RESUMEN
Spontaneous rupture of the right ventricle during the early postoperative period is a serious and potentially lethal complication. The inherent friability of the ventricular tissue makes repair difficult since myocardium is frequently weakened by infarction, mediastinitis or trauma caused by an unstable sternum or broken sternal wires. We present a novel yet simple technique for repairing the ruptured anterior wall of the right ventricle in a patient three weeks following coronary artery bypass surgery.
Asunto(s)
Puente de Arteria Coronaria/efectos adversos , Ventrículos Cardíacos/cirugía , Pericardio/trasplante , Esternotomía/efectos adversos , Dehiscencia de la Herida Operatoria/cirugía , Técnicas de Sutura , Animales , Hilos Ortopédicos , Bovinos , Falla de Equipo , Rotura Cardíaca/etiología , Rotura Cardíaca/cirugía , Ventrículos Cardíacos/lesiones , Humanos , Masculino , Persona de Mediana Edad , Reoperación , Esternotomía/instrumentación , Dehiscencia de la Herida Operatoria/etiología , Resultado del TratamientoRESUMEN
Primary malignant cardiac neoplasms are extremely rare. The occurrence of a malignant lymphoid tumour within a left atrial myxoma is highly atypical, with only one such case previously reported. Here, we describe a patient who presented with symptoms and signs of a left atrial myxoma. Subsequent specimen histology demonstrated the presence of lymphoma within the myxoma. We discuss the importance of histological diagnosis in order to best direct treatment and prognosis of such cases.
Asunto(s)
Neoplasias Cardíacas/patología , Linfoma/patología , Mixoma/patología , Anciano , Procedimientos Quirúrgicos Cardíacos , Puente Cardiopulmonar , Femenino , Atrios Cardíacos/patología , Neoplasias Cardíacas/diagnóstico por imagen , Neoplasias Cardíacas/cirugía , Humanos , Inmunohistoquímica , Linfoma/diagnóstico por imagen , Linfoma/cirugía , Mixoma/diagnóstico por imagen , Mixoma/cirugía , Esternotomía , Resultado del Tratamiento , UltrasonografíaRESUMEN
Wound complications are a well-recognised entity following median sternotomy. Soft tissue reconstruction in the form of muscle flaps generally provides adequate wound stability; nevertheless, skeletal reconstruction of the anterior chest wall is sometimes necessary. We describe a novel technique applied in three patients for reconstructing fragments of the sternum using a titanium mesh that provides a scaffold for the bony union.
RESUMEN
The idea of myocardial revascularization by means of grafting the coronary venous system is more than a century old; in cases of diffuse coronary artery disease, this may represent a valid therapeutic option. We present a challenging case in which a patient with an aberrant left coronary system and unstable angina underwent this type of procedure with good clinical results.