ABSTRACT
This is the report of a 46-year-old patient with the preoperative diagnosis of an atrial septal defect (ASD) of the ostium secudum type. After sternectomy, partial agenesis of the left pericardium was diagnosed. It is our opinion that, if the radiographic picture is suggestive of this entity, a clinical search for cardiopulmonary anomalies should be performed, because the majority of these associated anomalies can and should be surgically corrected.
Subject(s)
Pericardium/abnormalities , Heart Septal Defects, Atrial/diagnostic imaging , Heart Septal Defects, Atrial/surgery , Humans , Intraoperative Period , Male , Pericardium/diagnostic imaging , Pericardium/surgery , RadiographyABSTRACT
OBJECTIVE: To assess the results observed during the early postoperative period in patients who had the posterior coronary arteries revascularized without cardiopulmonary bypass (CPB), in regard to the following parameters: age, sex, bypass grafts types, morbidity and mortality. METHODS: From January 1995 to June 1998, 673 patients underwent myocardial revascularization (MR). Of this total, 607 (90.20%) MR procedures were performed without CPB. The posterior coronary arteries (PCA) were revascularized in 298 (44.27%) patients, 280 (93.95%) without CPB. The age of the patients ranged from 37 to 88 years (mean, 61 years). The male gender predominated, with 198 men (70.7%). The revascularization of the posterior coronary arteries had the following distribution: diagonalis artery (31 patients, 10%); marginal branches of the circumflex artery (243 patients, 78.7%); posterior ventricular artery (4 patients, 1.3%); and posterior descending artery (31 patients, 10%). RESULTS: Procedure-related complications without death occurred in 7 cases, giving a morbidity of 2.5%. There were 11 deaths in the early postoperative period (mortality of 3.9%). CONCLUSION: Similarly to the anterior coronary arteries, the posterior coronary arteries may benefit from myocardial revascularization without CPB.
Subject(s)
Coronary Vessels/surgery , Myocardial Revascularization/methods , Adult , Aged , Aged, 80 and over , Cause of Death , Extracorporeal Circulation , Female , Humans , Male , Middle Aged , Myocardial Revascularization/mortalityABSTRACT
Uma criança de 7 anos de idade portadora de comunicaçäo direta da artéria pulmonar direita com o átrio esquerdo, com cianose intensa, foi operada com sucesso. Foi feita revisäo dos 20 casos até agora publicados, com especial atençäo no diagnóstico, tipos anatômicos e resultado cirúrgico
Subject(s)
Humans , Male , Child , Heart Septal Defects, Atrial , Pulmonary Artery/abnormalities , Heart Septal Defects, Atrial/surgery , Pulmonary ArterySubject(s)
Adult , Middle Aged , Humans , Male , Female , Hypertension , Indoles , Diuretics , Drug Therapy, Combination , Methyldopa , PropranololABSTRACT
Dois pacientes com tetralogia de Fallot (TF) e agenesia da arteria pulmonar esquerda(AAPE) foram tratados cirurgicamente, com bons resultados. Como no ato cirurgico o anel pulmonar era inadequado, a via de saida do ventriculo direito (VSVD) foi ampliada com um "patch" de dacron. Uma revisao da literatura demonstrou que os resultados cirurgicos desta rara anomalia nao eram bons ate que, em duas experiencias recentes, a competencia valvular pulmonar foi mantida com o uso de protese biologica na VSVD. Apesar da incompetencia valvular pulmonar, bem tolerada na correcao classica da TF, os nossos pacientes evoluiram bem. Persiste a controversia sobre qual o melhor tratamento da VSVD na TF com AAPE
