RESUMEN
Two patients who had mitral valve replacement presented during the second trimester of pregnancy. Both had uneventful pregnancies ending in normal delivery of healthy female babies. Though patients who are haemodynamically stable tolerate pregnancy well, because of the substantial risks of anticoagulant therapy, it is prudent to advise against pregnancy after valve replacement.
Asunto(s)
Insuficiencia de la Válvula Mitral/cirugía , Complicaciones Cardiovasculares del Embarazo/cirugía , Cardiopatía Reumática/complicaciones , Adulto , Terapia Combinada , Femenino , Humanos , Insuficiencia de la Válvula Mitral/etiología , Periodo Posoperatorio , Embarazo , Complicaciones Cardiovasculares del Embarazo/etiología , Warfarina/uso terapéuticoRESUMEN
Analysis of data concerning 24 patients with mitral stenosis treated surgically is presented. Twenty patients had closed valvotomy with good results in 19 of them. One patient died post operatively from cerebral embolism. Closed mitral valvotomy is recommended in selected cases.
Asunto(s)
Estenosis de la Válvula Mitral/cirugía , Cardiopatía Reumática/complicaciones , Adolescente , Adulto , Cateterismo Cardíaco , Procedimientos Quirúrgicos Cardíacos/métodos , Niño , Ecocardiografía , Femenino , Estudios de Seguimiento , Humanos , Masculino , Estenosis de la Válvula Mitral/diagnóstico , Estenosis de la Válvula Mitral/etiología , Índice de Severidad de la EnfermedadRESUMEN
A 25-year old male with a major corrosive stricture of the larynx, oesophagus and stomach had left isoperistaltic colon interpostion with good results. The colon was passed transpleuraly to emerge in the neck lateral to the sternomastoid.
Asunto(s)
Quemaduras Químicas/cirugía , Colon/trasplante , Estenosis Esofágica/inducido químicamente , Estenosis Esofágica/cirugía , Laringectomía/métodos , Laringe/lesiones , Estómago/lesiones , Ácidos Sulfúricos/efectos adversos , Adulto , Quemaduras Químicas/diagnóstico , Estenosis Esofágica/diagnóstico , Esofagoscopía , Humanos , Laringoscopía , MasculinoRESUMEN
OBJECTIVES: To review alternative surgical and anaesthetic options in the management of foreign bodies lodged in the tracheobronchial tree in children aged below 10 years. DESIGN: A five year retrospective secondary data analysis. SETTING: Three hospitals based in Eldoret Municipality, Kenya. MAIN OUTCOME MEASURES: Outcome variables included morbidity and mortality. RESULTS: Of the thirty two children studied, 74.1% had bronchoscopy and 25.9% thoracotomy. The overall mortality rate was 3.3%. CONCLUSION: Foreign bodies in the tracheo-bronchial tree are a major cause of morbidity and mortality in children aged below 10 years. In settings where appropriate equipment is inadequate, timely thoracotomy may be life saving.
Asunto(s)
Bronquios , Cuerpos Extraños/terapia , Tráquea , Distribución por Edad , Broncoscopía/métodos , Broncoscopía/estadística & datos numéricos , Niño , Preescolar , Fabaceae , Cuerpos Extraños/complicaciones , Cuerpos Extraños/diagnóstico , Cuerpos Extraños/mortalidad , Humanos , Lactante , Mortalidad Infantil , Intubación Intratraqueal/métodos , Intubación Intratraqueal/estadística & datos numéricos , Kenia/epidemiología , Morbilidad , Estudios Retrospectivos , Semillas , Toracotomía/métodos , Toracotomía/estadística & datos numéricos , Resultado del TratamientoRESUMEN
A rare case of spinal hydatid disease presenting with paraparesis and sensory loss is reported. The patient was treated with albendazole resulting in significant improvement within eight weeks. Investigations and treatment modalities are discussed.