RESUMO
Primary cardiac tumors are very rare, and tumors arising from cardiac valves are extremely rare. We present a case of lipomatous hamartoma of the mitral valve in a young female. This is the 6th case of lipomatous hamartoma of the mitral valve to be reported. We discuss the operative and histopathological findings.
Assuntos
Hamartoma/patologia , Lipomatose/patologia , Insuficiência da Valva Mitral/patologia , Valva Mitral/patologia , Adolescente , Biópsia , Procedimentos Cirúrgicos Cardíacos , Ecocardiografia Doppler em Cores , Ecocardiografia Transesofagiana , Feminino , Hamartoma/cirurgia , Humanos , Lipomatose/cirurgia , Valva Mitral/cirurgia , Insuficiência da Valva Mitral/cirurgia , Resultado do TratamentoRESUMO
Congenital heart disease with dextrocardia, situs solitus, is not uncommonly seen in paediatric cardiac surgery. An approach through the right atrium for correction of associated cardiac anomalies is needed in most of these cases. We present a technique for operating on this subset of patients wherein the heart can be displaced into the left pleural space allowing for surgery in an anatomical orientation that is familiar to the surgeon and emphasize the precautions to be taken following surgery.
Assuntos
Anormalidades Múltiplas/cirurgia , Procedimentos Cirúrgicos Cardíacos/métodos , Dextrocardia , Comunicação Atrioventricular/cirurgia , Criança , Feminino , Parada Cardíaca Induzida , Defeitos dos Septos Cardíacos , Humanos , Pericardiectomia , EsternotomiaRESUMO
Right ventricular outflow tract (RVOT) aneurysm is a known complication of tetralogy of Fallot repair when a ventriculotomy is done. It leads to RV dysfunction and may require re-operation. We describe a rare instance of a patient who developed an RVOT aneurysm after trans-ventricular repair of tetralogy of Fallot, which was complicated with the formation of a thrombus in the aneurysm sac. The patient underwent re-operation with thrombectomy, excision of the RVOT aneurysm and pulmonary valve replacement. To the best of our knowledge, the occurrence of this combination and its implications have not been reported.
Assuntos
Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Aneurisma Cardíaco/etiologia , Tetralogia de Fallot/cirurgia , Trombose/etiologia , Adulto , Feminino , Aneurisma Cardíaco/diagnóstico por imagem , Aneurisma Cardíaco/cirurgia , Implante de Prótese de Valva Cardíaca , Humanos , Valva Pulmonar/cirurgia , Radiografia , Reoperação , Trombectomia , Trombose/diagnóstico por imagem , Trombose/cirurgia , Resultado do TratamentoRESUMO
Stent infection following percutaneous transluminal coronary angioplasty is rare. We present such a case involving a drug-eluting stent placed in the left anterior descending coronary artery that was managed surgically with removal of the stent with concomitant coronary artery bypass grafting. Early surgical intervention directed at removal of the infected stent, debridement and distal vessel revascularisation is recommended to deal with the infection and prevent myocardial compromise.