RESUMO
We present the case of a 38-year-old male with a diagnosis of Stanford A aortic dissection and associated coarctation of the thoracic aorta. Acute dissection associated with coarctation of the aorta is a rare problem and difficult to manage surgically. Establishing a cardiopulmonary bypass (CPB) with adequate flows is the main objective of the procedure; optimal cannulation ensures the protection of cerebral and visceral organs. We successfully performed aortic valve re-implantation surgery (T. David Surgery), replacement of the ascending aorta and aortic arch, as well as debranching of the supra-aortic trunks. The cannulation technique was axillary and femoral to guarantee flows through the coarctation area.
Presentamos el caso de un varón de 38 años con diagnóstico de disección de aorta Stanford A y coartación de aorta torácica asociada. La disección aguda asociada a la coartación de la aorta es un problema raro y difícil de manejar quirúrgicamente. Establecer un bypass cardiopulmonar con flujos adecuados es el principal objetivo del procedimiento; una canulación óptima asegura la protección de órganos cerebrales y viscerales. Realizamos con éxito una cirugía de reimplante de válvula aórtica (cirugía de T. David), reemplazo de la aorta ascendente y del arco aórtico, además de debranching de los troncos supraaórticos. La técnica de canulación fue axilar y femoral para garantizar flujos a través de la zona de coartación.
RESUMO
The presentation of myxoma in the neonatal period is quite rare. We report the case of a female patient in whom two cardiac tumors were diagnosed prenatally. Surgery was performed at eight days of age, using cardiopulmonary bypass and circulatory arrest to facilitate excision of two polypoid tumors from within the right atrium. Pathology studies were consistent with myxoma. The postoperative course was satisfactory and the patient was discharged 14 days after surgery, at 22 days old.
