RESUMO
We assessed quality of life in 80 patients with ischemic heart disease and pronounced dysfunction of left ventricular myocardium. Forty patients underwent coronary bypass surgery and 40 patients received only medical therapy. Duration of follow-up was 7 years. Baseline quality of life was low in both groups. Degree of its lowering was positively related to functional class of angina and heart failure and negatively - to exercise tolerance. Incessant drug treatment was associated with moderate improvement of quality of life both in groups of patients subjected and not subjected to surgery.
Assuntos
Fármacos Cardiovasculares/uso terapêutico , Ponte de Artéria Coronária/psicologia , Insuficiência Cardíaca , Isquemia Miocárdica , Qualidade de Vida/psicologia , Disfunção Ventricular Esquerda/etiologia , Idoso , Ponte de Artéria Coronária/métodos , Tolerância ao Exercício , Feminino , Seguimentos , Insuficiência Cardíaca/tratamento farmacológico , Insuficiência Cardíaca/etiologia , Insuficiência Cardíaca/fisiopatologia , Insuficiência Cardíaca/psicologia , Humanos , Masculino , Isquemia Miocárdica/complicações , Isquemia Miocárdica/fisiopatologia , Isquemia Miocárdica/psicologia , Isquemia Miocárdica/cirurgia , Índice de Gravidade de Doença , SibériaRESUMO
Described in the article is a clinical case report concerning surgical treatment of a 65-year-old male patient presenting with a ruptured infectious aortic arch aneurysm. He was subjected to an operation consisting in prosthetic repair of the ascending portion of the aorta and aortic arch with a homograft under conditions of artificial circulation, deep hypothermia, and antegrade cerebral perfusion.
Assuntos
Aneurisma Infectado , Aneurisma da Aorta Torácica , Ruptura Aórtica/cirurgia , Aortografia/métodos , Clostridium tertium/isolamento & purificação , Enxerto Vascular , Idoso , Aneurisma Infectado/diagnóstico , Aneurisma Infectado/microbiologia , Aneurisma Infectado/fisiopatologia , Aneurisma Infectado/cirurgia , Aorta Torácica/diagnóstico por imagem , Aorta Torácica/cirurgia , Aneurisma da Aorta Torácica/diagnóstico , Aneurisma da Aorta Torácica/microbiologia , Aneurisma da Aorta Torácica/fisiopatologia , Aneurisma da Aorta Torácica/cirurgia , Ruptura Aórtica/diagnóstico , Ruptura Aórtica/fisiopatologia , Prótese Vascular , Ecocardiografia/métodos , Circulação Extracorpórea/métodos , Humanos , Hipotermia Induzida/métodos , Masculino , Derrame Pericárdico , Tomografia Computadorizada por Raios X/métodos , Resultado do Tratamento , Enxerto Vascular/instrumentação , Enxerto Vascular/métodosRESUMO
Presented herein is a case report of successful surgical management of a 34-year-old female patient diagnosed with carotid chemodectoma, a relatively rare pathology vascular surgeons come across and have to deal with. A comprehensive examination (including duplex scanning of cervical arteries, multispiral CT angiography) revealed a 7 x 8 cm cervical tumour completely invading the walls of both the external and internal carotid arteries, thus requiring their resection, followed by prosthetic replacement of the internal carotid artery with a synthetic graft. The postoperative period turned out uneventful. On the 7th postoperative day, the patient was discharged home from hospital in a satisfactory condition with good laboratory and haemodynamic values.
