RESUMO
La amiodarona es un fármaco antiarrítmico de la clase III de la clasificación de Vaughan-Willians, muy utilizado en la clínica para el tratamiento y prevención de las arritmias tanto ventriculares como supraventriculares. Sin embargo presenta importantes efectos secundarios, siendo la afectación hepática muy poco frecuente. Presentamos el caso de una hepatitis tóxica aguda tras administración de amiodarona intravenosa, que cursa con citolisis, evolucionando favorablemente con la interrupción del tratamiento (AU)
Assuntos
Idoso , Masculino , Humanos , Doença Hepática Induzida por Substâncias e Drogas/etiologia , Amiodarona/efeitos adversos , Antiarrítmicos/efeitos adversos , Injeções Intravenosas , Amiodarona/administração & dosagem , Antiarrítmicos/administração & dosagemRESUMO
Pericardial agenesis is a rare anomaly, difficult to diagnose. Its evolution is usually benign. However, on rare occasions, partial defects have been the cause of sudden death. Therefore, surgical treatment has sometimes been indicated, even though in the cases were asymptomatic. We report the case of a 50 year-old woman with partial pericardial agenesis and herniation of left atrial appendage trough. The defect was discovered by a routine chest x-ray and treated in a conservative way. Current diagnostic and therapeutic techniques are reviewed.