RESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Balão Intra-Aórtico/métodos , Balão Intra-Aórtico/tendências , Revascularização Miocárdica/métodos , Balão Intra-Aórtico/instrumentação , Balão Intra-Aórtico , Ecocardiografia DopplerRESUMO
No disponible
Assuntos
Masculino , Pessoa de Meia-Idade , Humanos , Aneurisma Aórtico/complicações , Aneurisma Aórtico/diagnóstico , Aneurisma Aórtico/cirurgia , Isquemia/complicações , Isquemia/diagnóstico , Isquemia/cirurgia , Tiopental/administração & dosagem , Tiopental/uso terapêutico , Aneurisma da Aorta Abdominal/complicações , Aneurisma da Aorta Abdominal/cirurgia , Aneurisma da Aorta Abdominal/diagnóstico , Espectroscopia de Ressonância Magnética , Fatores de Risco , Complicações Intraoperatórias/diagnóstico , Cuidados Intraoperatórios/normas , Paraplegia/complicações , Paraplegia/epidemiologia , Paraparesia Espástica Tropical/complicações , Paraparesia Espástica Tropical/epidemiologia , Barbitúricos/administração & dosagem , Barbitúricos/uso terapêuticoRESUMO
Cardiac tumors are a rare disease. We show here one patient with a heart osteogenic sarcoma with chondroblastic differentiation. The clinical status was initiated with a cadre of cardiac tamponade. Transesophageal echocardiography and thoracic scanner were used to diagnose the cardiac tumor. The definitive diagnosis was confirmed with biopsy. At the present moment, there are very few cases reported in the references on osteogenic sarcoma with chondroblastic differentiation. The methods of diagnosis, the treatment and the histopathology are discussed.
Assuntos
Neoplasias Cardíacas/patologia , Osteossarcoma/patologia , Ecocardiografia Transesofagiana , Eletrocardiografia , Feminino , Átrios do Coração , Neoplasias Cardíacas/diagnóstico , Humanos , Pessoa de Meia-Idade , Osteossarcoma/diagnóstico , PrognósticoRESUMO
INTRODUCTION AND OBJECTIVES: To study the relationship between hemodynamic parameters before heart transplantation and the mortality rate at the first week posttransplant. METHODS: 85 patients had an orthotopic heart transplant. Before the operation we measured: vascular pulmonary resistance, index of vascular pulmonary resistance, pulmonary arterial pressure systolic and median and transpulmonary gradient. Ten patients with values of vascular pulmonary resistance higher than four Wood units and/or pulmonary artery systolic pressure higher than 60 mmHg, had a test of pulmonary vascular reactivity, the result of that test did not contraindicate the transplant. We used the Student's t test and chi 2 with continuity correction and the Fisher's exact test for the analysis of the data. RESULTS: During the study period eight patients were dead (9.4%). The causes of death were: acute disfunction of the graft, 5 patients; multiorgan failure, 2 patients and septic shock, 1 patient. We compared the parameters of both groups of patients live and dead and could find a significant difference between the data with higher values in the death group: pulmonary arterial systolic pressure (p < 0.01); pulmonary arterial median pressure (p < 0.03) and transpulmonary gradient (p < 0.02). We also saw that the relative risk of mortality was 10.4 when the pulmonary artery systolic pressure was > or = 50 mmHg and 5.7 when the pulmonary vascular resistance was > or = 5 Wood units. CONCLUSIONS: It is important a good evaluation of the pulmonary hemodynamic before the heart transplantation for a better selection of the receptor. The severe pulmonary hypertension (pulmonary vascular resistance > or = 5 Wood units or pulmonary artery systolic pressure > or = 50 mmHg) was associated with a higher rate of early death.
Assuntos
Transplante de Coração/fisiologia , Hipertensão Pulmonar/fisiopatologia , Adolescente , Adulto , Idoso , Causas de Morte , Distribuição de Qui-Quadrado , Feminino , Transplante de Coração/mortalidade , Transplante de Coração/estatística & dados numéricos , Hemodinâmica , Humanos , Hipertensão Pulmonar/mortalidade , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Risco , Fatores de TempoRESUMO
3 cases of endobronchial TB are described. They were diagnosed as endobronchial mass which deviated the diagnosis to another pathology in absence of sputum culture. The TB treatment produced a complete resolution of the lesions. We highlight the endobronchial mass as a non-frequent clinical feature of EBTB and we should bear this etiology in mind in differential diagnosis of all endobronchial masses even if the clinical and endoscopic data are of bronchial tumor.
Assuntos
Broncopatias/diagnóstico , Tuberculose Pulmonar/diagnóstico , Adolescente , Biópsia , Brônquios/patologia , Broncoscopia , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
A case of toxic liver disease induced by cyanamide in a patient in treatment with this drug during 18 months, is presented. We reviewed the different liver cell alterations produced by a long-term treatment with cyanamide, which produces fibrosis and portal inflammation, as well as polished cells with different characteristic features. These alterations forced the establishing of close controls of patients in treatment with this type of anti-alcoholism drug, as well as the reduction of the duration of therapy, this questioning the efficacy of the treatment of chronic alcoholism with this aversive drug.
