RESUMEN
Giant coronary aneurysms are late sequelae of Kawasaki disease (KD). We describe a 53-year-old patient who presented with acute myocardial infarction and proximal aneurysms of all three coronary arteries. Coronary angiography demonstrated the aneurysms, but CT angiography allowed accurate assessment of the real dimensions of the aneurysms and making the decision on the preferred method of revascularization. The patient underwent coronary bypass surgery and is asymptomatic at follow-up.
RESUMEN
We present a case report of a patient with a rare primary cardiac tumor, chondrosarcoma. After initial excision, a locally advanced recurrence appeared within six weeks at a different site in the heart with the histological features of a high-grade sarcoma. We discuss the background, management and prognosis of these rare tumors.
Asunto(s)
Neoplasias Óseas/secundario , Condrosarcoma/diagnóstico , Condrosarcoma/cirugía , Neoplasias Cardíacas/diagnóstico , Neoplasias Cardíacas/cirugía , Quimioterapia Adyuvante , Condrosarcoma/diagnóstico por imagen , Condrosarcoma/secundario , Diagnóstico Diferencial , Ecocardiografía , Neoplasias Cardíacas/diagnóstico por imagen , Neoplasias Cardíacas/patología , Histiocitoma Fibroso Maligno/diagnóstico , Humanos , Masculino , Adulto JovenAsunto(s)
Procedimientos Quirúrgicos Cardíacos/métodos , Remoción de Dispositivos/métodos , Insuficiencia Cardíaca , Corazón Auxiliar , Miocarditis/complicaciones , Adulto , Progresión de la Enfermedad , Ecocardiografía , Insuficiencia Cardíaca/diagnóstico , Insuficiencia Cardíaca/etiología , Insuficiencia Cardíaca/fisiopatología , Insuficiencia Cardíaca/cirugía , Humanos , Masculino , Miocarditis/patología , Recuperación de la Función , Índice de Severidad de la Enfermedad , Resultado del Tratamiento , Disfunción Ventricular IzquierdaRESUMEN
Rapid progression of valvular stenosis in the setting of infective endocarditis is extremely rare. Here we describe a patient with Bartonella endocarditis on a bioprosthetic aortic valve that caused rapidly progressive aortic stenosis without regurgitation. At operation the bioprosthetic valve was severely fibrotic and calcified, with markedly thickened and distorted leaflets and circular partial detachment from the aortic ring. The patient underwent aortic root replacement with aortic bioprosthesis and aortic grafting with reimplantation of the coronary ostia.