RESUMO
La formación de un pseudoaneurisma es una de las complicaciones tardías posibles y no infrecuentes de la reparación abierta de las coartaciones de aorta y que comporta una alta morbimortalidad. Presentamos un caso de pseudoaneurisma de aorta torácica con clínica de hemoptisis masiva que fue tratado con éxito mediante la implantación de una endoprótesis aórtica tipo Zenith TX2 (Cook). En la discusión se comentan los diversos factores predictores de la aparición de estos pseudoaneurismas, el seguimiento preciso para diagnosticarlos a tiempo y las posibilidades terapéuticas actuales a la hora de abordar esta grave complicación tardía (AU)
The pseudoaneurysm develop is a late complication of coarctation open repair and bear high morbility and mortality. We show a thoracic aortic pseudoaneurysm case with massive hemoptysis treated with Zenith TX2 (Cook) stent-graft repair. We speak about predictors of this pseudoaneurysm formation, follow up and therapeutic possibilities for approach this problem (AU)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Angioplastia/métodos , Falso Aneurisma/cirurgia , Coartação Aórtica/cirurgia , Complicações Pós-Operatórias/cirurgia , Fístula Brônquica/cirurgia , Hemoptise/etiologiaRESUMO
Recently, provisional research criteria for "schizo-affective" and related psychoses were published by the St. Louis Group. These rigorous criteria were modified and expanded for purposes of the present study in order to analyze the case records of 83 first admissions of Schneider-positive schizophrenics, that is, those with first rank symptoms, hospitalized in a strongly Schneider-oriented German University Clinic during the period 1962-1971. Research diagnosable "schizo-affective" disorder was thus found in 27.7% (23 cases) of these patients; 12 of the 23 satisfied "full" affective research criteria for depression or mania, whereas 11 fulfilled "adjusted" affective criteria geared to cover more "labile" mixed mood states. Moreover, 48.2% (40 cases) and 25.3% (21 cases) of the sample were research-positive for "schizophreniform" illness and "atypical schizophrenia" respectively. Findings such as these suggest that "first rank" schizophrenia, as routinely diagnosed in Germany, may not be all that homogeneous a clinical entity.
