Subject(s)
Cardiac Catheterization/history , Coronary Artery Disease/history , Percutaneous Coronary Intervention/history , Cardiac Catheterization/instrumentation , Cardiac Catheters/history , Coronary Artery Disease/surgery , Diffusion of Innovation , History, 20th Century , History, 21st Century , Humans , Percutaneous Coronary Intervention/instrumentation , Stents/historySubject(s)
Cardiac Catheterization/history , Coronary Artery Disease/history , Percutaneous Coronary Intervention/history , Cardiac Catheterization/instrumentation , Cardiac Catheters/history , Coronary Artery Disease/surgery , Diffusion of Innovation , History, 20th Century , History, 21st Century , Humans , Percutaneous Coronary Intervention/instrumentationABSTRACT
O pleno conhecimento da anatomia vascular torácica é de suma importância para os profissionais envolvidos na realização de procedimentos invasivos como a punção de acesso venoso central. A persistência da veia cava superior esquerda é a malformação venosa torácica mais frequente, e seu diagnóstico costuma ser incidental. Apresentamos o caso de uma paciente de 14 anos em que o diagnóstico de veia cava superior esquerda persistente foi incidental em exame de imagem de controle após colocação de cateter venoso totalmente implantável. A paciente não apresentou dificuldade de infusão de quimioterapia pelo cateter e não houve complicações relacionadas ao cateter.
It is extremely important that health professionals involved in invasive procedures such as central venous access have a thorough knowledge of thoracic vascular anatomy. Persistent left superior vena cava is the most common congenital thoracic venous abnormality and is generally diagnosed as an incidental finding. We present the case of a 14-year-old female patient in whom a persistent left superior vena cava was diagnosed as an incidental finding of a control imaging exam after placement of a totally implantable venous catheter. The patient did not exhibit any difficulties with infusion of chemotherapy via the catheter and there were no complications related to the catheter.
Subject(s)
Adolescent , Vena Cava, Superior , Vena Cava, Superior/abnormalities , Echocardiography , Vascular Malformations , Cardiac Catheters/historyABSTRACT
Automatic typewriters, transistor radios, microfiche, black and white television while considered high-tech in the 1950s, these technologies seem limited when viewed from the 21st century. The same is true for cardiovascular medicine, which back then relied on electrocardiograms and X-rays for most diagnoses. In the 60 years since, advances in medical capabilities have progressed at a staggering pace. Patient research that once required months poring over paper charts is now reduced to hours using electronic medical record databases. Diagnostic images that once took days to process can now be accessed instantly through ultrasound and magnetic resonance imaging. While a half-century ago no one would have imagined accessing any and all information with a 5-second Google search, so too would noninvasive heart surgery been considered unimaginable. Since the 1950s when he graduated from medical school, William L. Winters, Jr., has been a first-hand witness to breathtaking innovations in cardiovascular medicine-both globally and in Houston. Author of Houston Hearts: A History of Cardiovascular Surgery and Medicine at Houston Methodist DeBakey Heart & Vascular Center and long-time medical editor of the Methodist DeBakey Cardiovascular Journal, Dr. Winters sat down with the journal editors this past April to share his insights from the last half-century of medical practice.