RESUMEN
Mid esophageal 4 chamber view showing the mass in RA (red arrow) immediately after insertion of coronary sinus catheter. LA, Left atrium; LV, Left Ventricle; RA, Right atrium; RV, Right ventricle.
Asunto(s)
Seno Coronario , Ecocardiografía Transesofágica , Catéteres , Seno Coronario/diagnóstico por imagen , Atrios Cardíacos/diagnóstico por imagen , Ventrículos Cardíacos , HumanosRESUMEN
Ventricular septal defects (VSD) are the most common congenital cardiac defect. Patients with large VSDs present early due to an increase in the volume load on the left ventricle and pressure load on the right ventricle. Few of them present late even without surgical intervention, due to partial restriction of perimembranous (PM) VSD, either by the septal leaflet of the tricuspid valve or by aortic valve cusp prolapse into the VSD. The authors observed a novel structure (ie, subaortic membrane in this case) restricting the large PM VSD in a 15-year-old child.
Asunto(s)
Cardiopatías Congénitas , Defectos del Tabique Interventricular , Adolescente , Defectos del Tabique Interventricular/diagnóstico por imagen , Defectos del Tabique Interventricular/cirugía , Ventrículos Cardíacos , Humanos , Válvula TricúspideRESUMEN
Left superior vena cava (LSVC) is the most common congenital thoracic venous anomaly which commonly drains into the right atrium via the coronary sinus. Various clinical implications are associated with LSVC and is commonly diagnosed with saline contrast echocardiography. In this case we discuss the importance of a modified bi-caval view over the mid-oesophageal four-chamber view in diagnosing LSVC with the large left innominate vein.
Asunto(s)
Vena Cava Superior Izquierda Persistente/diagnóstico por imagen , Venas Braquiocefálicas/anomalías , Venas Braquiocefálicas/diagnóstico por imagen , Preescolar , Medios de Contraste , Ecocardiografía Transesofágica/métodos , Atrios Cardíacos/diagnóstico por imagen , Humanos , Masculino , Solución Salina/administración & dosificación , Vena Cava Superior/anomalías , Vena Cava Superior/diagnóstico por imagenRESUMEN
Infective endocarditis involving the right heart is rarely observed in the pediatric population. Echocardiography plays an important role in its diagnosis, and surgery is indicated in patients with heart failure and persistent sepsis not responding to medical treatment. Here, we report a rare case of restricted ventricular septal defect complicated by a vegetation developed in the right ventricular outflow tract and causing sub-pulmonic stenosis in a 3-year-old male child.
Asunto(s)
Endocarditis Bacteriana , Defectos del Tabique Interventricular , Estenosis de la Válvula Pulmonar , Niño , Preescolar , Ecocardiografía , Endocarditis Bacteriana/complicaciones , Endocarditis Bacteriana/diagnóstico por imagen , Defectos del Tabique Interventricular/diagnóstico por imagen , Ventrículos Cardíacos/diagnóstico por imagen , Humanos , Masculino , Estenosis de la Válvula Pulmonar/complicaciones , Estenosis de la Válvula Pulmonar/diagnóstico por imagenRESUMEN
The Eustachian valve (EV) of the inferior vena cava and the Thebesian valve (TV) of the coronary sinus are incompletely regressed structures of embryonic sinus venosus. In the majority of cases, the EV and TV disappear completely after birth or are represented only by a thin crescentic fold. On echocardiography, these vestiges may mimic abnormal structures. We report a case with giant EV and TV which were initially misinterpreted as rims of an atrial septal defect (ASD) leading to the false diagnosis of ostium secundum ASD.
Asunto(s)
Defectos del Tabique Interatrial/patología , Vena Cava Inferior/diagnóstico por imagen , Vena Cava Inferior/patología , Adulto , Ecocardiografía , Defectos del Tabique Interatrial/diagnóstico por imagen , Humanos , MasculinoRESUMEN
Patients with large sub-pulmonic ventricular septal defect (VSD) present early as a results of their complications. Some present late, due to the restriction of VSD by the right coronary cusp (RCC) due to its prolapse. In this report, we present a rare case of sub-pulmonic VSD in a 33-year-old man who developed a sub-pulmonic stenosis due to the prolapse of the RCC into the right ventricular outflow tract.
Asunto(s)
Insuficiencia de la Válvula Aórtica , Cardiopatías Congénitas , Defectos del Tabique Interventricular , Obstrucción del Flujo Ventricular Externo , Adulto , Válvula Aórtica , Defectos del Tabique Interventricular/complicaciones , Defectos del Tabique Interventricular/diagnóstico por imagen , Humanos , Masculino , Prolapso , Obstrucción del Flujo Ventricular Externo/complicaciones , Obstrucción del Flujo Ventricular Externo/diagnóstico por imagenRESUMEN
Supravalvular pulmonary stenosis acquired as a postoperative cardiac procedure complication is relatively common. However, that occurring after a surgically created pleuro-pericardial window has not been described until now, to the best of our knowledge. We present a case of acquired supravalvular pulmonary stenosis that developed 9 years after the pleuro-pericardial window creation for pyopericardium due to a constricting pericardial band. The child underwent successful surgical relief of the stenosis along with repair of the atrial and ventricular septal defects.
RESUMEN
ABSTRACT: Cardiac metastases of lung cancers are common and are associated with serious complications. Locally aggressive lung tumors have the potential to extend into the left atrium via pulmonary veins, which can further complicate by embolizing into the systemic circulation. Pulmonary blastoma (PB) is one of the rare forms of primary lung malignancy and is locally aggressive. We report a rare case of 30 years old male patient who underwent left pneumonectomy for PB. During resection, the tumor was embolized into the descending thoracic aorta, leading to an acute circulatory compromise of both the lower limbs.
Asunto(s)
Neoplasias Pulmonares , Paraplejía , Neumonectomía , Complicaciones Posoperatorias , Humanos , Masculino , Neumonectomía/efectos adversos , Adulto , Paraplejía/etiología , Neoplasias Pulmonares/cirugía , Complicaciones Posoperatorias/etiología , Blastoma Pulmonar/cirugía , Aorta Torácica/cirugíaRESUMEN
Here we have described the anesthetic management of a 10-year-old patient having uremia-induced dilated cardiomyopathy for a living-related adult to pediatric renal transplant. Maintaining optimal hemodynamics, especially during the reperfusion phase, is crucial for maintaining graft perfusion. However, dilated cardiomyopathy limits indiscriminate fluid administration as it may cause congestive heart failure and pulmonary edema. We have described the fluid therapy algorithm based on the plethysmography variability index and velocity time integral at the left ventricular outflow tract, which was able to limit excessive fluid administration and maintain adequate perfusion pressures.
Asunto(s)
Cardiomiopatía Dilatada , Trasplante de Riñón , Adulto , Humanos , Niño , Cardiomiopatía Dilatada/cirugía , Algoritmos , Fluidoterapia , HemodinámicaRESUMEN
BACKGROUND: Cor triatriatum has been described as a heart with three atria in which the left atrium (cor triatriatum sinistrum) or right atrium (cor triatriatum dextrum) is divided into two compartments by a fold of tissue, a membrane, or a fibromuscular band. Double-chambered right ventricle, on the other hand, is identified by the presence of an anomalous muscle bundle dividing the right ventricle into two chambers. CASE PRESENTATION: Here, we describe the case of a child who had a combination of both of these rare entities, effectively creating a heart with six chambers. The child underwent a successful intracardiac repair. CONCLUSIONS: The association of CTS with DCRV forming a "6-chambered heart" is extremely rare. Awareness of its existence and accurate preoperative diagnosis has important implications in its surgical repair with all the components of this disease spectrum, further increasing the complexity of a successful surgical repair.
RESUMEN
Aortic valve endocarditis can lead to secondary involvement of aorto-mitral curtain and the adjacent anterior mitral leaflet (AML). The secondary damage to AML is often caused by the infected jet of aortic regurgitation hitting the ventricular surface of the mitral leaflet, or by the pronounced bacterial vegetation that prolapses from the aortic valve into the left ventricular outflow tract. This is called 'kissing lesion'. We describe a patient with infective endocarditis of the aortic valve causing perforation of both noncoronary cusp of aortic valve and the AML, which is rare.
Asunto(s)
Insuficiencia de la Válvula Aórtica , Endocarditis Bacteriana , Insuficiencia de la Válvula Mitral , Válvula Aórtica/diagnóstico por imagen , Válvula Aórtica/cirugía , Insuficiencia de la Válvula Aórtica/diagnóstico por imagen , Insuficiencia de la Válvula Aórtica/etiología , Insuficiencia de la Válvula Aórtica/cirugía , Endocarditis Bacteriana/complicaciones , Endocarditis Bacteriana/diagnóstico por imagen , Endocarditis Bacteriana/cirugía , Humanos , Válvula Mitral/diagnóstico por imagen , Válvula Mitral/cirugíaRESUMEN
BACKGROUND: Ocular manifestations of infective endocarditis are nonspecific and rare. Endophthalmitis, retinal artery occlusion, Roth spots and vitreal and retinal infiltrations can all be seen with infective endocarditis. Also, infective endocarditis involving the left atrial appendage with no involvement of the mitral valve apparatus is a rarity. CASE PRESENTATION: Here we report a case of infective endocarditis of the heart involving the left atrial appendage presenting with features of endogenous endophthalmitis which ultimately progressed to phthisis bulbi with subtle cardiac symptoms in a previous healthy young adult. CONCLUSION: Infective endocarditis involving the left chambers of the heart carries an inherent high risk of systemic embolization. Panophthalmitis which is considered to be the most severe form of endogenous endophthalmitis is a rare presenting feature. Although a definitive treatment algorithm is lacking, early surgery and parenteral antibiotics along with local antibiotic injections could help to save the vision.
RESUMEN
Systolic anterior motion (SAM) of the mitral valve is commonly observed in patients with hypertrophic obstructive cardiomyopathy and in few patients after mitral valve repair or aortic valve replacement. It may cause significant hemodynamic instability due to left ventricular outflow tract (LVOT) obstruction and resulting mitral regurgitation. Subaortic septal bulge is considered as a one of the risk factor for the development of SAM as it narrows the LVOT. We report a case of tetralogy of fallot with subaortic septal bulge who developed SAM of the anterior mitral leaflet, intraoperatively, after resection of a subaortic membrane.
Asunto(s)
Válvula Mitral/fisiopatología , Tetralogía de Fallot/cirugía , Niño , Ecocardiografía Transesofágica/métodos , Tabiques Cardíacos/cirugía , Humanos , Masculino , Válvula Mitral/diagnóstico por imagen , Movimiento (Física) , SístoleRESUMEN
New onset regional wall motion abnormality (RWMA) following coronary artery bypass grafting adversely affects the patient outcome. Early detection and addressing the cause of RWMA improves overall morbidity and mortality of the patient. We report a rare case of early myocardial ischemia detected by intraoperative transesophageal echocardiography due to mechanical compression of a vein graft by a pericardial drain tube.
Asunto(s)
Puente de Arteria Coronaria , Drenaje/instrumentación , Ecocardiografía Transesofágica/métodos , Oclusión de Injerto Vascular/diagnóstico por imagen , Complicaciones Intraoperatorias/diagnóstico por imagen , Isquemia Miocárdica/diagnóstico por imagen , Oclusión de Injerto Vascular/complicaciones , Oclusión de Injerto Vascular/fisiopatología , Humanos , Complicaciones Intraoperatorias/etiología , Complicaciones Intraoperatorias/fisiopatología , Masculino , Persona de Mediana Edad , Isquemia Miocárdica/etiología , Isquemia Miocárdica/fisiopatología , PericardioRESUMEN
Abstract Aortic valve endocarditis can lead to secondary involvement of aorto-mitral curtain and the adjacent anterior mitral leaflet (AML). The secondary damage to AML is often caused by the infected jet of aortic regurgitation hitting the ventricular surface of the mitral leaflet, or by the pronounced bacterial vegetation that prolapses from the aortic valve into the left ventricular outflow tract. This is called 'kissing lesion'. We describe a patient with infective endocarditis of the aortic valve causing perforation of both noncoronary cusp of aortic valve and the AML, which is rare.