RESUMO
Raghib syndrome is a rare developmental complex consisting of termination of the left superior vena cava in the left atrium, absence of the coronary sinus, and an atrial septal defect commonly located at the posterior-inferior angle of the atrial septum. This complex was considered unique to Raghib syndrome; however, cases with a normal atrial septum have been reported where the orifice of the unroofed coronary sinus functions as the inter-atrial communication. Our patient demonstrated an isolated persistent left superior vena cava draining into the left atrium through unroofed coronary sinus and presence of ostium primum atrial septal defect.
Assuntos
Seio Coronário/anormalidades , Ecocardiografia/métodos , Comunicação Interatrial/diagnóstico por imagem , Veia Cava Superior/anormalidades , Adulto , Meios de Contraste , Diagnóstico Diferencial , Feminino , Humanos , SíndromeRESUMO
We are describing pulmonary valve involvement with thickening and stenosis detected by two-dimensional transthoracic echocardiography in an adult presenting with Löeffler's endocarditis. To our knowledge, this has not been described previously. Complete regression of the lesions occurred with corticosteroid therapy. Tricuspid valve thickening and stenosis and thickening and thrombus formation in the right ventricle also present initially disappeared completely with therapy.
Assuntos
Ecocardiografia/métodos , Síndrome Hipereosinofílica/complicações , Síndrome Hipereosinofílica/diagnóstico por imagem , Estenose da Valva Pulmonar/diagnóstico por imagem , Estenose da Valva Pulmonar/etiologia , Corticosteroides/uso terapêutico , Adulto , Humanos , Síndrome Hipereosinofílica/tratamento farmacológico , Masculino , Estenose da Valva Pulmonar/tratamento farmacológicoRESUMO
Renal artery stenosis (RAS) is one of the important causes of correctable hypertension. There are various modes of therapy for RAS, including percutaneous transluminal renal angioplasty (PTRA) and surgery. PTRA has emerged as the treatment of choice in cases of renal artery stenosis. PTRA combined with stenting is associated with good immediate and long-term results. This case report describes successful angioplasty of bilateral multiple renal arteries in a single setting with good immediate and follow-up results.
Assuntos
Angioplastia com Balão , Artéria Renal/cirurgia , Stents , Idoso , Implante de Prótese Vascular , Humanos , Masculino , Obstrução da Artéria Renal/terapiaRESUMO
The gastroepiploic artery has been successfully used as an arterial conduit in selected patients undergoing CABG with acceptable immediate and long-term results. Myocardial ischemia may occur during the follow-up period as a result of spasm, occlusion, or stenosis at the anastomosis site. Because of tortuosity and in order to avoid graft spasm and to obtain good extra backup support, we require low-profile wide-lumen guiding catheters for deep intubation and increased procedural success. In the case presented here, a gastroepiploic graft stenosis was treated by balloon angioplasty performed through a less invasive approach combining transradial access and use of 5 Fr guiding catheter.
Assuntos
Angioplastia Coronária com Balão , Artéria Gastroepiploica , Cateterismo/instrumentação , Ponte de Artéria Coronária , Estenose Coronária/terapia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Acute myocardial infarction during pregnancy, though rare, is nevertheless associated with a high mortality rate ranging from 37 50%. Primary angioplasty is the treatment of choice for acute myocardial infarction during pregnancy. There are reports of high vascular bleeding complications when using the transfemoral approach as well as increased morbidity, longer hospital stay and higher hospital cost. We present a case of successful primary angioplasty in acute myocardial infarction during pregnancy via the transradial approach without complications. The patient had an uncomplicated recovery with normal left ventricular function.