RESUMO
Heart transplantation is an infrequent treatment modality in advanced congenital cardiopathy. We present the case of a 17-years old youngster coursing with a dilated Fallot's tetralogy, in terminal stage, who was subjected to an orthotopic heart transplantation. We present the most relevant data on his management during the 53 months after the surgery and discuss the long-term perspectives, which are comparable to those expected in transplanted patients due to other cardiac disorders.
Assuntos
Transplante de Coração , Tetralogia de Fallot/cirurgia , Adolescente , Progressão da Doença , Transplante de Coração/métodos , Humanos , MasculinoRESUMO
The Intracardiac ectopic thyroid is an extremely rare condition and there is no previous report on this subject in Mexico. This is the case of a 33 years old woman, with normal thyroid function. She was found to have an intracardiac tumor in the interventricular septum. The intraoperative biopsy showed typical thyroid follicules; tumor removal left a septal defect that was closed with a dacron patch suture. Two years follow-up showed normal echocardiographic images, good clinical status an normal thyroid functioning. A brief review of the literature is included.
Assuntos
Coristoma/patologia , Cardiopatias/patologia , Glândula Tireoide , Adulto , Coristoma/cirurgia , Feminino , Cardiopatias/cirurgia , HumanosRESUMO
Definitive pacemakers were placed in 27 children from June 1970 to October 1988. The indication for the pacemakers was congenital auriculoventricular block in 12 patients who were symptomatic; 8 were children with postoperative auriculoventricular block; 4 had developed complete auriculoventricular block from myocardiopathies and 3 from idiopathic sick-sinus syndrome. Two patients died: one 4 months after placement of the pacemaker due to unrelated causes, and the other 14 years later due to fracture of the electrode. There were 23 who were reoperated for different reasons but the most frequent was battery failure in 8 patients and pacemaker malfunction in 4 patients. The electrode was implanted in the epicardium in 21 patients and via subclavian vein into the endocardium in 6 cases. The growth and development physically and mentally were normal during the follow-up of these children. The average follow-up period was 55.6 months.
Assuntos
Marca-Passo Artificial , Fatores Etários , Criança , Seguimentos , Bloqueio Cardíaco/congênito , Bloqueio Cardíaco/epidemiologia , Bloqueio Cardíaco/terapia , Humanos , México/epidemiologia , Marca-Passo Artificial/efeitos adversos , Marca-Passo Artificial/estatística & dados numéricos , Fatores SexuaisRESUMO
This is a report of two family members (mother and her first son) with atrial myxoma detected by echocardiography, computed axial tomography and cardiac catheterization, the former located in the left atrium and the latter in the right ventricle. They were successfully treated with heart surgery. We emphasize the need to detect myxoma in the other members of the family, especially when it is of multicentric localization.
Assuntos
Neoplasias Cardíacas/genética , Mixoma/genética , Adolescente , Adulto , Cateterismo Cardíaco , Ecocardiografia , Feminino , Neoplasias Cardíacas/diagnóstico , Neoplasias Cardíacas/diagnóstico por imagem , Neoplasias Cardíacas/cirurgia , Humanos , Masculino , Mixoma/diagnóstico , Mixoma/diagnóstico por imagem , Mixoma/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Two well documented cases of permanent atrial standstill are reported. Both fulfilled the diagnostic criteria of absence of electrical and mechanical atrial activity. The importance of response to electrical stimuli and escape rhythm is discussed within the context of a severe, irreversible and evolutive disease.
Assuntos
Terapia por Estimulação Elétrica , Eletrocardiografia , Cardiopatias/fisiopatologia , Paralisia/fisiopatologia , Adulto , Criança , Cardiopatias/terapia , Humanos , Masculino , Paralisia/terapiaRESUMO
A case of right ventricular tumor in a 14 year old male is presented. Congestive heart failure and a systolic pulmonary murmur due to right ventricular obstruction were the main symptoms. The diagnosis was confirmed by echocardiogram (M mode) and right ventricular angiography. The surgical treatment was curative and the histological exam revealed a myxoma.
Assuntos
Ecocardiografia , Neoplasias Cardíacas/diagnóstico , Mixoma/diagnóstico , Adolescente , Eletrocardiografia , Neoplasias Cardíacas/diagnóstico por imagem , Neoplasias Cardíacas/cirurgia , Ventrículos do Coração , Humanos , Masculino , Mixoma/diagnóstico por imagem , Mixoma/cirurgia , RadiografiaRESUMO
Two patients who had sudden unexpected death while being monitored by a Holter electrocardiograph apparatus are reported. The first patient with heart disease of unknown etiology initially developed first degree A-V block, progressive left bundle branch block and finally asystole. The second patient with previous coronary artery disease and recent myocardial infarction revealed multifocal ventricular extrasystoles with frequent bigeminism and trigeminism which ended in ventricular tachycardia and fibrillation. Emphasis is made on the necessity of detecting those high risk patients and establishing preventive post-hospitalization care to modify the evolution and prognosis in this group of patients.
Assuntos
Bloqueio de Ramo/diagnóstico , Morte Súbita/etiologia , Eletrocardiografia , Monitorização Fisiológica , Fibrilação Ventricular/diagnóstico , Idoso , Assistência Ambulatorial , Bradicardia/complicações , Bradicardia/diagnóstico , Bloqueio de Ramo/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Fibrilação Ventricular/complicaçõesRESUMO
The clinical and anatomic findings of 7 patients with aortic atresia were studied. All cases had usual atrial arrangement, atrioventricular and ventriculoarterial concordance. All but one had an intact ventricular septum. All cases presented a hypoplastic left ventricle, and in one, a mitral atresia was found. The clinical diagnosis was made by means of cardiac catheterization and angiocardiography. The presence of a patent ductus arteriosus, the size of the atrial and ventricular septal defects, the diameter of the ascending aorta, pulmonary vascular resistances and right ventricular function are all factors that influence the survival in the patients with aortic atresia.