RESUMO
After the popularization of transcatheter aortic valve-in-valve replacement, mitral valve-in-valve is being increasingly performed for failing bioprostheses or annuloplasty rings. In the tricuspid position, despite smaller experience, valve-in-valve is also becoming an alternative to high-risk redo tricuspid surgery. We report the case of a patient with 2 failing mitral and tricuspid bioprostheses who was successfully treated with simultaneous transapical mitral and percutaneous transjugular tricuspid transcatheter valve-in-valve replacements.
Assuntos
Bioprótese , Doenças das Valvas Cardíacas/cirurgia , Implante de Prótese de Valva Cardíaca/métodos , Próteses Valvulares Cardíacas , Valva Mitral/cirurgia , Valva Tricúspide/cirurgia , Idoso , Feminino , Doenças das Valvas Cardíacas/diagnóstico por imagem , Doenças das Valvas Cardíacas/etiologia , Humanos , Falha de Prótese , ReoperaçãoRESUMO
Entrapment or device loss during percutaneous coronary intervention is a rare but potentially fatal complication. Percutaneous retrieval is possible but surgery can be required on an emergency basis. We present the case of an entrapped balloon catheter in the left anterior descending coronary artery during an elective percutaneous coronary intervention. The patient developed acute myocardial ischaemia and cardiac arrest. Emergency surgical intervention with device retrieval and distal bypass grafting was life-saving.
Assuntos
Catéteres/efeitos adversos , Vasos Coronários/cirurgia , Isquemia Miocárdica/cirurgia , Intervenção Coronária Percutânea/efeitos adversos , Choque Cardiogênico/cirurgia , Idoso , Angiografia Coronária , Vasos Coronários/diagnóstico por imagem , Falha de Equipamento , Humanos , Masculino , Isquemia Miocárdica/diagnóstico , Intervenção Coronária Percutânea/instrumentação , Reoperação , Choque Cardiogênico/etiologiaRESUMO
Exclusion of the left atrial appendage (LAA) may significantly reduce the incidence of stroke associated with atrial fibrillation (AF), since this is the main thrombus source. LAA closure is becoming a therapeutic target for preventing AF-related stroke, attracting much interest in recent years. Different devices are available to provide LAA exclusion during cardiac surgery. We describe herein our experience with the recently introduced TigerPaw II system for LAA exclusion, and report a high prevalence of device malfunction. Design improvements may address these issues and increase safety for new technological devices designed for surgical LAA closure.
Assuntos
Apêndice Atrial/cirurgia , Fibrilação Atrial/complicações , Átrios do Coração/cirurgia , Acidente Vascular Cerebral/prevenção & controle , Tromboembolia/cirurgia , Procedimentos Cirúrgicos Cardíacos , Humanos , Próteses e Implantes , Desenho de Prótese , Acidente Vascular Cerebral/etiologia , Grampeamento Cirúrgico , Tromboembolia/etiologiaRESUMO
The case of an 81-year-old male operated on for an infected false aneurysm of the aortic arch by Mycobacterium bovis (M. bovis) is described. Arch reconstruction with cryopreserved aortic patch was successfully performed under hypothermic circulatory arrest. Antituberculous chemotherapy was given for 12 months and presently the patient is leading a normal life. Vascular infection after bacillus Calmette-Guérin bladder therapy is uncommon and aortic arch involvement near exceptional. This diagnosis has to be considered in patients with such previous urologic interventions.