RESUMO
Aortic valve stenosis is a congenital heart defect that causes a fixed left ventricular outflow obstruction with a progressive course. Symptomatology in neonates and young infants resembles congestive heart failure. In addition, the diagnosis of this condition is made by imaging, through echocardiography. On the other hand, treatment can be surgical or interventional under fluoroscopic guidance, depending on the hospital in which it is performed. We describe the case of a minor infant patient who presented severe aortic valve stenosis; however, the fluoroscopy equipment was not available at the time of the emergency to perform the appropriate procedure, therefore, an aortic valvuloplasty was performed under echocardiographic guidance without complications.
RESUMO
In patients operated on for total supracardiac anomalous pulmonary venous connection (TAPVC-SC), not ligating the vertical vein (VV) routinely helps to maintain greater hemodynamic stability in the postoperative period, and in many cases, spontaneous closure will be achieved. However, if the VV remains patent, it leads to a pre-tricuspid shunt with significant pulmonary hyperflow, requiring surgical or percutaneous closure. We present the case of a post-operated patient for non-obstructive TAPVC-SC with patent VV, in whom percutaneous closure was performed using an atrial septal Occluder.
RESUMO
RESUMEN Las infecciones causadas por Mycoplasma pneumonae han sido reconocidas a nivel mundial y es un patógeno común de las infecciones de las vías respiratorias altas y bajas. La pericarditis aguda está a menudo acompañada por un grado de miocarditis y en la práctica clínica la pericarditis y miocarditis coexisten por su etiología en común y en su mayoría por virus cardiotrópos. A continuación, presentamos el caso muy poco común reportado de miopericarditis causada por Mycoplasma pneumonae en un niño de 5 años, con una evolución clínica interesante.
ABSTRACT Infections caused by Mycoplasma pneumoniae are well recognized all over the world, and this microorganism is a common pathogen affecting the lower respiratory tract. Acute pericarditis is often accompanied by myocarditis, and both conditions coexist in clinical practice because they have common etiologic agents, mainly cardiotropic viruses. We present a very unusual case of myopericarditis caused by Mycoplasma pneumoniae affecting a 5 year-old child, who developed an interesting clinical outcome.