RESUMO
Pulmonary artery (PA) stenosis due to Takayasu Arteritis (TA) is usually managed by angioplasty techniques. We present a patient with isolated PA stenosis with TA with in-stent stenosis. The surgical management and pathophysiology of this disease are reviewed.
Assuntos
Angioplastia/instrumentação , Implante de Prótese Vascular , Complicações Pós-Operatórias/cirurgia , Artéria Pulmonar/cirurgia , Stents , Arterite de Takayasu/cirurgia , Constrição Patológica/diagnóstico , Constrição Patológica/etiologia , Constrição Patológica/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Complicações Pós-Operatórias/diagnóstico , Artéria Pulmonar/patologia , Recidiva , Arterite de Takayasu/complicaçõesRESUMO
Arterial switch surgery for d-transposition of great arteries is usually performed in the first 2 weeks of life before the left ventricle regresses. The arterial switch surgery that helps achieve anatomic and physiologic correction of this condition has better long-term outcomes than other surgical approaches. The procedure may still be attempted at an older age where the left ventricle has not regressed. We report a rare case of a 12-year-old child with d-transposition of great arteries, a remote muscular ventricular septal defect and isolated valvar pulmonic stenosis, which was corrected by an arterial switch surgery.
Assuntos
Transposição dos Grandes Vasos/cirurgia , Anormalidades Múltiplas/cirurgia , Procedimentos Cirúrgicos Cardíacos/métodos , Criança , Feminino , Cardiopatias Congênitas/complicações , Cardiopatias Congênitas/cirurgia , Humanos , Transposição dos Grandes Vasos/complicaçõesRESUMO
Sinus of Valsalva aneurysms (SOVAs) might be congenital or acquired in origin. They might present as a rupture or as a consequence of compression on adjacent structures. The treatment of such aneurysms in adults is well documented. Calcified unruptured SOVAs are rarer and their management is not well elucidated, more so in the pediatric population. We present the management and outcome of such a case.