RESUMO
OBJECTIVE: To analyze the immediate and long-term results of simultaneous surgical treatment in patients with upper gastrointestinal cancer and cardiovascular diseases. MATERIAL AND METHODS: There were 9 patients with upper gastrointestinal cancer and cardiovascular diseases who underwent simultaneous surgical treatment. We assessed safety and efficacy of this approach. Mean age of patients was 65.7±5.7 years. Coronary artery disease was diagnosed in 3 patients, aortic valve disease - 1 patient, abdominal aortic aneurysm - 2; 4 patients suffered from isolated mitral valve disease, stenosis of the left vertebral artery, internal and external carotid arteries and Leriche syndrome. RESULTS: Considering immediate and long-term postoperative results, we can emphasize advisability of simultaneous surgeries in appropriate patients.
Assuntos
Estenose da Valva Aórtica , Doenças Cardiovasculares , Doença da Artéria Coronariana , Neoplasias Gastrointestinais , Doenças das Valvas Cardíacas , Humanos , Pessoa de Meia-Idade , Idoso , Doenças Cardiovasculares/complicações , Doenças Cardiovasculares/diagnóstico , Doença da Artéria Coronariana/cirurgia , Doenças das Valvas Cardíacas/cirurgia , Valva Mitral/cirurgia , Neoplasias Gastrointestinais/complicações , Neoplasias Gastrointestinais/diagnóstico , Neoplasias Gastrointestinais/cirurgia , Resultado do Tratamento , Estenose da Valva Aórtica/cirurgiaRESUMO
The authors present a patient with locally advanced recurrent pheochromocytoma of the left adrenal gland three years after open adrenalectomy. The patient underwent resection of recurrent tumor of the left adrenal gland, left-sided nephrectomy, splenectomy, resection of pancreatic tail, left dome of the diaphragm and descending colon. Postoperative period was uneventful. The patient was discharged in 12 days after surgery.
Assuntos
Neoplasias das Glândulas Suprarrenais , Feocromocitoma , Humanos , Feocromocitoma/diagnóstico , Feocromocitoma/cirurgia , Recidiva Local de Neoplasia/diagnóstico , Recidiva Local de Neoplasia/cirurgia , Neoplasias das Glândulas Suprarrenais/diagnóstico , Neoplasias das Glândulas Suprarrenais/cirurgia , Neoplasias das Glândulas Suprarrenais/patologia , Adrenalectomia , Glândulas Suprarrenais/patologiaAssuntos
Adenocarcinoma , Colectomia/efeitos adversos , Colo Sigmoide , Neoplasias do Colo , Recidiva Local de Neoplasia , Adenocarcinoma/patologia , Adenocarcinoma/cirurgia , Colectomia/métodos , Colo Sigmoide/patologia , Colo Sigmoide/cirurgia , Neoplasias do Colo/patologia , Neoplasias do Colo/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/patologia , Recidiva Local de Neoplasia/cirurgia , Estadiamento de Neoplasias , Reoperação/métodos , Resultado do TratamentoRESUMO
Literature data on the etiology, clinical picture, diagnostic variants and treatment of subclavian steal syndrome are reviewed. Different clinical variants and neurological symptoms of the syndrome are described. Multispiral computed tomography, along with ultrasound examination, is important in the diagnosis of the syndrome and its causes. The use of other methods is necessary for more accurate diagnosis and prevention of perioperative complications. The character of damage of subclavian arteries and brachiocephalic stem should be taken into account in the choice of an optimal method of surgical treatment.
Assuntos
Síndrome do Roubo Subclávio , Humanos , Síndrome do Roubo Subclávio/diagnóstico , Síndrome do Roubo Subclávio/diagnóstico por imagem , Síndrome do Roubo Subclávio/terapia , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
Presented in the article is a clinical case report concerning a 41-year-old female patient with atresia of the first segment of the subclavian artery without combination with other defects and developmental disorders. Described are the process of making the diagnosis and the course of the operative intervention performed, i.e. carotid-subclavian bypass grafting. This is followed by assessing the early postoperative period and immediate therapeutic results.