RESUMEN
Two cases of Budd-Chiari syndrome caused by membranous occlusion of the proximal portion of the inferior vena cava are presented. Both were treated surgically, using the modified technique of Kimura in one case, and a resection with direct vision and extracorporeal circulation in the other. Both patients progressed well. We discuss the etiology and pathogenesis of the syndrome, the diagnostic means that can be used, and the importance of early treatment.
Asunto(s)
Síndrome de Budd-Chiari/etiología , Adulto , Síndrome de Budd-Chiari/diagnóstico por imagen , Síndrome de Budd-Chiari/cirugía , Femenino , Humanos , Masculino , Radiografía , Tromboflebitis/complicaciones , Vena Cava Inferior/diagnóstico por imagen , Vena Cava Inferior/cirugía , Vena Cava Superior/diagnóstico por imagen , Vena Cava Superior/cirugíaAsunto(s)
Terapia por Láser/métodos , Revascularización Miocárdica/métodos , Insuficiencia Cardíaca/patología , Insuficiencia Cardíaca/cirugía , Humanos , Terapia por Láser/instrumentación , Isquemia Miocárdica/patología , Isquemia Miocárdica/cirugía , Revascularización Miocárdica/instrumentación , Miocardio/patología , Selección de PacienteRESUMEN
A 13-year-old boy underwent orthotopic heart transplantation for end-stage idiopathic dilated cardiomyopathy. Immunosuppressive therapy consisted of cyclosporine, azathioprine, prednisone, and antithymocyte globulin. Endomyocardial biopsies revealed persistent moderate rejection, which was treated aggressively. In the sixth week, septic arthritis by Salmonella enteritidis developed. We discuss our management of this exceptional complication and the poor results obtained because of superimposed cytomegalovirus infection.