RESUMO
No disponible
Assuntos
Humanos , Síndrome Torácica Aguda/complicações , Miocardite/diagnóstico , Infecções por Coronavirus/complicações , Pneumonia Viral/complicações , Coronavírus Relacionado à Síndrome Respiratória Aguda Grave/patogenicidade , Biomarcadores/análise , Troponina/análise , Miocardite/virologiaAssuntos
Betacoronavirus , Infecções por Coronavirus , Miocardite/epidemiologia , Pandemias , Pneumonia Viral , COVID-19 , Humanos , SARS-CoV-2Assuntos
Betacoronavirus , Infecções por Coronavirus/complicações , Miocardite/etiologia , Pneumonia Viral/complicações , Função Ventricular Esquerda/fisiologia , Doença Aguda , COVID-19 , Ecocardiografia , Eletrocardiografia , Feminino , Humanos , Pessoa de Meia-Idade , Miocardite/diagnóstico , Miocardite/fisiopatologia , Pandemias , Radiografia Torácica , SARS-CoV-2 , Volume Sistólico/fisiologiaRESUMO
No disponible
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Miocardite/diagnóstico , Infecções por Coronavirus/diagnóstico , Coronavírus Relacionado à Síndrome Respiratória Aguda Grave/patogenicidade , Biomarcadores/análise , Índice de Gravidade de Doença , Pneumonia Viral/complicações , Síndrome Torácica Aguda/complicações , Troponina/análise , Miocardite/virologiaRESUMO
Herein, we present the case of a 66-year-old man with an inflammatory myofibroblastic tumour. An inflammatory myofibroblastic tumour is an extremely rare entity, with only 60 cases having been reported to date in the literature. The origin of this type of tumour is unknown and the treatment of choice is surgical resection. We present the surgical technique of our case and a review of the literature regarding this tumour. This is the first case described in a man above 60 years of age with a tumour located in the right ventricle.
Assuntos
Procedimentos Cirúrgicos Cardíacos/métodos , Granuloma de Células Plasmáticas/diagnóstico , Neoplasias Cardíacas/diagnóstico , Idoso , Biópsia , Ecocardiografia , Granuloma de Células Plasmáticas/cirurgia , Neoplasias Cardíacas/cirurgia , Ventrículos do Coração , Humanos , Imagem Cinética por Ressonância Magnética , Masculino , Miocárdio/patologia , Tomografia por Emissão de Pósitrons , Tomografia Computadorizada por Raios XRESUMO
BACKGROUND: Floating right heart thrombi (RHT) are in transit from the legs to the pulmonary arteries and thus are a severe form of venous thromboembolism (VTE), with a high early mortality rate without treatment. There is a lack of evidence-based recommendations for its management. The objective of this study is to describe our experience in the surgical management of thrombus-in-transit and pulmonary embolism (PE) in a tertiary hospital. METHODS: We recruited four patients with thrombus-in-transit and PE treated with early surgical embolectomy and anticoagulation. Epidemiologic, laboratory, imaging and clinical data of the thromboembolic episode and the subsequent course were collected. RESULTS: The sample included 3 males and 1 female, with a mean age of 49.7. The most frequent initial symptoms were dyspnea, syncope, chest pain and signs of deep vein thrombosis (DVT). Transthoracic echocardiogram (TTE) found the thrombus-in-transit in all the cases. The inicial treatment was unfractionated heparin (UFH) and urgent right atriectomy and manual removal of the thrombi. Three patients needed perioperative infusion of vasopressor drugs. All patients had right heart dysfunction at the time of diagnosis. The mean scoring in the Pulmonary Embolism Severity Index (PESI) was 90. All patients survived after 30 days of follow-up. CONCLUSIONS: Early surgical embolectomy of thrombus-in-transit is an effective option of management in selected patients, although the current evidence to support this approach is not definitive.
