RESUMO
Constrictive pericarditis is a disease where loss of pericardial elasticity and restriction of filling of the cardiac chambers occurs. It is most often seen as an associated symptom of heart failure. Pericardiectomy provides effective treatment for patients with symptomatic constrictive pericarditis, although high rates of morbidity and mortality are related to the procedure. We present a case with extensive calcification, massive caseous necrosis and an important impairment of right ventricular function successfully operated in our institution.
Assuntos
Insuficiência Cardíaca , Pericardite Constritiva , Calcificação Vascular/complicações , Humanos , Necrose , Pericardiectomia , Pericardite Constritiva/diagnóstico por imagem , Pericardite Constritiva/etiologia , Pericardite Constritiva/cirurgia , Pericárdio/diagnóstico por imagem , Pericárdio/cirurgiaRESUMO
Abstract Constrictive pericarditis is a disease where loss of pericardial elasticity and restriction of filling of the cardiac chambers occurs. It is most often seen as an associated symptom of heart failure. Pericardiectomy provides effective treatment for patients with symptomatic constrictive pericarditis, although high rates of morbidity and mortality are related to the procedure. We present a case with extensive calcification, massive caseous necrosis and an important impairment of right ventricular function successfully operated in our institution.
Assuntos
Humanos , Pericardite Constritiva/cirurgia , Pericardite Constritiva/etiologia , Pericardite Constritiva/diagnóstico por imagem , Calcificação Vascular/complicações , Insuficiência Cardíaca , Pericárdio/cirurgia , Pericárdio/diagnóstico por imagem , Pericardiectomia , NecroseRESUMO
Penetrating heart injuries present high mortality rates. Increasing rates of urban violence have contributed to a significant rise in the number of heart injuries by firearm projectiles. Such injuries are associated with the highest mortality rates among penetrating cardiac injuries and may involve one or more cardiac chambers. We present the case of a police officer who, in an approach to five robbers, suffered a transfixed cardiac injury by firearm with the projectile having been lodged inside the right ventricle. This patient was successfully operated, 65 days after the injury, at our institution.
Assuntos
Traumatismos Cardíacos/cirurgia , Ventrículos do Coração/lesões , Ferimentos por Arma de Fogo/cirurgia , Adulto , Ecocardiografia , Corpos Estranhos/cirurgia , Traumatismos Cardíacos/diagnóstico por imagem , Ventrículos do Coração/diagnóstico por imagem , Humanos , Masculino , Resultado do Tratamento , Ferimentos por Arma de Fogo/diagnóstico por imagemRESUMO
Abstract Penetrating heart injuries present high mortality rates. Increasing rates of urban violence have contributed to a significant rise in the number of heart injuries by firearm projectiles. Such injuries are associated with the highest mortality rates among penetrating cardiac injuries and may involve one or more cardiac chambers. We present the case of a police officer who, in an approach to five robbers, suffered a transfixed cardiac injury by firearm with the projectile having been lodged inside the right ventricle. This patient was successfully operated, 65 days after the injury, at our institution.
