[Perspective of heart transplantation in advanced congenital cardiopathy: report of a case]. / La perspectiva del trasplante cardiaco en la cardiopatía congénita avanzada: a propósito de un caso.

Heart transplantation is an infrequent treatment modality in advanced congenital cardiopathy. We present the case of a 17-years old youngster coursing with a dilated Fallot's tetralogy, in terminal stage, who was subjected to an orthotopic heart transplantation. We present the most relevant data on his management during the 53 months after the surgery and discuss the long-term perspectives, which are comparable to those expected in transplanted patients due to other cardiac disorders.

[Anomalous connection of inferior vena cava to left atrium: infrequent entity that can be a diagnosis and surgical challenge]. / Conexión anómala de la vena cava inferior a la aurícula izquierda: entidad poco frecuente que puede plantear un reto diagnóstico y quirúrgico.

This is the diagnostic experiences as well as the surgical mode of treatment used in a 31 years old women suffering diversion of the inferior vena cava into the left atrium associated with atrial septal defect. The patient had been previously studied and operated thrice under conventional circumstances at different institutions in order to solve the septal defect. The hemodynamic solution had not been reached due to a missing pathological definition. The cineangiogram through the saphenous vein specified the left atrium form the inferior vena cava. Some considerations are made on the surgical methods used for the fourth operation, and in regard of the fact that the patient refused blood transfusion because of religious convictions (Jehova Witness).

[Struma cordis: first case in Mexico]. / Struma cordis: primer caso en México.

The Intracardiac ectopic thyroid is an extremely rare condition and there is no previous report on this subject in Mexico. This is the case of a 33 years old woman, with normal thyroid function. She was found to have an intracardiac tumor in the interventricular septum. The intraoperative biopsy showed typical thyroid follicules; tumor removal left a septal defect that was closed with a dacron patch suture. Two years follow-up showed normal echocardiographic images, good clinical status an normal thyroid functioning. A brief review of the literature is included.

Fistula arteriovenosa renal postnefrectomia. / Post-nephrectomy renal arteriovenous fistula

Se presenta un caso de fistula arteriovenosa renal postnefrectomia. Las manifestaciones clinicas fueron de insuficiencia cardiaca, hipertension arterial y la presencia de un soplo continuo grado IV/VI en la region lumbar derecha. El diagnostico se comprobo mediante aortografia lumbar.El tratamiento consistio en ligadura de la arteria renal derecha. Con ello se observo desaparicion de la insuficiencia cardiaca, aunque persitio la hipertension arterial, misma que respondio adecuadamente al tratamiento medico