RESUMO
Intrapericardial teratoma was diagnosed in a nine-year-old male infant with a three-month history of labored breathing and cough. The tumor was completely resected and found to be a mature teratoma, containing pancreatic tissue and producing insulin. A few glucagon and somatostatin containing cells were also present in the periphery of the islets. Postoperative course was uneventful. This is to our knowledge, the first report of an intrapericardial teratoma with such endocrine activity.
Assuntos
Neoplasias Cardíacas/diagnóstico , Teratoma/diagnóstico , Tosse/etiologia , Diagnóstico Diferencial , Dispneia/etiologia , Ecocardiografia Doppler , Neoplasias Cardíacas/diagnóstico por imagem , Neoplasias Cardíacas/patologia , Neoplasias Cardíacas/cirurgia , Humanos , Imuno-Histoquímica , Lactente , Ilhotas Pancreáticas/metabolismo , Masculino , Cisto Mediastínico/diagnóstico , Cisto Mediastínico/diagnóstico por imagem , Cisto Mediastínico/patologia , Cisto Mediastínico/cirurgia , Teratoma/diagnóstico por imagem , Teratoma/patologia , Teratoma/cirurgia , Tomografia Computadorizada por Raios XRESUMO
A 7-month-old girl was admitted with severe respiratory distress. Chest roentgenogram showed hyperinflation of the right middle lobe and mediastinal shift. Bronchogram showed tracheal lobe displaced superiorly by the hyperinflated right middle lobe. Echocardiography showed left-to-right shunt at the ventricular level. The patient responded well after surgical correction of cardiac defect. Four years after the operation, computed tomography examinations showed no evidence of emphysema.
Assuntos
Brônquios/anormalidades , Cardiopatias Congênitas/complicações , Enfisema Pulmonar/etiologia , Traqueia/anormalidades , Broncografia , Feminino , Humanos , Lactente , Enfisema Pulmonar/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
Cardiac involvement of hydatid disease is uncommon, and establishing a diagnosis is difficult because the presenting symptoms are variable. Between 1985 and 1997, eight patients ranging in age from 8 to 56 years underwent surgical excision of cardiac hydatid cysts, located in the interventricular septum in two, the right atrium in one, and the intrapericardium in five. There was one hospital death due to septic shock, but the other seven patients recovered uneventfully.
Assuntos
Cardiomiopatias/cirurgia , Equinococose/cirurgia , Adolescente , Adulto , Cardiomiopatias/diagnóstico , Cardiomiopatias/patologia , Criança , Equinococose/diagnóstico , Equinococose/patologia , Ecocardiografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pericárdio/patologia , Pericárdio/cirurgia , Estudos Retrospectivos , Tomografia Computadorizada por Raios XRESUMO
An unusual case of subclavian-aortic steal syndrome in a pediatric patient with hypoplastic aortic arch with coarctation of the aorta of unusual location is described. Aortography showed hypoplasia of the arcus aorta and severe coarctation proximal to the left subclavian artery associated with an aneurysm formation on the isthmus and descending aorta. The enlargement of the arcus aorta was accomplished by prosthetic patch aortoplasty extending from the ascending to descending aorta via median sternotomy using cardiopulmonary bypass and moderate hypothermia. Postoperatively, the patient is doing well with equalized blood pressure.
