RESUMEN
Giant coronary artery aneurysms are exceptionally uncommon with an incidence of 0.02%. The natural history and prognosis of giant coronary artery aneurysm are still not well known.
Asunto(s)
Aneurisma Coronario/congénito , Aneurisma Coronario/diagnóstico por imagen , Ecocardiografía Transesofágica/métodos , Aneurisma Coronario/cirugía , Vasos Coronarios/diagnóstico por imagen , Vasos Coronarios/cirugía , Femenino , Humanos , LactanteRESUMEN
Though respiratory complications after cardiac surgery for congenital heart disease are common, and malformations of the diaphragm can be expected in these patients, the presence of an occult diaphragmatic defect unrecognisible preoperatively and complicating the post operative course is very rare and need a high index of suspicion for diagnosis in the setting of post operative respiratory failure. We present here a case of post operative respiratory failure from a delayed presenting diaphragmatic hernia in a 2-month-old boy who underwent corrective surgery for Taussig bing anomaly and hypoplastic aortic arch. Surgical repair of the diaphragmatic defect and reduction of the bowel loops to the abdomen resulted in rapid weaning from ventilation and recovery with subsequent discharge from hospital.
Asunto(s)
Cardiopatías Congénitas/cirugía , Hernias Diafragmáticas Congénitas/complicaciones , Hernias Diafragmáticas Congénitas/fisiopatología , Complicaciones Posoperatorias/fisiopatología , Insuficiencia Respiratoria/etiología , Diagnóstico Diferencial , Hernias Diafragmáticas Congénitas/cirugía , Humanos , Lactante , Masculino , Complicaciones Posoperatorias/cirugíaRESUMEN
During off pump coronary artery bypass grafting surgery, it is common to observe mitral or tricuspid regurgitation due to heart displacement. But it's very unusual to notice new onset aortic regurgitation in OPCABG.
Asunto(s)
Insuficiencia de la Válvula Aórtica/diagnóstico por imagen , Insuficiencia de la Válvula Aórtica/etiología , Puente de Arteria Coronaria Off-Pump/métodos , Complicaciones Intraoperatorias/diagnóstico por imagen , Anciano , Anastomosis Quirúrgica , Enfermedad de la Arteria Coronaria/cirugía , Ecocardiografía Transesofágica , Electrocardiografía , Humanos , Complicaciones Intraoperatorias/terapia , Masculino , Resultado del TratamientoRESUMEN
OBJECTIVE: To assess the effects of tranexamic acid among patients undergoing cesarean delivery who were at high risk of postpartum hemorrhage. METHODS: Between August 1, 2012, and April 30, 2013, a randomized controlled trial was performed at a tertiary care center in India. Women undergoing an elective or emergency cesarean delivery who were at high risk for postpartum hemorrhage were enrolled. They were randomly assigned using sealed, opaque envelopes to receive 10mg/kg tranexamic acid or normal saline 10min before skin incision. Anesthesiologists were not masked to group assignment, but patients and obstetricians were. The primary outcome was need for additional uterotonic drugs within 24h after delivery. Analyses were by intention to treat. RESULTS: Thirty patients were assigned to each group. Additional uterotonic drugs were required in 7 (23%) patients assigned to tranexamic acid and 25 (83%) patients in the control group (P<0.001). CONCLUSION: Intravenous tranexamic acid, administered before skin incision, significantly reduced the requirement for additional uterotonics among women at increased risk for postpartum hemorrhage. Clinical Trials Registry India: CTRI/2015/05/005752.
