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8.
Cir. pediátr ; 33(2): 91-94, abr. 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-190848

RESUMO

Introducción: La hernia diafragmática intrapericárdica consiste en un prolapso de las estructuras abdominales dentro del pericardio, representando una de las entidades menos frecuentes dentro del conjunto de las hernias diafragmáticas. Caso clínico: Se presenta el caso de un lactante de 4 meses intervenido de comunicación interventricular (CIV) que, en el postoperatorio, la auscultación cardiopulmonar detecta ruidos hidroaéreos y el control radiológico de tórax muestra un neumopericardio atípico. Ante los hallazgos clínico-radiológicos, y sin sintomatología abdominal sobreañadida objetivable, se solicita un tránsito gastrointestinal (TGI) donde se pone de manifiesto la herniación intrapericárdica de asas intestinales. Tras la intervención quirúrgica abdominal reparadora, el paciente fue dado de alta, sin otras complicaciones. Comentarios: Se realiza un breve recordatorio de las hernias diafragmáticas intrapericárdicas como una entidad de escasa incidencia dentro del conjunto de hernias diafragmáticas, siendo la cirugía cardiaca un posible factor iatrogénico poco frecuente. La sospecha clínica, junto con los hallazgos de imagen, son fundamentales para llegar a un diagnóstico y tratamiento quirúrgico precoz


Introduction: Intrapericardial diaphragmatic hernia is an abdomi-nal organ prolapse inside the pericardium. It is one of the less frequent instances within the diaphragmatic hernia group. Clinical Case: This is the case of a 4-month-old infant undergo-ing surgery for interventricular communication (IVC). Postoperatively, pulmonary auscultation detected air-fluid sounds, and thoracic radiologi-cal control showed an atypical pneumopericardium. Given clinical and radiological findings, and in the absence of additional abdominal symptoms, gastrointestinal transit (GIT) was performed, demonstrating intra-pericardial herniation of the intestinal loops. The patient was discharged following abdominal surgical repair, with no further complications. Discussion: Intrapericardial diaphragmatic hernia is an infrequent instance within the diaphragmatic hernia group, with cardiac surgery being a rare potential iatrogenic factor. Clinical suspicion and imag-ing findings are key to perform early diagnosis and surgical treatment


Assuntos
Humanos , Masculino , Lactente , Hérnia Diafragmática/etiologia , Pericárdio , Comunicação Interventricular/cirurgia , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Hérnia Diafragmática/cirurgia , Pericárdio/cirurgia
10.
Eur. j. anat ; 23(3): 223-226, mayo 2019. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-182983

RESUMO

Juxtaposition of atrial appendages is a very rare congenital cardiac anomaly. It is not of much importance per se, but its identification pre-operatively usually indicates the presence of complex cardiac or extracardiac malformations. Left juxtaposition of atrial appendages is more common than right juxtaposition. Juxtaposition of atrial appendages is mostly associated with cyanotic congenital heart diseases and very rarely with acyanotic cardiac anomalies. We here present a case of right juxtaposition of atrial appendages in an infant associated with isolated ventricular septal defect


No disponible


Assuntos
Humanos , Masculino , Lactente , Apêndice Atrial/diagnóstico por imagem , Apêndice Atrial/cirurgia , Cardiopatias Congênitas/diagnóstico por imagem , Comunicação Interventricular/cirurgia , Cardiopatias Congênitas/complicações , Ecocardiografia Transesofagiana/métodos , Esôfago/diagnóstico por imagem
12.
Med. oral patol. oral cir. bucal (Internet) ; 22(4): e458-e466, jul. 2017. tab, graf
Artigo em Inglês | IBECS | ID: ibc-164946

RESUMO

Background: Congenital Heart Diseases (CHD) involves a wide range of pathological conditions, such as Pulmonary Atresia with Ventricle Septal Defect (PA/VSD). This disorder leads to the systemic circulation of oxygenpoor blood (cyanosis), with associated features and consequences in the oral cavity. Material and Methods: Using scoping review methodology for screening and article selection, the primary objectives of this paper were as follows: first, to pose a research question; second, to identify relevant studies in order to answer the research question; third, to select and retrieve the studies; fourth, to chart the critical data, and finally, to collate, summarize, and report the results from the most important articles on the dental management of children affected with PA/VSD. Relevant articles (Randomized Controlled Trials [RCT], reviews, observational studies, and clinical case reports) published over a 10-year period were identified and retrieved from four Internet databases: PubMed; Embase/Ovid; Cochrane Library, and Google Scholar. Results: By title and abstract screening and after removing duplicates, 24 articles were finally included in the present scoping review. According to the extracted data, the following are the most important clinical issues to be considered when treating children with PA/VSD in the dental setting: prevalence of dental caries; prevention of dental disease (oral hygiene and diet); bacteremia and infective endocarditis risk, and child behavior control and treatment under general anesthesia. Conclusions: Pediatric Dentists should bear in mind that early diagnosis and treatment, together a long-term followup of children with PA/VSD, continue to be the best approaches for achieving enhanced patient psychological wellbeing and, in consequence, their good quality of life (AU)


No disponible


Assuntos
Humanos , Criança , Atresia Pulmonar/complicações , Comunicação Interventricular/complicações , Doenças da Boca/cirurgia , Assistência Odontológica para Crianças/métodos , Cardiopatias Congênitas/complicações
17.
Radiología (Madr., Ed. impr.) ; 57(1): 50-55, ene.-feb. 2015. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-136635

RESUMO

Objetivo. Comparar los métodos de segmentación del ventrículo derecho en los planos eje corto y 4 cámaras, en los estudios de resonancia magnética cardíaca, y realizar una correlación con el método ecocardiográfico tricuspid annular plane systolic excursion (TAPSE). Material y métodos. Se estudiaron 26 pacientes con diversas enfermedades cardiovasculares con un equipo de resonancia magnética de 1,5 T. Se adquirieron en todos los estudios imágenes en modo cine en eje corto y en 4 cámaras (steady-state free precession, 6 mm de grosor de corte, desde la base al ápex ventricular). En todos los pacientes se cuantificaron los volúmenes telediastólico, telesistólico y la fracción de eyección del ventrículo derecho. A 14 pacientes se les practicó también una ecocardiografía y se calculó la función ventricular derecha (TAPSE), el mismo día que se realizó el estudio de resonancia magnética cardíaca. Resultados. No hubo diferencias estadísticamente significativas en los volúmenes y la función del ventrículo derecho determinados con los 2 métodos de segmentación. La correlación al estimar los volúmenes fue excelente (r > 0,95) y disminuyó levemente para la fracción de eyección (r > 0,84). La correlación entre fracción de eyección del ventrículo derecho y TAPSE fue muy baja (r = 0,2; p < 0,01). Conclusión. Ambos métodos de segmentación ventricular cuantifican adecuadamente la función del ventrículo derecho. La correlación con el método ecocardiográfico es discreta (AU)


Objective. To compare the methods of right ventricle segmentation in the short-axis and 4-chamber planes in cardiac magnetic resonance imaging and to correlate the findings with those of the tricuspid annular plane systolic excursion (TAPSE) method in echocardiography. Material and methods. We used a 1.5 T MRI scanner to study 26 patients with diverse cardiovascular diseases. In all MRI studies, we obtained cine-mode images from the base to the apex in both the short-axis and 4-chamber planes using steady-state free precession sequences and 6 mm thick slices. In all patients, we quantified the end-diastolic volume, end-systolic volume, and the ejection fraction of the right ventricle. On the same day as the cardiac magnetic resonance imaging study, 14 patients also underwent echocardiography with TAPSE calculation of right ventricular function. Results. No statistically significant differences were found in the volumes and function of the right ventricle calculated using the 2 segmentation methods. The correlation between the volume estimations by the two segmentation methods was excellent (r = 0,95); the correlation for the ejection fraction was slightly lower (r = 0,8). The correlation between the cardiac magnetic resonance imaging estimate of right ventricular ejection fraction and TAPSE was very low (r = 0,2, P < .01). Conclusion. Both ventricular segmentation methods quantify right ventricular function adequately. The correlation with the echocardiographic method is low (AU)


Assuntos
Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Hipertrofia Ventricular Direita/complicações , Hipertrofia Ventricular Direita , Imageamento por Ressonância Magnética/métodos , Ecocardiografia/métodos , Comunicação Interventricular , Cardiomiopatias/complicações , Cardiomiopatias
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