RESUMO
An acute coronary syndrome due to mast-cell activation in the presence of an allergen is known as Kounis Syndrome (KS). This relatively new entity of KS is being increasingly recognized among allergists, cardiologists, and emergency physicians; however, it is not well-known among anesthesiologists. We report here, a case of type 2 KS due to antibiotic administration causing sudden perioperative cardiac arrest.
Assuntos
Síndrome Coronariana Aguda , Anafilaxia , Parada Cardíaca , Síndrome de Kounis , Humanos , Síndrome de Kounis/complicações , Anafilaxia/induzido quimicamente , Cefalosporinas , Síndrome Coronariana Aguda/complicações , Parada Cardíaca/induzido quimicamente , Parada Cardíaca/terapiaRESUMO
Repair of ventricular septal rupture after acute myocardial infarction remains a surgical challenge. Several techniques for the closure of these defects have been described. This report discusses an infarct exclusion technique modified from the one described by Tirone David and associates. In this technique two separate pericardial patches are used. The first patch excludes the rupture. The second patch is sutured to the margins of the first patch and thus provides strength to the margins of the first patch. The repair is simple and durable and has reduced the incidence of residual ventricular septal defects and patch dehiscence.
