Asunto(s)
Hemorragia Gastrointestinal , Implantación de Prótesis de Válvulas Cardíacas , Humanos , Enfermedad Crónica , Hemorragia Gastrointestinal/diagnóstico por imagen , Hemorragia Gastrointestinal/etiología , Hemorragia Gastrointestinal/cirugía , Implantación de Prótesis de Válvulas Cardíacas/efectos adversosRESUMEN
Background: Ascending aortic pseudoaneurysms (AAPs) are an unusual complication of cardiac or aortic surgery and are associated with a high risk of complications and mortality. Guidelines recommend surgical repair. There is few data concerning percutaneous occlusion of AAP. We present a case of syncope due to vascular and heart chamber compression by a large post-surgical AAP that was filled through a focal leak. Ascending aortic pseudoaneurysm was successfully occluded percutaneously. Case summary: A 66-year-old man with a mechanical aortic prosthesis and a Dacron tube in the ascending aorta presented with syncope due to compression of the right atrium and superior vena cava by a large peritube collection. A computed tomography angiography (CTA) showed a large AAP that was filled through a small focal dehiscence of the tube proximal suture. Patient was dismissed for surgery due to high surgical risk. Then, AAP was successfully occluded percutaneously via a 6-French radial access and local anaesthesia. Discussion: In patients with syncope and previous cardiac surgery, aortic complications should be ruled out. Although transthoracic echocardiography may be useful, CTA is the recommended diagnostic test for ruling out post-surgical AAP and allows the characterization of the number, localization, and size of the leaks. In selected patients with high surgical risk and favourable anatomic characteristics, a percutaneous closure could be indicated.
RESUMEN
Percutaneous closure of atrial septal defect is recognised as a safe and effective procedure, however, in some patients complications may occur. Although chest pain has been sporadically reported, its exact aetiology has been poorly studied. Herein, a 14-year-old female with an atypical and long-lasting chest pain after percutaneous atrial septal defect closure is described.
Asunto(s)
Defectos del Tabique Interatrial , Dispositivo Oclusor Septal , Adolescente , Cateterismo Cardíaco/efectos adversos , Dolor en el Pecho/diagnóstico , Dolor en el Pecho/etiología , Femenino , Defectos del Tabique Interatrial/diagnóstico , Defectos del Tabique Interatrial/cirugía , Humanos , Dispositivo Oclusor Septal/efectos adversos , Resultado del TratamientoRESUMEN
A 4-year-old child of 10 kg weight, with four previous sternotomies, presented a severe right heart failure, due to a severe regurgitation of his bioprosthetic tricuspid valve. A percutaneous tricuspid valve in valve procedure with an Edwards S3 valve was offered for compassionate use, and performed, with no complications, and significant clinical condition improvement.
Asunto(s)
Bioprótesis , Implantación de Prótesis de Válvulas Cardíacas , Prótesis Valvulares Cardíacas , Insuficiencia de la Válvula Tricúspide , Bioprótesis/efectos adversos , Cateterismo Cardíaco , Preescolar , Prótesis Valvulares Cardíacas/efectos adversos , Humanos , Diseño de Prótesis , Falla de Prótesis , Resultado del Tratamiento , Válvula Tricúspide/diagnóstico por imagen , Válvula Tricúspide/cirugía , Insuficiencia de la Válvula Tricúspide/diagnóstico , Insuficiencia de la Válvula Tricúspide/cirugíaRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Femenino , Recién Nacido , Conducto Arterial/cirugía , Cardiopatías Congénitas/cirugía , Stents , Corazón Auxiliar , Estudios Retrospectivos , Resultado del TratamientoRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Recién Nacido , Arteriopatías Oclusivas/cirugía , Estenosis de Arteria Pulmonar/cirugía , Stents , Arteriopatías Oclusivas/diagnóstico , Atresia Pulmonar/complicaciones , Cateterismo Cardíaco/métodosRESUMEN
We implanted two sinus Superflex DS© stents in a systemic non-stenotic arterial duct of a newborn with hypoplastic left heart syndrome. Forty-eight hours later an important collapse of the stent was detected and treated with a balloon expandable stent. Sinus Superflex DS© has been specifically designed for systemic ducts. This complication generates doubts about its radial force in this scenario.
Asunto(s)
Conducto Arterial/cirugía , Síndrome del Corazón Izquierdo Hipoplásico/cirugía , Falla de Prótesis , Stents/efectos adversos , Angiografía , Procedimientos Quirúrgicos Cardíacos/instrumentación , Humanos , Recién Nacido , Masculino , Arteria Pulmonar/cirugía , Resultado del TratamientoRESUMEN
No disponible
