RESUMO
Background: Ascending aortic pseudoaneurysms (AAPs) are an unusual complication of cardiac or aortic surgery and are associated with a high risk of complications and mortality. Guidelines recommend surgical repair. There is few data concerning percutaneous occlusion of AAP. We present a case of syncope due to vascular and heart chamber compression by a large post-surgical AAP that was filled through a focal leak. Ascending aortic pseudoaneurysm was successfully occluded percutaneously. Case summary: A 66-year-old man with a mechanical aortic prosthesis and a Dacron tube in the ascending aorta presented with syncope due to compression of the right atrium and superior vena cava by a large peritube collection. A computed tomography angiography (CTA) showed a large AAP that was filled through a small focal dehiscence of the tube proximal suture. Patient was dismissed for surgery due to high surgical risk. Then, AAP was successfully occluded percutaneously via a 6-French radial access and local anaesthesia. Discussion: In patients with syncope and previous cardiac surgery, aortic complications should be ruled out. Although transthoracic echocardiography may be useful, CTA is the recommended diagnostic test for ruling out post-surgical AAP and allows the characterization of the number, localization, and size of the leaks. In selected patients with high surgical risk and favourable anatomic characteristics, a percutaneous closure could be indicated.
RESUMO
A 4-year-old child of 10 kg weight, with four previous sternotomies, presented a severe right heart failure, due to a severe regurgitation of his bioprosthetic tricuspid valve. A percutaneous tricuspid valve in valve procedure with an Edwards S3 valve was offered for compassionate use, and performed, with no complications, and significant clinical condition improvement.
Assuntos
Bioprótese , Implante de Prótese de Valva Cardíaca , Próteses Valvulares Cardíacas , Insuficiência da Valva Tricúspide , Bioprótese/efeitos adversos , Cateterismo Cardíaco , Pré-Escolar , Próteses Valvulares Cardíacas/efeitos adversos , Humanos , Desenho de Prótese , Falha de Prótese , Resultado do Tratamento , Valva Tricúspide/diagnóstico por imagem , Valva Tricúspide/cirurgia , Insuficiência da Valva Tricúspide/diagnóstico , Insuficiência da Valva Tricúspide/cirurgiaRESUMO
Percutaneous closure of atrial septal defect is recognised as a safe and effective procedure, however, in some patients complications may occur. Although chest pain has been sporadically reported, its exact aetiology has been poorly studied. Herein, a 14-year-old female with an atypical and long-lasting chest pain after percutaneous atrial septal defect closure is described.
Assuntos
Comunicação Interatrial , Dispositivo para Oclusão Septal , Adolescente , Cateterismo Cardíaco/efeitos adversos , Dor no Peito/diagnóstico , Dor no Peito/etiologia , Feminino , Comunicação Interatrial/diagnóstico , Comunicação Interatrial/cirurgia , Humanos , Dispositivo para Oclusão Septal/efeitos adversos , Resultado do TratamentoRESUMO
No disponible
Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Canal Arterial/cirurgia , Cardiopatias Congênitas/cirurgia , Stents , Coração Auxiliar , Estudos Retrospectivos , Resultado do TratamentoRESUMO
No disponible
Assuntos
Humanos , Masculino , Recém-Nascido , Arteriopatias Oclusivas/cirurgia , Estenose de Artéria Pulmonar/cirurgia , Stents , Arteriopatias Oclusivas/diagnóstico , Atresia Pulmonar/complicações , Cateterismo Cardíaco/métodosRESUMO
No disponible
Assuntos
Humanos , Feminino , Idoso de 80 Anos ou mais , Calcificação Vascular/cirurgia , Estenose da Valva Aórtica/cirurgia , Insuficiência da Valva Mitral/cirurgia , Implante de Prótese de Valva Cardíaca/métodosRESUMO
We implanted two sinus Superflex DS© stents in a systemic non-stenotic arterial duct of a newborn with hypoplastic left heart syndrome. Forty-eight hours later an important collapse of the stent was detected and treated with a balloon expandable stent. Sinus Superflex DS© has been specifically designed for systemic ducts. This complication generates doubts about its radial force in this scenario.
Assuntos
Canal Arterial/cirurgia , Síndrome do Coração Esquerdo Hipoplásico/cirurgia , Falha de Prótese , Stents/efeitos adversos , Angiografia , Procedimentos Cirúrgicos Cardíacos/instrumentação , Humanos , Recém-Nascido , Masculino , Artéria Pulmonar/cirurgia , Resultado do TratamentoRESUMO
No disponible
