RESUMO
Total anomalous pulmonary venous return (TAPVR) is a rare congenital pathology. Early diagnosis and urgent surgery are life-saving, especially in newborns with pulmonary venous obstruction, which is most commonly seen with infracardiac type. A three-day-old baby boy presented to another clinic with tachypnea and cyanosis. Initial work-up aimed at ruling out persistant pulmonary hypertension, respiratory distress syndrome and pneumonia. Acute pulmonary edema then developed, and on echocardiography obstructive type infracardiac TAPVR was suspected. Cardiac catheterization was done for definitive diagnosis. Urgent surgery was undertaken and pulmonary veins were anastomozed to left atrium with posterior approach. Patient was extubated at 10th day and discharged after three weeks. During one-year follow-up the patient was free of symptoms. Infracardiac type TAPVR is a rare pathology in which early diagnosis and urgent surgery with special postoperative case are mandatory for survival.
Assuntos
Edema Pulmonar/etiologia , Veias Pulmonares/anormalidades , Pneumopatia Veno-Oclusiva/cirurgia , Doença Aguda , Cateterismo Cardíaco , Cateterismo Periférico , Seguimentos , Humanos , Recém-Nascido , Masculino , Pneumopatia Veno-Oclusiva/complicações , Pneumopatia Veno-Oclusiva/diagnóstico , Resultado do TratamentoAssuntos
Coartação Aórtica/cirurgia , Monitorização Fetal , Feto/irrigação sanguínea , Placenta/irrigação sanguínea , Complicações Cardiovasculares na Gravidez/cirurgia , Adulto , Coartação Aórtica/diagnóstico , Velocidade do Fluxo Sanguíneo , Temperatura Corporal , Feminino , Artéria Femoral/fisiologia , Frequência Cardíaca Fetal , Humanos , Cuidados Intraoperatórios , Gravidez , Complicações Cardiovasculares na Gravidez/diagnóstico , Segundo Trimestre da Gravidez , Artéria Radial/fisiologia , Ultrassonografia DopplerRESUMO
Mycotic aneurysm of the aorta is a rare but highly fatal complication of coronary bypass surgery. A 49-year-old man developed mycotic pseudoaneurysm in the ascending aorta after coronary bypass in another hospital. Computed tomography showed the pseudoaneurysm originated from the previous aortic cannulation site. The defect was successfully repaired with pericardial-pledgeted sutures.