RESUMO
Penetrating cardiac trauma constitutes a serious threat for life. Less than the third part of all patients who suffer it arrives at the hospital alive, and half of them die. Most of the penetrating foreign bodies in the heart are metallic, and are frequently caused by firearms and rarely by self-injury. The accidental penetration is uncommon but inadvertent penetration is extremely rare. We present the case of a patient who suffered a closed-chest trauma and did not notice the penetration of a foreign body (copper wire fragment) in the heart. It remained lodged in the left ventricle for more than 3 months. This it is the only case reported in the literature where a strange body: a) crosses the free wall of the right ventricle, the right ventricular cavity, interventricular septum, and the mitral valve apparatus; b) occupies almost all the anteroposterior diameter of the heart, and c) did not produce acute or chronic bleeding.
Assuntos
Corpos Estranhos/diagnóstico , Ventrículos do Coração/lesões , Ferimentos Penetrantes/diagnóstico , Idoso , Doença Crônica , Humanos , MasculinoRESUMO
Penetrating cardiac trauma constitutes a serious threat for life. Less than the third part of all patients who suffer it arrives at the hospital alive, and half of them die. Most of the penetrating foreign bodies in the heart are metallic, and are frequently caused by firearms and rarely by self-injury. The accidental penetration is uncommon but inadvertent penetration is extremely rare. We present the case of a patient who suffered a closed-chest trauma and did not notice the penetration of a foreign body (copper wire fragment) in the heart. It remained lodged in the left ventricle for more than 3 months. This it is the only case reported in the literature where a strange body: a) crosses the free wall of the right ventricle, the right ventricular cavity, interventricular septum, and the mitral valve apparatus; b) occupies almost all the anteroposterior diameter of the heart, and c) did not produce acute or chronic bleeding.
Assuntos
Idoso , Humanos , Masculino , Corpos Estranhos , Ventrículos do Coração/lesões , Ferimentos Penetrantes , Doença CrônicaRESUMO
El infarto agudo de miocardio es una de las principales causas de muerte e invalidez en el mundo. Reperfundir el área miocárdica afectada ha sido el mayor objetivo de la terapéutica. La trombolisis ha mostrado eficacia, pero en un por ciento muy limitado de casos, inferior al 50 porciento; sin embargo, la angioplastia coronaria transluminal percutánea, además de disolver el trombo rojo, elimina la estenosis residual de la arteria producida por la placa de ateroma. El desarrollo de este procedimiento y la introducción de los stents (prótesis endovasculares) han proporcionado, en beneficio del paciente, la posibilidad de mantener abierto el vaso relacionado con el infarto. En este artículo presentamos el caso del primer paciente que fue sometido a una angioplastia coronaria primaria en el infarto agudo de miocardio, fuera de Ciudad de La Habana(AU)
Assuntos
Humanos , Masculino , Feminino , Infarto do Miocárdio/terapia , Angioplastia Coronária com BalãoRESUMO
The normal anatomy of coronary arteries is well known but there is a great variety on its origin and distribution. Congenital coronary anomalies are uncommon and the wast majority is diagnosed incidentally during coronary angiogram or necropsy. Isolated coronary anomalies are uncommon diseases (0,64-1.3 por ciento) of all patients who underwent coronary angiography) and the anomalous origin of left anterior descending (LAD) artery from the proximal portion of the right coronary artery or from the right sinus of Valsalva is extremely rare ranging between 1.2-6.1 por ciento of all coronary anomalies. We report the case of a 52-year-old obese woman with smoking habit and non-insulin dependent diabetes mellitus who had been complaining of chest pain for two months. Coronary angiography reveled dual LAD coronary artery type IV but we noticed that it is not a typical type IV of Spindola-Franco classification because the major septal perforators did not originate from the short, but from the long LAD artery. Therefore, we have to ask the following question: Is the LAD that we present a typical type IV of Spindola-Franco classification or just a new variant never described before(AU)
