/educação , Cirurgia Torácica/educação , Procedimentos Cirúrgicos Torácicos/educação , Atitude do Pessoal de Saúde , Educação de Pós-Graduação em Medicina/história , Conhecimentos, Atitudes e Prática em Saúde , História do Século XX , História do Século XXI , Humanos , Relações Médico-Paciente , Cirurgiões/psicologia , Cirurgia Torácica/história , Procedimentos Cirúrgicos Torácicos/história , Equilíbrio Trabalho-VidaRESUMO
Surgical maneuvers for implantation of a continuous-flow ventricular assist device are revolutionary concepts that have been associated with a reduction in pump-related complications. With the advancement of technology, surgical implant strategy continues to evolve, incorporating less-invasive approaches into the armamentarium of the experienced surgeon.
Assuntos
Insuficiência Cardíaca/cirurgia , Coração Auxiliar , Implantação de Prótese/métodos , HumanosRESUMO
Apical aneurysms are outpouchings of the left ventricular apex that are relatively common in patients with apical hypertrophic cardiomyopathy or hypertrophic cardiomyopathy with midventricular obstruction. Apical aneurysms have been associated with ventricular tachycardia and sudden cardiac death, but surgical resection may reduce the risks of these complications. In this tutorial, we describe resection of a left ventricular apical aneurysm in a patient with hypertrophic cardiomyopathy and midventricular obstruction.
Assuntos
Procedimentos Cirúrgicos Cardíacos/métodos , Cardiomiopatia Hipertrófica/complicações , Aneurisma Cardíaco/cirurgia , Ventrículos do Coração/cirurgia , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
PURPOSE OF REVIEW: Primary graft dysfunction is an acute lung injury syndrome occurring immediately following lung transplantation. This review aims to provide an overview of the current understanding of PGD, including epidemiology, immunology, clinical outcomes and management. RECENT FINDINGS: Identification of donor and recipient factors allowing accurate prediction of PGD has been actively pursued. Improved understanding of the immunology underlying PGD has spurred interest in identifying relevant biomarkers. Work in PGD prediction, severity stratification and targeted therapies continue to make progress. Donor expansion strategies continue to be pursued with ex vivo lung perfusion playing a prominent role. While care of PGD remains supportive, ECMO has established a prominent role in the early aggressive management of severe PGD. SUMMARY: A consensus definition of PGD has allowed marked advances in research and clinical care of affected patients. Future research will lead to reliable predictive tools, and targeted therapeutics of this important syndrome.
RESUMO
Cardiac sarcomas represent the majority of primary malignant cardiac tumors. They are usually located in the right atrium and are frequently angiosarcomas. We present a case of primary cardiac sarcoma originating from the left atrium in a 40-year-old woman that was treated with resection combined with mitral valve bypass.
