Assuntos
Procedimentos Cirúrgicos Cardíacos/métodos , Procedimentos de Cirurgia Plástica/métodos , Obstrução do Fluxo Ventricular Externo/diagnóstico por imagem , Obstrução do Fluxo Ventricular Externo/cirurgia , Adulto , Feminino , Seguimentos , Humanos , Estenose da Valva Pulmonar/diagnóstico por imagem , Estenose da Valva Pulmonar/cirurgia , Índice de Gravidade de Doença , Tetralogia de Fallot/diagnóstico por imagem , Tetralogia de Fallot/cirurgia , Tomografia Computadorizada Espiral , Resultado do TratamentoRESUMO
Dissection of the pulmonary autograft is an extremely rare complication requiring emergent treatment as there is a chance of rupture and proximal aortic involvement. The autograft dissection can involve the aortic annulus, causing separation of leaflets from the annulus in addition to causing annular dilatation, thereby precluding resuspension of leaflets. The usual treatment in such cases is to perform the Bentall procedure, which involves placing a valved conduit (usually mechanical valve) and thereby necessitating anticoagulation. This report describes a case of successful valve-sparing aortic root replacement following the Ross procedure with dissection of autograft.
Assuntos
Aneurisma Aórtico/cirurgia , Dissecção Aórtica/cirurgia , Valva Aórtica/cirurgia , Prótese Vascular , Valva Pulmonar/transplante , Doenças da Aorta/cirurgia , Ruptura Aórtica/prevenção & controle , Dilatação Patológica , Implante de Prótese de Valva Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Seio Aórtico/cirurgia , Transplante AutólogoAssuntos
Valva Aórtica/patologia , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Fibroma/etiologia , Neoplasias Cardíacas/etiologia , Doenças das Valvas Cardíacas/cirurgia , Trombectomia/efeitos adversos , Valva Aórtica/cirurgia , Proliferação de Células , Fibroma/patologia , Fibroma/cirurgia , Átrios do Coração/cirurgia , Neoplasias Cardíacas/patologia , Neoplasias Cardíacas/cirurgia , Humanos , Reoperação , Resultado do TratamentoRESUMO
Endomyocardial fibrosis is a rare condition that occurs primarily in tropical countries. It can often mimick a variety of other common cardiac conditions such as apical hypertrophic cardiomyopathy and Ebstein anomaly. We report a case of a left ventricular mass that at histologic examination was found to be endomyocardial fibrosis.
Assuntos
Fibrose Endomiocárdica/diagnóstico , Neoplasias Cardíacas/diagnóstico , Adulto , Diagnóstico Diferencial , Ventrículos do Coração , Humanos , MasculinoRESUMO
Minimally invasive vein harvesting is associated with better leg wound healing and a lower incidence of wound infections. We analyzed our experience in 2 prospectively enrolled groups of non-randomized patients undergoing elective coronary artery bypass grafting. Group 1 was 81 patients who had endoscopic vein harvesting; group 2 was 80 who had conventional open vein harvesting. The time taken for endoscopic harvest (skin incision to skin closure) was significantly less than that for open harvest (51.07 vs 75.94 min). The number of cases to reach a plateau on the learning curve for endoscopic vein harvest was 20 for 2 lengths of vein and 35 for 3 lengths of vein. Significantly more suture repairs per vein were required in group 1 (1.32) than group 2 (0.38). The incidence of wound infection was 1.2% in group 1 vs 8.8% in group 2. Endoscopic vein harvesting is not difficult to learn and it should be preferred over open vein harvest, given its benefits in wound healing.
