RESUMEN
Therapeutic interventions are limited for high-risk burn patients with caval and intracardiac septic thrombi. Percutaneous thrombectomy represents a less invasive alternative to median sternotomy. However, there is limited literature on application of this approach and outcomes in these patients. We report two cases of patients with large total body surface area burns with similar caval and right intracardiac septic thrombi. Both patients were successfully treated using a percutaneous aspiration device.
Asunto(s)
Quemaduras/complicaciones , Cateterismo Cardíaco/métodos , Cardiopatías/cirugía , Sepsis/complicaciones , Trombectomía/métodos , Trombosis/cirugía , Adulto , Ecocardiografía , Femenino , Cardiopatías/diagnóstico , Cardiopatías/etiología , Humanos , Sepsis/diagnóstico , Trombosis/diagnóstico , Trombosis/etiología , Adulto JovenRESUMEN
Perventricular ventricular septal defect closure has become an accepted method for treatment of some muscular and perimembranous ventricular septal defects. This report describes the case of a child who had left ventricular pseudoaneurysms after perventricular closure of a ventricular septal defect performed at 3 months of age. At 18 months, the ventricular pseudoaneurysms were closed surgically. Ventricular trauma from guidewire use during device placement was thought to be the cause. The potential for injury to the left ventricular free wall should be borne in mind and sought with serial imaging during and after perventricular septal defect closure.
