RESUMO
This is a case report of a 48-year-old female patient with a compatible history of Kawasaki disease during childhood, who was admitted to the emergency coronary unit with unstable angina pectoris. Coronary angiography identified two coronary aneurysms, one causing right coronary occlusion and the other causing severe obstruction of the left anterior descending coronary artery. Coronary artery bypass surgery was indicated.
Assuntos
Calcinose/diagnóstico por imagem , Aneurisma Coronário/diagnóstico por imagem , Angina Instável/diagnóstico , Angina Instável/etiologia , Calcinose/etiologia , Calcinose/cirurgia , Cineangiografia/métodos , Aneurisma Coronário/etiologia , Aneurisma Coronário/cirurgia , Ponte de Artéria Coronária , Feminino , Humanos , Pessoa de Meia-Idade , Síndrome de Linfonodos Mucocutâneos/complicaçõesRESUMO
A 17 year old girl was asymptomatic until 3 months ago, when she noticed palpitations and chest pain. Physical examination revealed a systolic murmur + + +/6 in the pulmonary area. Chest X-ray showed discrete dilatation of the pulmonary trunk and the electrocardiogram a first degree heart block. The diagnosis of myxoma was established after echocardiogram and cardiac catheterization when a mobile cardiac mass was identified in the right ventricular outflow tract. The tumor was removed using extracorporeal circulation and the ventricular access through the right atrium. After a 16 month follow-up the patient is dealing a normal life and there are no signs of recurrence.
Assuntos
Neoplasias Cardíacas/diagnóstico , Mixoma/diagnóstico , Adolescente , Diagnóstico Diferencial , Ecocardiografia , Feminino , Neoplasias Cardíacas/cirurgia , Ventrículos do Coração , Humanos , Mixoma/cirurgia , Estenose da Valva Pulmonar/diagnósticoRESUMO
Trinta casos de feridas infectadas foram tratados com acucar. A eficacia, o custo reduzido desta substancia e a simplicidade de manuseio sao fatores significativos.Estudos in vitro atestam as propriedades antimicrobianas e embasam cientificamente o seu uso in vivo