RESUMEN
Papillary fibroelastoma is a rare, benign tumor, and multiple papillary fibroelastomas are even more uncommon. In an asymptomatic patient scheduled for carotid endarterectomy, transthoracic echocardiography discovered a fibroelastoma on the mitral valve. Then, transesophageal echocardiography showed another fibroelastoma on the aortic valve. Because he also needed a right coronary artery bypass, the patient underwent surgical excision of both masses. Fibroelastomas are not always as innocent as they seem, and surgical excision is necessary because of their potential for systemic or coronary embolization. Transoesophageal echocardiography may improve the diagnosis of multiple papillary fibroelastomas.
Asunto(s)
Ecocardiografía Transesofágica/métodos , Fibroma/diagnóstico por imagen , Neoplasias Cardíacas/diagnóstico por imagen , Anciano , Válvula Aórtica/diagnóstico por imagen , Válvula Aórtica/cirugía , Diagnóstico Diferencial , Fibroma/cirugía , Estudios de Seguimiento , Neoplasias Cardíacas/cirugía , Humanos , Masculino , Válvula Mitral/diagnóstico por imagen , Válvula Mitral/cirugía , Resultado del TratamientoAsunto(s)
Anestesia Local/métodos , Broncoscopía/métodos , Oxigenación por Membrana Extracorpórea/métodos , Adulto , Anestesia General/métodos , Dióxido de Carbono/sangre , Remoción de Dispositivos/efectos adversos , Remoción de Dispositivos/métodos , Humanos , Masculino , Oxígeno/sangre , Presión Parcial , Falla de Prótesis , Stents , Tomografía Computarizada por Rayos X , Tráquea/diagnóstico por imagen , Tráquea/cirugíaRESUMEN
Anaerobic mediastinitis after cardiac surgery is a rare and poorly understood condition. We observed a patient with diabetes and myelodysplastic syndrome who developed Bacteroides fragilis mediastinitis in conjunction with a prostatic abscess, several days after coronary artery bypass surgery; this hitherto unpublished observation suggests that suppurative infection of the genito-urinary tract may constitute a portal of entry for postoperative anaerobic mediastinitis in predisposed patients.