[Atypical coarctation. Repair with Dacron graft and aortic sarcoma]. / Coartación atípica. Corrección con injerto de Dacron y sarcoma de aorta.

A patient with a localized severe stenosis of his lower thoracic aorta is described. He presented a coarctation like syndrome with hypertension, pulseless legs and left ventricular failure. At surgery a biopsy of the lesion and bypass graft were performed. Pathology diagnosed intimal hyperplasia. Twenty eight months later he developed a sarcoma.

[Pulmonary artery thrombosis in a patient with mitral-tricuspid valve disease. Added value of peroperative transesophageal echocardiogram]. / Trombosis arterial pulmonar en una paciente con valvulopatía mitro-tricuspídea. Valor añadido del ecocardiograma transesofágico peroperatorio.

The performance of peroperative transesophageal echocardiography on a 60 year old woman with mitral and tricuspid valve disease discovered a previously undiagnosed thrombus in the right pulmonary artery that completely occluded the inferior lobar branches. Following valvular surgery, a successful thromboendarterectomy was performed.

[Bilateral pulmonary thromboendarterectomy in chronic pulmonary thromboembolism. A case report and review of the literature]. / Tromboendarterectomía pulmonar bilateral en el tromboembolismo pulmonar crónico. Presentación de un caso y revisión de la literatura.

A 39-years-old male patient with chronic venous insufficiency, deep venous thrombosis and recurrent pulmonary embolism in the past medical history. After syncopal event was diagnosed of bilateral chronic pulmonary embolism, pulmonary hypertension and right ventricular failure. Fibrinolytic treatment was no effective therapeutic modality. Under cardiopulmonary bypass, bilateral pulmonary thromboendarterectomy with extension into lobe arteries, plus insertion of caval filter was performed. We present our experience with this case and a review of the literature.