RESUMEN
Cerebral hemorrhage is a common lethal complication associated with left ventricular assist device (LVAD) management. We performed cerebral angiography on patients with LVAD who developed cerebral hemorrhage and determined that ruptured aneurysms were the cause in some cases. Endovascular management of patients with LVAD can be a therapeutically useful approach for cerebral hemorrhage caused by aneurysm rupture.
Asunto(s)
Aneurisma Roto/etiología , Aneurisma Roto/cirugía , Hemorragia Cerebral/cirugía , Procedimientos Endovasculares/métodos , Corazón Auxiliar/efectos adversos , Aneurisma Intracraneal/etiología , Aneurisma Intracraneal/cirugía , Adulto , Aneurisma Roto/diagnóstico por imagen , Angiografía de Substracción Digital , Angiografía Cerebral , Hemorragia Cerebral/diagnóstico por imagen , Ventrículos Cardíacos , Humanos , Aneurisma Intracraneal/diagnóstico por imagen , Masculino , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
Cerebral hemorrhage is one of the common complications associated with left-ventricular-assist device (LVAD) treatment and leads to a high mortality rate because of excessive bleeding due to frequently unknown causes. Cerebral angiography is used to diagnose cerebrovascular events and is well recognized as being very useful for this purpose. We performed a cerebral angiography for a patient with an LVAD who developed cerebral hemorrhage, and the hemorrhagic source was clearly identified. The patient underwent successful neurosurgical treatment, which was followed by heart transplantation.
Asunto(s)
Encéfalo/diagnóstico por imagen , Insuficiencia Cardíaca/cirugía , Corazón Auxiliar , Hemorragias Intracraneales/diagnóstico por imagen , Adulto , Encéfalo/cirugía , Humanos , Hemorragias Intracraneales/cirugía , Masculino , RadiografíaRESUMEN
Perigraft seroma is a very rare postoperative complication following abdominal aortic aneurysm repair. A 74-year-old man with history of esophageal cancer surgery, underwent Gore-Tex graft replacement for an abdominal aortic aneurysm. A 50-mm perigraft seroma was noted one year later, increasing to over 70 mm in the next 6 months. We resected the Gore-Tex graft and replaced it with a Dacron graft via a repeat laparotomy. We observed the resected Gore-Tex graft in detail using electron microscopy to investigate the mechanism of perigraft seroma.
Asunto(s)
Aorta Abdominal/cirugía , Aneurisma de la Aorta Abdominal/cirugía , Implantación de Prótesis Vascular/efectos adversos , Implantación de Prótesis Vascular/instrumentación , Prótesis Vascular , Politetrafluoroetileno , Seroma/etiología , Anciano , Aorta Abdominal/diagnóstico por imagen , Aorta Abdominal/ultraestructura , Aneurisma de la Aorta Abdominal/diagnóstico , Aortografía/métodos , Remoción de Dispositivos , Progresión de la Enfermedad , Humanos , Masculino , Microscopía Electrónica de Rastreo , Diseño de Prótesis , Reoperación , Seroma/diagnóstico , Seroma/cirugía , Factores de Tiempo , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
We report a patient with inflammatory abdominal aortic aneurysm who underwent endovascular aneurysm repair, despite his having an allergy to iodinated contrast medium and anatomy unsuitable for the procedure. Intravascular ultrasound-guided and CO2-assisted aortic stent graft placement was performed, and the procedures resulted in the successful exclusion of the aneurysm with regression of the mantle sign and resolution of hydronephrosis.
RESUMEN
Berry syndrome is a rare congenital combination of an aortopulmonary window, an aortic origin of the right pulmonary artery, an interrupted aortic arch with a patent ductus arteriosus, and an intact ventricular septum. We report a successful one-stage surgical correction of Berry syndrome. Also, we demonstrate the importance of prompt clinical recognition with echocardiography and 3-dimensional reconstruction of computed tomography (3D-CT) and timely operation for the management of this rare cardiac anomaly.