RESUMEN
The advent of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in China at the end of 2019 has developed into a global outbreak, and COVID- 19 is an ongoing major public health issue. During the pandemic, transplant programs had to devise strategies to deal with the possibility of COVID-19-positive donors and recipients. We describe the case of a heart transplant recipient who tested positive with the SARS- CoV2 swab upon admission to our Unit of Cardiac Surgery when a suitable donor became available. Given his clinical status of end-stage heart failure and the absence of imaging and clinical signs suggestive of COVID-19, and his having been vaccinated with three doses, we decided to proceed with the transplant.
Asunto(s)
COVID-19 , Trasplante de Corazón , Humanos , SARS-CoV-2 , Donantes de Tejidos , China , Receptores de TrasplantesRESUMEN
Endocarditis of a prosthetic heart valve is a life-threatening condition that is associated with high morbidity and mortality. Perivalvular extension in infective endocarditis includes complications such as periannular or intramyocardial abscesses, pseudoaneurysms and fistulae. The incidence of perivalvular extension ranges from 10 to 30% in native valve endocarditis and 30 to 55% in prosthetic aortic-valve endocarditis. Herein, we describe a case of a 66-year-old man who presented endocarditis of a prosthetic aortic valve complicated by infective pseudoaneurysm with localization next to the right coronary sinus of Valsalva. Moreover, we underscore the importance of the diagnostic imaging tools options and surgical timing.
Asunto(s)
Aneurisma Falso/cirugía , Insuficiencia de la Válvula Aórtica/cirugía , Seno Coronario/cirugía , Endocarditis Bacteriana/cirugía , Implantación de Prótesis de Válvulas Cardíacas/efectos adversos , Infecciones Relacionadas con Prótesis/cirugía , Anciano , Aneurisma Falso/diagnóstico por imagen , Aneurisma Falso/etiología , Insuficiencia de la Válvula Aórtica/diagnóstico por imagen , Seno Coronario/diagnóstico por imagen , Seno Coronario/fisiopatología , Remoción de Dispositivos , Ecocardiografía/métodos , Ecocardiografía Transesofágica/métodos , Endocarditis Bacteriana/etiología , Endocarditis Bacteriana/fisiopatología , Estudios de Seguimiento , Prótesis Valvulares Cardíacas , Implantación de Prótesis de Válvulas Cardíacas/métodos , Humanos , Masculino , Infecciones Relacionadas con Prótesis/diagnóstico por imagen , Reoperación/métodos , Resultado del TratamientoRESUMEN
We present the case of a 54-year-old woman in which a diffuse congenital supravalvular aortic stenosis (SVAS) was associated with a severe aortic valve incompetence and heavy calcification of the aortic annulus. Repair consisted in resection of the ascending aorta, patch augmentation of the hypoplastic aortic root and annulus, placement of a 20 mm Dacron tubular graft (Vascutek, Renfrewshire, UK) and aortic valve replacement with a mechanical prosthesis (Sorin, Turin, Italy). Follow-up echocardiography demonstrated normal prosthetic valve function and a postoperative three-dimensional computed tomographic scan showed a normal shape of the reconstructed ascending aorta.
