RESUMO
The science of lung transplantation has evolved from an experimental procedure, to be accepted as a legitimate mainstream therapy for patients with end-stage pulmonary disease. Now lung transplantation offers patients with end-stage lung disease acceptable quality of life and matches a 5-year survival rate of other solid organ transplants. In the present report, we present our initial experience in performing two single lung transplantations done in our centre.
Assuntos
Transplante de Pulmão/métodos , Adulto , Feminino , Humanos , Índia , MasculinoRESUMO
A 36-year-old man with a short neck, low hairline, and mild kyphoscoliosis, presented with history of syncope. Chest radiography revealed a diaphragmatic hernia. Computed tomography demonstrated fusion of C2-C6 vertebral bodies, Electrocardiography indicated complete heart block. Ultrasonography showed a right pelvic kidney. He was diagnosed with Klippel-Feil syndrome and underwent permanent pacemaker implantation and corrective surgery for the congenital diaphragmatic hernia.
Assuntos
Bloqueio Cardíaco/congênito , Síndrome de Klippel-Feil/complicações , Adulto , Estimulação Cardíaca Artificial , Bloqueio Cardíaco/complicações , Bloqueio Cardíaco/diagnóstico , Bloqueio Cardíaco/terapia , Hérnia Diafragmática/diagnóstico , Hérnia Diafragmática/cirurgia , Hérnias Diafragmáticas Congênitas , Herniorrafia , Humanos , Síndrome de Klippel-Feil/diagnóstico , Masculino , Síncope/etiologia , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
A pacing system infection may lead to infective endocarditis and systemic sepsis. Tricuspid valve surgery may be required if the valve is severely damaged in the process of endocarditis. Although, cardiopulmonary bypass is the safe choice for performing right-heart procedures, it may carry risk of inducing systemic inflammatory response and multi-organ dysfunction. Some studies have advocated TV surgery without institution of CPB. We report tricuspid valve excision using the off-pump inflow occlusion technique in a 68-year-old man. We also describe role of intra-operative TEE as a monitoring tool at different stages of the surgical procedure.
