RESUMO
We describe a case of cardiac tamponade caused by ProTacks Autosuture used for mesh fixation during a laparoscopic Nissen operation with giant paraesophageal hernia repair. Perforations of the posterior descendent artery and epicardial vein of the right ventricle were caused by ProTacks used for Parietex Composite Mesh fixation. Protruding ProTacks were secured from inside the pericardiac sac with a synthetic vascular patch during emergency sternotomy. Quick and multidisciplinary cooperation ended with emergency cardiothoracic procedure saving the patient's life and preventing further damage to the heart muscle and its vessels.
Assuntos
Tamponamento Cardíaco/complicações , Hérnia Hiatal/cirurgia , Herniorrafia/métodos , Laparoscopia/métodos , Telas Cirúrgicas , Idoso , Tamponamento Cardíaco/diagnóstico , Feminino , Seguimentos , Hérnia Hiatal/diagnóstico , Hérnia Hiatal/etiologia , Humanos , Tomografia Computadorizada por Raios XAssuntos
Fibrilação Atrial/cirurgia , Procedimentos Cirúrgicos Cardíacos/métodos , Átrios do Coração/cirurgia , Insuficiência da Valva Mitral/cirurgia , Veias Pulmonares , Fibrilação Atrial/etiologia , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Feminino , Átrios do Coração/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Insuficiência da Valva Mitral/complicações , Veias Pulmonares/cirurgia , Resultado do TratamentoAssuntos
Termografia , Cirurgia Torácica/métodos , Humanos , Miocárdio/patologia , Termografia/métodosRESUMO
During the coronary artery bypass off pump procedure thermal angiography was evaluated for the intraoperative assessment of the patency and the flow in the left internal mammary to the left anterior descendens. Our observation confirms that thermal angiography may be used as an intraoperative method which improves graft quality control during coronary bypass procedures.
Assuntos
Ponte de Artéria Coronária sem Circulação Extracorpórea/métodos , Doença das Coronárias/diagnóstico , Doença das Coronárias/cirurgia , Monitorização Intraoperatória/métodos , Termografia/métodos , Idoso , Angiografia Coronária/métodos , Humanos , Masculino , Grau de Desobstrução VascularRESUMO
After an initial learning experience in the early 70's, radial artery is now used as the second arterial graft of choice (after both ITAs). The aim of the study was to compare patency rates of venous and arterial grafts--especially radial artery--in mid-term follow up period. 19 patients with stable angina and 11 with unstable angina underwent coronary artery bypass grafting with CPB. The type of conduits used for grafting were the same in all patients. All patients underwent catheterization control. 28 LIMA grafts and 27 radial artery grafts were patent 31 months after CABG. Vein grafts were found patent in 80%.
Assuntos
Angina Pectoris/cirurgia , Angina Instável/cirurgia , Ponte de Artéria Coronária , Artéria Radial/transplante , Grau de Desobstrução Vascular , Veias/transplante , Adulto , Idoso , Angina Pectoris/diagnóstico por imagem , Angina Instável/diagnóstico por imagem , Angiografia Coronária , Feminino , Seguimentos , Sobrevivência de Enxerto , Humanos , Masculino , Pessoa de Meia-Idade , Estudos ProspectivosRESUMO
The paper presents the temperature analysis of the myocardial surface at the cohort of 11 patients with coronary artery disease, who underwent coronary artery bypass grafting with cardiopulmonary bypass. Left and right ventricle temperature changes were registered with Agema Thermovision 900 SW/TE system during cold cardioplegia infusion. Cardioplegia was delivered by the coronary sinus and by the aortic root. An individual pattern of cardioplegia distribution was found. The differences in the temperature of the right and left ventricle correlated with the presence of the critical coronary artery stenosis.
