RESUMO
A case of congenital cardiac disorder with multiple defects in the secondary interventricular septum and atrial septum aneurysm in a young serviceman is reported. Plastic surgery of the atrial septum with a good clinical outcome included closure of the defect with a flap harvested from the autopericardium under conditions of artificial blood circulation and warm blood cardioplegia.
Assuntos
Aneurisma Cardíaco/patologia , Aneurisma Cardíaco/cirurgia , Cardiopatias Congênitas/patologia , Cardiopatias Congênitas/cirurgia , Septos Cardíacos/patologia , Septos Cardíacos/cirurgia , Adolescente , Humanos , Masculino , Resultado do TratamentoRESUMO
A case of congenital heart disease (fistula between left coronary artery and right pulmonary artery, right coronary artery and pulmonary trunk) diagnosed accidentally during planned medical examination is reported. Corrective surgery included disconnection of left coronary and right pulmonay arteries, right coronary artery and pulmonary trunk under artificial circulation and warm blood cardioplegia.
Assuntos
Fístula Artério-Arterial , Procedimentos Cirúrgicos Cardiovasculares/métodos , Anomalias dos Vasos Coronários , Artéria Pulmonar/anormalidades , Adulto , Fístula Artério-Arterial/congênito , Fístula Artério-Arterial/diagnóstico , Fístula Artério-Arterial/fisiopatologia , Fístula Artério-Arterial/cirurgia , Doenças Assintomáticas , Angiografia Coronária , Anomalias dos Vasos Coronários/diagnóstico , Anomalias dos Vasos Coronários/fisiopatologia , Anomalias dos Vasos Coronários/cirurgia , Eletrocardiografia , Circulação Extracorpórea/métodos , Humanos , Achados Incidentais , Masculino , Resultado do TratamentoRESUMO
Current approaches to the provision of effective medical aid to elderly patients with cardiovascular diseases are discussed. Clinical characteristics of such patients, concomitant pathologies, the strategy and extent of cardiosurgical treatment and postoperative therapy are described The original observations are compared with literature data concerning the immediate postoperative outcomes, clinical features, and peculiarities ofsurgical intervention in the patients of this age group.
Assuntos
Procedimentos Cirúrgicos Cardíacos , Doença das Coronárias/cirurgia , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/patologia , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Contraindicações , Doença das Coronárias/mortalidade , Doença das Coronárias/fisiopatologia , Humanos , Masculino , Período Pós-OperatórioRESUMO
Modern approaches to cardiosurgical plastic intervention on the mitral valve in case of its ischemic insufficiency are discussed. Etiology of this condition, indications for surgery, and the history of such operations are described. It is concluded that plastic surgery of the mitral valve is the method of choice for the treatment of patients with coronary heart disease.
Assuntos
Ponte de Artéria Coronária , Implante de Prótese de Valva Cardíaca , Anuloplastia da Valva Mitral , Insuficiência da Valva Mitral/cirurgia , Complicações Pós-Operatórias/epidemiologia , Ponte de Artéria Coronária/efeitos adversos , Ponte de Artéria Coronária/métodos , Doença das Coronárias/complicações , Doença das Coronárias/fisiopatologia , Implante de Prótese de Valva Cardíaca/efeitos adversos , Implante de Prótese de Valva Cardíaca/métodos , Humanos , Anuloplastia da Valva Mitral/efeitos adversos , Anuloplastia da Valva Mitral/métodos , Insuficiência da Valva Mitral/etiologia , Insuficiência da Valva Mitral/fisiopatologia , Fatores de Risco , Análise de Sobrevida , Resultado do TratamentoRESUMO
This paper reports the result of surgical treatment of a patient with hemodynamically significant post-infarction left ventricular aneurysm spreading over the apex, anterolateral wall of the left ventricle, and a major part of interventricular septum complicated by thromboendocarditis.
Assuntos
Procedimentos Cirúrgicos Cardíacos/métodos , Endocardite/etiologia , Aneurisma Cardíaco/cirurgia , Infarto do Miocárdio/complicações , Trombose/etiologia , Ecocardiografia Transesofagiana , Endocardite/diagnóstico , Endocardite/cirurgia , Seguimentos , Aneurisma Cardíaco/complicações , Aneurisma Cardíaco/diagnóstico , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Trombose/diagnóstico , Trombose/cirurgiaRESUMO
It was the purpose of this search to announce that elaborating an optimal tactics for patients with coronary heart disease (CHD), complicated with ischemic mitral regurgitation (IMR). There were operated 85 patients with CHD and IMR in the course of 2006-2008. Previously all patients were separated on 3 groups in dependence of severity of IMR, character of damage of coronary race and changing of left ventricle. In the first and the second groups was realized an aorta-coronary shunting with annuloplasty. In the third group was realized an isolated shunting. Mortality in hospital was zero percents. A rudimentary regurgitation was noted by 10% of patients of the 1st group. The maximum period of monitoring was 24 months. Freedom from mitral regurgitation for the 1st and 2nd group was 95%, for the 3rd--93%. So, adequate and mutual estimation of flap-connected factors as well as condition of coronary race by the patients with IMR reduces the risk of by-pass mitral regurgitation and shows good short-term and long-term results.