RESUMEN
Coronary artery aneurysm is defined as a coronary dilation that exceeds the diameter of adjacent segments or the diameter of the patient's largest normal coronary vessel by 1.5×. It is an uncommon disease that has been diagnosed with increasing frequency since the widespread appearance of coronary angiography. The published incidence varies from 1.5% to 5%, suggesting male dominance and a predilection for the right coronary artery. Although several causes have been described, atherosclerosis accounts for ≥50% of coronary aneurysms in adults. Reported complications include thrombosis and distal embolization, rupture, and vasospasm, causing ischemia, heart failure, or arrhythmias. The natural history and prognosis remain unknown, as definitive data are scarce. Controversies persist regarding the use of medical management (antithrombotic therapy) or interventional/surgical procedures. Only some case reports or small case series are available about this condition. The Coronary Artery Aneurysm Registry (CAAR; http://www.ClinicalTrials.gov NCT02563626) is a multicenter international ambispective registry that aims to provide insights on anatomic, epidemiologic, and clinical aspects of this substantially unknown entity. In addition, the registry will assess management strategies (conservative, interventional, or surgical) and their short- and long-term results in a large cohort of patients. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov. Unique identifier: NCT02563626.
Asunto(s)
Conducta Cooperativa , Aneurisma Coronario , Cooperación Internacional , Sistema de Registros , Proyectos de Investigación , Aneurisma Coronario/diagnóstico por imagen , Aneurisma Coronario/epidemiología , Aneurisma Coronario/terapia , Angiografía Coronaria , Cuba , Europa (Continente) , Humanos , Valor Predictivo de las Pruebas , Pronóstico , Factores de Riesgo , Factores de Tiempo , Estados Unidos , UruguayRESUMEN
Na gestaçäo de alto risco revisa-se, discutem-se suas causas e efeitos, avaliam-se os vários parâmetros ecográficos diagnósticos e ratifica-se a importância da utilizaçäo de um protocolo consistente para um diagnóstico correto
Asunto(s)
Embarazo , Humanos , Femenino , Complicaciones del Embarazo/diagnóstico , Enfermedades Fetales/diagnóstico , UltrasonografíaRESUMEN
Relata-se o diagnóstico ultra-sonográfico antenatal de acéfalo acardíaco, sua diferenciaçäo com outras patologias e implicaçöes clínicas
Asunto(s)
Humanos , Embarazo , Adulto , Femenino , Anencefalia , Embarazo Múltiple , Diagnóstico Prenatal , GemelosRESUMEN
O autor apresenta a ultra-sonografia da anotomia pélvica e suas possíveis anormalidades