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1.
Pan Afr Med J ; 48: 8, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38946742

RESUMO

Congenital ventricular aneurysms (CVA) are rare cardiac anomalies that have been predominantly described in the Black population. They are characterized by an akinetic ventricular protrusion that is commonly located at the basal and apical segments. Although the diagnosis is often incidental and the majority of patients are asymptomatic, life-threatening events such as persistent ventricular arrhythmias, CVA rupture, and heart failure are not uncommon. However, no standardized therapy is currently available and good outcomes have been reported with both conservative and surgical management. We report the cases of two young Black African patients with huge symptomatic CVA lesions who underwent successful surgical repair with a ventricular restoration technique. Both cases were consulted for chest pain and dyspnea. Chest X-ray and transthoracic Doppler echocardiography suggested the diagnosis. Thoracic angioscanner and thoracic magnetic resonance imaging confirmed the diagnosis. Both patients underwent successful surgery. This case report aims to revisit the diagnostic and therapeutic approach to this rare pathology, in our professional environment.


Assuntos
Dor no Peito , Aneurisma Cardíaco , Ventrículos do Coração , Imageamento por Ressonância Magnética , Adulto , Feminino , Humanos , Masculino , Adulto Jovem , População Negra , Dor no Peito/etiologia , Dispneia/etiologia , Ecocardiografia Doppler , Aneurisma Cardíaco/cirurgia , Aneurisma Cardíaco/congênito , Aneurisma Cardíaco/diagnóstico , Aneurisma Cardíaco/diagnóstico por imagem , Ventrículos do Coração/diagnóstico por imagem , África Subsaariana
2.
BMC Cardiovasc Disord ; 24(1): 336, 2024 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-38965512

RESUMO

OBJECTIVE: In this study, we explored the determinants of ventricular aneurysm development following acute myocardial infarction (AMI), thereby prompting timely interventions to enhance patient prognosis. METHODS: In this retrospective cohort analysis, we evaluated 297 AMI patients admitted to the First People's Hospital of Changzhou. The study was structured as follows. Comprehensive baseline data collection included hematological evaluations, ECG, echocardiography, and coronary angiography upon admission. Within 3 months post-AMI, cardiac ultrasounds were administered to detect ventricular aneurysm development. Univariate and multivariate logistic regression analysis were employed to pinpoint the determinants of ventricular aneurysm formation. Subsequently, a predictive model was formulated for ventricular aneurysm post-AMI. Moreover, the diagnostic efficacy of this model was appraised using the ROC curves. RESULTS: In our analysis of 291 AMI patients, spanning an age range of 32-91 years, 247 were male (84.9%). At the conclusion of a 3-month observational period, the cohort bifurcated into two subsets: 278 patients without ventricular aneurysm and 13 with evident ventricular aneurysm. Distinguishing features of the ventricular aneurysm subgroup were markedly higher values for age, B-type natriuretic peptide(BNP), Left atrium(LA), Left ventricular end-diastolic dimension (LEVDD), left ventricular end systolic diameter (LVEWD), E-wave velocity (E), Left atrial volume (LAV), E/A ratio (E/A), E/e ratio (E/e), ECG with elevated adjacent four leads(4 ST-Elevation), and anterior wall myocardial infarction(AWMI) compared to their counterparts (p < 0.05). Among the singular predictive factors, total cholesterol (TC) emerged as the most significant predictor for ventricular aneurysm development, exhibiting an AUC of 0.704. However, upon crafting a multifactorial model that incorporated gender, TC, an elevated ST-segment in adjacent four leads, and anterior wall infarction, its diagnostic capability: notably surpassed that of the standalone TC, yielding an AUC of 0.883 (z = -9.405, p = 0.000) as opposed to 0.704. Multivariate predictive model included gender, total cholesterol, ST elevation in 4 adjacent leads, anterior myocardial infarction, the multivariate predictive model showed better diagnostic efficacy than single factor index TC (AUC: 0. 883 vs. 0.704,z =-9.405, p = 0.000), it also improved predictive power for correctly reclassifying ventricular aneurysm occurrence in patients with AMI, NRI = 28.42% (95% CI: 6.29-50.55%; p = 0.012). Decision curve analysis showed that the use of combination model had a positive net benefit. CONCLUSION: Lipid combined with ECG model after myocardial infarction could be used to predict the formation of ventricular aneurysm and aimed to optimize and adjust treatment strategies.


Assuntos
Aneurisma Cardíaco , Infarto do Miocárdio , Valor Preditivo dos Testes , Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Aneurisma Cardíaco/diagnóstico por imagem , Aneurisma Cardíaco/fisiopatologia , Estudos Retrospectivos , Idoso , Adulto , Idoso de 80 Anos ou mais , Fatores de Risco , Infarto do Miocárdio/diagnóstico , Infarto do Miocárdio/diagnóstico por imagem , Infarto do Miocárdio/fisiopatologia , Prognóstico , Medição de Risco , Fatores de Tempo , China/epidemiologia , Ventrículos do Coração/diagnóstico por imagem , Ventrículos do Coração/fisiopatologia , Eletrocardiografia , Infarto do Miocárdio com Supradesnível do Segmento ST/diagnóstico , Infarto do Miocárdio com Supradesnível do Segmento ST/diagnóstico por imagem , Infarto do Miocárdio com Supradesnível do Segmento ST/fisiopatologia , Infarto do Miocárdio com Supradesnível do Segmento ST/terapia , Infarto do Miocárdio com Supradesnível do Segmento ST/complicações
4.
J Cardiothorac Surg ; 19(1): 343, 2024 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-38907275

RESUMO

We describe the echocardiographic features of a 22-year-old female with a giant aneurysm of membranous ventricular septum (AMVS). Both transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) demonstrated significant dilatation of the aortic annulus and severe aortic regurgitation. A giant aneurysm was detected extending from a large membranous ventricular septal defect (MVSD) to the anterior surface of the aortic root. Contrast-enhanced CT and three-dimensional CT revealed a giant aneurysm located below the aortic root and connected to the left ventricular outflow tract (LVOT). The diagnosis was confirmed by surgery and postoperative pathological examination.


Assuntos
Ecocardiografia Transesofagiana , Aneurisma Cardíaco , Comunicação Interventricular , Septo Interventricular , Humanos , Feminino , Aneurisma Cardíaco/diagnóstico por imagem , Aneurisma Cardíaco/cirurgia , Adulto Jovem , Ecocardiografia Transesofagiana/métodos , Septo Interventricular/diagnóstico por imagem , Septo Interventricular/cirurgia , Septo Interventricular/patologia , Comunicação Interventricular/cirurgia , Comunicação Interventricular/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Ecocardiografia
5.
Wiad Lek ; 77(4): 696-702, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38865625

RESUMO

OBJECTIVE: Aim: To evaluate the rehabilitation potential, effectiveness and safety of landscape therapy in the complex rehabilitation treatment of patients with post-infarction cardiosclerosis (PC) complicated by chronic post-infarction cardiac aneurysm (CPCA) at the sanatorium stage. PATIENTS AND METHODS: Materials and Methods: We examined 62 patients with PC complicated by CPCA aged 38 to 65 years. Patients were randomized into two groups: the 1st group was undergoing the "Progressive gait" physical activity protocol in the city, and the 2nd group - in the rehabilitation department in a sanatorium. Survey, six-minute walk test, electrocardiography, echocardiography, coronary angiography were performed. RESULTS: Results: The average distance that 2nd group patients walked in 6 minutes increased from 301.00 ±17.00 to 467.00 ±32.00 m (p<0.05). Only in patients of 2nd group during 3 weeks of complex rehabilitation there was a decrease in body mass index from 23.70 ±1.60 to 18.90 ±1.50 and the diameter of the calf muscle significantly increased from 33.90 ±2.30 cm to 38.10 ±3.10 cm (p < 0.05). Ejection fraction in the 2nd group was 51.00 ±4.50% compared to the 1st group - 44.70 ±3.60% (p < 0.05), which was accompanied by a decrease in the functional class of heart failure in patients of the 2nd group. CONCLUSION: Conclusions: The rehabilitation potential of landscape therapy in the complex rehabilitation treatment of patients with complicated PC at the sanatorium stage is determined by a significant improvement in myocardial contractility and physical endurance of patients, and improving the quality of life.


Assuntos
Infarto do Miocárdio , Humanos , Pessoa de Meia-Idade , Masculino , Feminino , Idoso , Infarto do Miocárdio/reabilitação , Infarto do Miocárdio/complicações , Adulto , Terapia por Exercício/métodos , Aneurisma Cardíaco/reabilitação , Aneurisma Cardíaco/etiologia , Resultado do Tratamento , Ecocardiografia
6.
J Cardiothorac Surg ; 19(1): 345, 2024 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-38907323

RESUMO

BACKGROUND: Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (PMAIF) is a rare complication of infective endocarditis or aortic valve surgery. Surgical treatment is suggested, but the long-term follow-up of conservative management remains unclear. CASE PRESENTATION: A 33-year follow-up of a patient who developed PMAIF six years after aortic valve replacement is reported. The patient presented to our center with dyspnea, and the echocardiography revealed an ejection fraction of 20% and a PMAIF measuring 7 × 10 mm. Despite being advised to undergo surgery, the patient declined due to fear of surgical outcomes. Consequently, conservative treatment with close observation but without surgery was initiated. During the 33-year follow-up period, the patient did not experience any adverse health effects. CONCLUSION: Surgical intervention should be considered whenever the PMAIF is diagnosed. However, in any case that the surgery was not applicable, conservative management might lead to long-term survival, based on this and similar case reports in the literature.


Assuntos
Falso Aneurisma , Valva Aórtica , Valva Mitral , Humanos , Falso Aneurisma/cirurgia , Valva Mitral/cirurgia , Valva Aórtica/cirurgia , Masculino , Seguimentos , Aneurisma Cardíaco/cirurgia , Ecocardiografia , Implante de Prótese de Valva Cardíaca , Pessoa de Meia-Idade
7.
J Cardiothorac Surg ; 19(1): 327, 2024 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-38849837

RESUMO

BACKGROUND: Left atrial appendage aneurysm is a rare cardiac mass, with only a few cases reported. There are usually no specific symptoms, and a few patients visit the doctor with symptoms. CASE PRESENTATION: A 20-year-old male presented to our hospital with a "pericardial cyst found by medical evaluation in another hospital for 2 years." Cardiac ultrasound performed at clinics of our hospital suggested a cystic dark area in the left ventricular lateral wall and the anterior lateral wall, consistent with a pericardial cyst and mild mitral regurgitation. After further relevant examinations and ruling out contraindications, an excision of the left atrial appendage aneurysm was performed under general anesthesia and cardiopulmonary bypass with beating-heart. The postoperative pathological results identified that: (left atrial appendage) fibrocystic wall-like tissue with a focal lining of the flat epithelium, consistent with a benign cyst. CONCLUSION: Left atrial appendage aneurysms are rare and insidious. They are usually found by chance during medical evaluations. If the location is not good or the volume is too large, then compression symptoms or arrhythmia, thrombosis and other concomitant symptoms will occur. Surgical resection is presently the only effective radical cure for a left atrial appendage aneurysm.


Assuntos
Apêndice Atrial , Aneurisma Cardíaco , Humanos , Masculino , Apêndice Atrial/cirurgia , Apêndice Atrial/diagnóstico por imagem , Apêndice Atrial/patologia , Aneurisma Cardíaco/cirurgia , Aneurisma Cardíaco/diagnóstico por imagem , Aneurisma Cardíaco/diagnóstico , Adulto Jovem , Ecocardiografia , Procedimentos Cirúrgicos Cardíacos/métodos
8.
Ann Card Anaesth ; 27(1): 70-75, 2024 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-38722127

RESUMO

ABSTRACT: A sub-mitral left ventricular aneurysm is a rare condition. It is a congenital outpouching of the left ventricular wall, invariably occurring adjacent to the posterior mitral leaflet. Sub-mitral aneurysm (SMA) has usually been reported as a consequence of myocardial ischemia (MI), rheumatic heart disease, tuberculosis, and infective endocarditis. Nevertheless, there have been few case reports of congenital SMA in India. It usually presents with symptoms of heart failure. We report a rare case of congenital SMA in a 27-year-old young Indian and its successful management through a trans-aneurysmal approach.


Assuntos
Aneurisma Cardíaco , Valva Mitral , Humanos , Adulto , Aneurisma Cardíaco/cirurgia , Aneurisma Cardíaco/diagnóstico por imagem , Aneurisma Cardíaco/congênito , Valva Mitral/cirurgia , Valva Mitral/diagnóstico por imagem , Masculino , Ventrículos do Coração/cirurgia , Ventrículos do Coração/diagnóstico por imagem , Ecocardiografia Transesofagiana/métodos , Anestésicos
9.
Kyobu Geka ; 77(5): 364-368, 2024 May.
Artigo em Japonês | MEDLINE | ID: mdl-38720606

RESUMO

A 59-year-old man was admitted to our hospital with left hemiplegia. A computed tomography( CT) scan and echocardiography revealed a cerebral infarction in the right middle cerebral artery's territory, as well as a large pseudoaneurysm (4×3 cm) of the lateral left ventricular wall. The patient agreed to undergo cardiac surgery because of the high risk of rupture and recurrent cerebral infarctions. Owing to the high probability of damaging the posterior papillary muscle and coronary arteries, an extracardiac approach was used, and the pseudoaneurysm cavity was closed using double-patch repair. The patient was discharged from the hospital on the 12th postoperative day without any complications. Both postoperative CT and echocardiography showed closure of the cavity.


Assuntos
Falso Aneurisma , Infarto Cerebral , Ventrículos do Coração , Humanos , Masculino , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/cirurgia , Falso Aneurisma/etiologia , Pessoa de Meia-Idade , Infarto Cerebral/etiologia , Infarto Cerebral/diagnóstico por imagem , Ventrículos do Coração/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Aneurisma Cardíaco/diagnóstico por imagem , Aneurisma Cardíaco/cirurgia , Aneurisma Cardíaco/etiologia
10.
Int Heart J ; 65(3): 572-579, 2024 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-38749747

RESUMO

A 55-year-old man presented to the emergency department with worsening shortness of breath 1 month after a gastrointestinal bleed. He had congestive heart failure, and an electrocardiogram suggested ischemic heart disease involvement. Echocardiography revealed a ventricular septal defect complicated by a left ventricular aneurysm in the inferior-posterior wall. Conservative treatment was started, but hemodynamic collapse occurred on the third day of admission and coronary angiography revealed a revascularizing lesion in the right fourth posterior descending coronary artery. Subsequently, his hemodynamic status continued to deteriorate, even with an Impella CP® heart pump, so ventricular septal defect patch closure and left ventricular aneurysm suture were performed. His condition improved and he was discharged on day 23 of admission and was not readmitted within 6 months after the procedure. Hemodynamic management of ventricular septal defects requires devices that reduce afterload, and clinicians should be aware of the risk of myocardial infarction after gastrointestinal bleeding.


Assuntos
Hemorragia Gastrointestinal , Aneurisma Cardíaco , Infarto do Miocárdio , Ruptura do Septo Ventricular , Humanos , Masculino , Pessoa de Meia-Idade , Ruptura do Septo Ventricular/etiologia , Ruptura do Septo Ventricular/cirurgia , Ruptura do Septo Ventricular/diagnóstico , Hemorragia Gastrointestinal/etiologia , Hemorragia Gastrointestinal/diagnóstico , Aneurisma Cardíaco/complicações , Aneurisma Cardíaco/cirurgia , Infarto do Miocárdio/complicações , Ecocardiografia , Angiografia Coronária , Ventrículos do Coração/diagnóstico por imagem , Eletrocardiografia
11.
J Am Coll Cardiol ; 83(19): 1902-1916, 2024 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-38719370

RESUMO

Postinfarction ventricular free-wall rupture is a rare mechanical complication, accounting for <0.01% to 0.02% of cases. As an often-catastrophic event, death typically ensues within minutes due to sudden massive hemopericardium resulting in cardiac tamponade. Early recognition is pivotal, and may allow for pericardial drainage and open surgical repair as the only emergent life-saving procedure. In cases of contained rupture with pseudo-aneurysm (PSA) formation, hospitalization with subsequent early surgical intervention is warranted. Not uncommonly, PSA may go unrecognized in asymptomatic patients and diagnosed late during subsequent cardiac imaging. In these patients, the unsettling risk of complete rupture demands early surgical repair. Novel developments, in the field of transcatheter-based therapies and multimodality imaging, have enabled percutaneous PSA repair as a feasible alternate strategy for patients at high or prohibitive surgical risk. Contemporary advancements in the diagnosis and treatment of postmyocardial infarction ventricular free-wall rupture and PSA are provided in this review.


Assuntos
Falso Aneurisma , Ruptura Cardíaca Pós-Infarto , Infarto do Miocárdio , Humanos , Falso Aneurisma/etiologia , Falso Aneurisma/terapia , Infarto do Miocárdio/complicações , Ruptura Cardíaca Pós-Infarto/etiologia , Ruptura Cardíaca Pós-Infarto/diagnóstico , Ventrículos do Coração/diagnóstico por imagem , Aneurisma Cardíaco/etiologia , Aneurisma Cardíaco/cirurgia
12.
J Am Coll Cardiol ; 83(19): 1917-1935, 2024 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-38719371

RESUMO

Ventricular aneurysm represents a rare complication of transmural acute myocardial infarction, although other cardiac, congenital, or metabolic diseases may also predispose to such condition. Ventricular expansion includes all the cardiac layers, usually with a large segment involved. Adverse events include recurrent angina, reduced ventricular stroke volume with congestive heart failure, mitral regurgitation, thromboembolism, and ventricular arrhythmias. Multimodality imaging is paramount to provide comprehensive assessment, allowing for appropriate therapeutic decision-making. When indicated, surgical intervention remains the gold standard, although additional therapy (heart failure, anticoagulation, and advanced antiarrhythmic treatment) might be required. However, the STICH (Surgical Treatment for Ischemic Heart Failure) trial did not show any advantage from adding surgical ventricular reconstruction to coronary artery bypass surgery in terms of survival, rehospitalization or symptoms, compared with revascularization alone. Finally, implantable cardiac defibrillator may reduce the risk of fatal arrhythmias.


Assuntos
Aneurisma Cardíaco , Infarto do Miocárdio , Humanos , Aneurisma Cardíaco/etiologia , Aneurisma Cardíaco/cirurgia , Infarto do Miocárdio/etiologia , Ventrículos do Coração/diagnóstico por imagem
15.
BMC Cardiovasc Disord ; 24(1): 222, 2024 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-38654152

RESUMO

The most common mechanical complications of acute myocardial infarction include free-wall rupture, ventricular septal rupture (VSR), papillary muscle rupture and pseudoaneurysm. It is rare for a patient to experience more than one mechanical complication simultaneously. Here, we present a case of ST-segment elevation myocardial infarction (STEMI) complicated with three mechanical complications, including ventricular apical wall rupture, ventricular aneurysm formation and ventricular septal dissection (VSD) with VSR. Cardiac auscultation revealed rhythmic S1 and S2 with a grade 3 holosystolic murmur at the left sternal border. Electrocardiogram indicated anterior ventricular STEMI. Serological tests showed a significant elevated troponin I. Bedside echocardiography revealed ventricular apical wall rupture, apical left ventricle aneurysm and VSD with VSR near the apex. This case demonstrates that several rare mechanical complications can occur simultaneously secondary to STEMI and highlights the importance of bedside echocardiography in the early diagnosis of mechanical complications.


Assuntos
Aneurisma Cardíaco , Ruptura Cardíaca Pós-Infarto , Infarto do Miocárdio com Supradesnível do Segmento ST , Ruptura do Septo Ventricular , Idoso , Humanos , Eletrocardiografia , Aneurisma Cardíaco/diagnóstico por imagem , Aneurisma Cardíaco/etiologia , Aneurisma Cardíaco/complicações , Aneurisma Cardíaco/fisiopatologia , Ruptura Cardíaca Pós-Infarto/etiologia , Ruptura Cardíaca Pós-Infarto/diagnóstico por imagem , Ruptura Cardíaca Pós-Infarto/diagnóstico , Testes Imediatos , Valor Preditivo dos Testes , Infarto do Miocárdio com Supradesnível do Segmento ST/etiologia , Infarto do Miocárdio com Supradesnível do Segmento ST/diagnóstico , Infarto do Miocárdio com Supradesnível do Segmento ST/complicações , Infarto do Miocárdio com Supradesnível do Segmento ST/terapia , Infarto do Miocárdio com Supradesnível do Segmento ST/fisiopatologia , Infarto do Miocárdio com Supradesnível do Segmento ST/diagnóstico por imagem , Resultado do Tratamento , Ruptura do Septo Ventricular/etiologia , Ruptura do Septo Ventricular/diagnóstico por imagem , Ruptura do Septo Ventricular/fisiopatologia , Ruptura do Septo Ventricular/diagnóstico , Ruptura do Septo Ventricular/cirurgia , Feminino
16.
Kyobu Geka ; 77(2): 87-91, 2024 Feb.
Artigo em Japonês | MEDLINE | ID: mdl-38459856

RESUMO

A 66-year-old man. He had myocardial infarction due to occlusion of the left anterior descending branch, which was subsequently complicated by ventricular septal perforation. Ventricular septal perforation was repaired through right ventricle incision, applying double patches for closure, and injecting glue between the patches. The early postoperative course was good, but the infarcted left ventricular anterior wall remained because of the right ventriculotomy approach. A left ventricular aneurysm was demonstrated on postoperative follow-up echocardiography, which gradually enlarged to become giant. Since symptoms of heart failure such as respiratory distress appeared, left ventriculoplasty was performed 29 months after the perforation of the initial surgery. Since thinned left ventricular wall remains following right ventriculotomy approach, risk of postoperative left ventricular aneurysm should be taken into account.


Assuntos
Procedimentos Cirúrgicos Cardíacos , Aneurisma Cardíaco , Infarto do Miocárdio , Ruptura do Septo Ventricular , Masculino , Humanos , Idoso , Ruptura do Septo Ventricular/diagnóstico por imagem , Ruptura do Septo Ventricular/etiologia , Ruptura do Septo Ventricular/cirurgia , Infarto do Miocárdio/complicações , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Ventrículos do Coração/diagnóstico por imagem , Ventrículos do Coração/cirurgia , Aneurisma Cardíaco/diagnóstico por imagem , Aneurisma Cardíaco/etiologia , Aneurisma Cardíaco/cirurgia
17.
Turk J Pediatr ; 66(1): 139-142, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38523391

RESUMO

BACKGROUND: Isolated mitral valve aneurysm is rarely reported in children. In most cases it is associated with an underlying disease such as infective endocarditis. MVA can lead to severe complications that needs surgical intervention. CASE: In this report, we present a 9-year old asymptomatic male patient with anterior mitral valve aneurysm and rhythm disturbance diagnosed incidentally during pre-operative evaluation. CONCLUSIONS: Being rare in children, isolated MVA should be kept in mind in the differential diagnosis of mass lesions seen on the atrial side of the mitral valve. A 24-hour electrocardiogram may define subtle rhythm disturbances in these patients.


Assuntos
Endocardite Bacteriana , Aneurisma Cardíaco , Insuficiência da Valva Mitral , Criança , Humanos , Masculino , Valva Mitral/diagnóstico por imagem , Valva Mitral/cirurgia , Aneurisma Cardíaco/diagnóstico por imagem , Aneurisma Cardíaco/cirurgia , Endocardite Bacteriana/complicações , Endocardite Bacteriana/cirurgia , Insuficiência da Valva Mitral/diagnóstico por imagem , Insuficiência da Valva Mitral/etiologia , Insuficiência da Valva Mitral/cirurgia , Diagnóstico Diferencial
19.
Asian Cardiovasc Thorac Ann ; 32(2-3): 140-142, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38478425

RESUMO

A five-year-old boy was diagnosed with the ventricular septal rupture and ventricular aneurysm after blunt chest trauma in child abuse. Because of the intractable heart failure, he underwent operation in subacute period. Postoperative course was uneventful. The blunt cardiac injury in children can be caused by mild trauma and can be lethal. Surgical intervention should be considered when the clinical condition is unstable.


Assuntos
Aneurisma Cardíaco , Insuficiência Cardíaca , Traumatismos Torácicos , Ruptura do Septo Ventricular , Ferimentos não Penetrantes , Pré-Escolar , Humanos , Masculino , Aneurisma Cardíaco/diagnóstico por imagem , Aneurisma Cardíaco/etiologia , Aneurisma Cardíaco/cirurgia , Insuficiência Cardíaca/etiologia , Traumatismos Torácicos/complicações , Traumatismos Torácicos/diagnóstico por imagem , Ruptura do Septo Ventricular/diagnóstico por imagem , Ruptura do Septo Ventricular/etiologia , Ruptura do Septo Ventricular/cirurgia , Ferimentos não Penetrantes/complicações , Ferimentos não Penetrantes/diagnóstico por imagem
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