RESUMO
We report our short-term and mid-term results with sutureless repair of postinfarction subacute left ventricular free wall rupture (LVFWR). For this purpose, we evaluated the short-term and mid-term postoperative results assessed by clinical examination and echocardiography of all patients who underwent surgery for subacute LVFWR between January 2004 and January 2009. Twenty-one patients were operated. Direct suture repair of LVFWR was carried out in only one patient. In all other cases we used a pericardial patch with biological glue. Early mortality was 19% (n=4). The median duration of follow-up was 17.3 months (interquartile range, 5-38.7), with a 13-month survival of 76%. Follow-up echocardiography showed no constriction associated with the rupture zone in any patient. According to our early experience, sutureless LVFWR repair is safe, effective and reproducible, and offers acceptable morbidity and mortality during follow-up.
Assuntos
Procedimentos Cirúrgicos Cardíacos , Cianoacrilatos/uso terapêutico , Ruptura Cardíaca Pós-Infarto/cirurgia , Pericárdio/transplante , Adesivos Teciduais/uso terapêutico , Idoso , Idoso de 80 Anos ou mais , Animais , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Procedimentos Cirúrgicos Cardíacos/mortalidade , Bovinos , Feminino , Ruptura Cardíaca Pós-Infarto/diagnóstico por imagem , Ruptura Cardíaca Pós-Infarto/mortalidade , Humanos , Masculino , Estudos Retrospectivos , Técnicas de Sutura , Fatores de Tempo , Transplante Heterólogo , Resultado do Tratamento , UltrassonografiaRESUMO
A 62-year-old man was accepted to our institution because of hypereosinophilia, severe tricuspid regurgitation and isolated right restrictive myocardiopathy, with thrombi inside the right atrium and ventricle. Based on the diagnosis of hypereosinophilic syndrome plus eosinophilic myocarditis, the patient underwent a tricuspid valve repair and endomyocardiectomy. We briefly discuss hypereosinophilic syndrome myocardiopathy, and its management.
Assuntos
Cardiomiopatia Restritiva/etiologia , Síndrome Hipereosinofílica/complicações , Miocárdio/patologia , Procedimentos Cirúrgicos Cardíacos , Cardiomiopatia Restritiva/patologia , Cardiomiopatia Restritiva/cirurgia , Evolução Fatal , Fibrose , Humanos , Síndrome Hipereosinofílica/patologia , Síndrome Hipereosinofílica/cirurgia , Masculino , Pessoa de Meia-Idade , Trombose/etiologia , Trombose/patologia , Trombose/cirurgia , Insuficiência da Valva Tricúspide/etiologia , Insuficiência da Valva Tricúspide/patologia , Insuficiência da Valva Tricúspide/cirurgiaRESUMO
Se describe el primer caso de aneurisma micótico de aorta por Aspergillus en un paciente con trasplante cardíaco, en el que la infección se produjo por contaminación quirúrgica directa de la sutura aórtica. El período de latencia, hasta producir las manifestaciones clínicas, fue de 8 meses. Se comentan la excepcionalidad del caso y sus dificultades diagnósticas (AU)
