RESUMO
Acquired coronary artery to cardiac chamber fistulas are rare. Angiographically detectable neovascularization associated with a cardiac myxoma occurs frequently. These vessels are incorporated into the atrial suture line during surgical excision. We describe the case of a patient with a symptomatic right coronary artery to right atrial fistula that had occurred 4 years after left atrial myxoma resection. These large vessels should be considered for ligation during the myxoma resection.
Assuntos
Cardiomiopatias/etiologia , Vasos Coronários , Fístula/etiologia , Átrios do Coração/patologia , Neoplasias Cardíacas/cirurgia , Mixoma/cirurgia , Complicações Pós-Operatórias/etiologia , Nó Sinoatrial , Cardiomiopatias/terapia , Embolização Terapêutica , Feminino , Fístula/terapia , Humanos , Ligadura , Pessoa de Meia-Idade , Complicações Pós-Operatórias/terapia , Técnicas de SuturaRESUMO
We report the case of a 22-month-old immunocompetent male child with fibrosing mediastinitis secondary to zygomycosis, an unusual presentation of a rare fungal infection. This patient was successfully treated with amphotericin B and itraconazole for 20 weeks. Stenting of the superior vena cava was helpful in relieving the patient's superior vena cava syndrome.
