RESUMEN
Left ventricular pseudoaneurysm is a rare complication of myocardial infarction and represent a myocardial rupture contained within a pericardial space limited by adhesions. Differentiating it from a left ventricular aneurysm can be a real diagnostic challenge. We report a case of a 50-year-old man admitted for symptoms of left heart failure. Transthoracic echocardiography and cardiac computed tomography scan incidentally showed a large lateral left ventricular pseudoaneurysm measuring 75/50 mm in diameter. Patch closure was carried out under cardiopulmonary bypass. Postoperative follow up was uneventful. This case demonstrates the increasing detection of «incidental¼ left ventricular pseudoaneurysm with more frequent use of multimodality imaging techniques including cardiac CT scan.
RESUMEN
We report the case of a 30-year-old male who had symptomatic bicuspid aortic valve stenosis. Operative findings unexpectedly revealed right juxtaposition of the atrial appendages. This is a rare association, as juxtaposition of atrial appendages is generally associated with more complex forms of congenital heart disease. The patient underwent successful surgery with uneventful postoperative course.
Asunto(s)
Anomalías Múltiples , Estenosis de la Válvula Aórtica/diagnóstico , Válvula Aórtica/anomalías , Apéndice Atrial/anomalías , Cardiopatías Congénitas/diagnóstico , Enfermedades de las Válvulas Cardíacas/diagnóstico , Adulto , Enfermedad de la Válvula Aórtica Bicúspide , Femenino , Humanos , Imagenología Tridimensional , Recién Nacido , Tomografía Computarizada por Rayos XAsunto(s)
Trombosis Coronaria/patología , Pericardiectomía , Pericarditis Constrictiva/cirugía , Complicaciones Posoperatorias/patología , Anticoagulantes/uso terapéutico , Trombosis Coronaria/tratamiento farmacológico , Femenino , Humanos , Imagen por Resonancia Magnética , Persona de Mediana Edad , Complicaciones Posoperatorias/tratamiento farmacológicoRESUMEN
A 57 year-old woman with a large right atrial myxoma underwent emergency surgical resection in our institute. It is known that surgical management of such tumours is difficult regarding venous cannulation and embolic risk, but in our patient, the surgery was more challenging because of the severe left ventricular dysfunction. Thus, we aim on the one hand, to discuss the association between the left ventricular dysfunction and the right atrial myxoma, and, on the other hand, to describe the on-pump beating heart technique we used to remove this mass.
Asunto(s)
Neoplasias Cardíacas , Mixoma , Disfunción Ventricular Izquierda , Femenino , Neoplasias Cardíacas/complicaciones , Neoplasias Cardíacas/patología , Neoplasias Cardíacas/cirugía , Humanos , Persona de Mediana Edad , Mixoma/complicaciones , Mixoma/patología , Mixoma/cirugía , Índice de Severidad de la Enfermedad , Disfunción Ventricular Izquierda/etiología , Disfunción Ventricular Izquierda/patología , Disfunción Ventricular Izquierda/cirugíaRESUMEN
The left superior vena cava is the most common congenital venous anomaly in the chest; however, its drainage into the left atrium is exceptional. The aim of the paper is to describe our novel technique to connect the left superior vena cava to the right cavities using the left atrial appendage, without cardiopulmonary bypass.
Asunto(s)
Anomalías Múltiples/cirugía , Apéndice Atrial/trasplante , Procedimientos Quirúrgicos Cardíacos , Atrios Cardíacos/cirugía , Defectos de los Tabiques Cardíacos/cirugía , Tetralogía de Fallot/cirugía , Malformaciones Vasculares/cirugía , Vena Cava Superior/cirugía , Anomalías Múltiples/diagnóstico , Anastomosis Quirúrgica , Puente Cardiopulmonar , Niño , Atrios Cardíacos/anomalías , Defectos de los Tabiques Cardíacos/diagnóstico , Humanos , Tetralogía de Fallot/diagnóstico , Trasplante Autólogo , Resultado del Tratamiento , Malformaciones Vasculares/diagnóstico , Vena Cava Superior/anomalíasRESUMEN
Textiloma is unusual and uncommon diagnosis which is rarely considered. We report the case of a 13 year-old patient with Holt-Oram syndrome. He was operated on in 2006 for ostium secundum atrial septal defect. The postoperative course was uneventful until 2010 when the child presented paroxysmal dyspnoea. Investigations revealed para-cardiac mass which was thought to be a hydatid cyst, but operative findings showed textiloma.