A patient was submitted to mitral valve replacement and tricuspid ring annuloplasty. During immediate postoperative course, signs of inferior myocardial ischemia appeared. Acute entrapment of the ...right coronary artery due to tricuspid ring sutures was confirmed by coronary angiography. The patient was reoperated and a right coronary bypass graft was successfully performed. Tricuspid procedures have shown to be effective and secure with a low rate of complication. Few cases of right coronary artery occlusion have been described and the majority not treated. Exceptional cases of right coronary occlusion related to tricuspid ring annuloplasty have been reported with a favorable outcome, as the case described herein.
We report a dramatic case of meningococcal sepsis manifesting as purpura fulminans in an elderly diabetic woman. Hemodynamic instability and severe bilateral cutaneous lesions involving her hands and ...feet developed rapidly. Specific antibiotic therapy and the administration of inotropic and vasopressor drugs were initiated. The severity and extension of the cutaneous lesions (attributed to purpura fulminans) worsened because of the need for vasoconstrictors for the treatment of septic shock. Bilateral transmetatarsal and metacarpal amputations were required to stabilize the patient.
Primary coarctation-related isthmus aneurysm in an adult González-Santos, Jose María; Arnáiz-García, María Elena; Dalmau-Sorlí, María José ...
Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir,
12/2016, Letnik:
44, Številka:
8
Journal Article
Recenzirano
Odprti dostop
A 56-year-old female patient was transferred due to the presence of a left supraclavicular pulsatile mass. Further work-up was performed to confirm diagnosis. Angiography and computed tomography were ...also performed. The anatomy of the thoracic aorta suggested an unknown and untreated aortic coarctation. A second aortic narrowing was identified at the aortic arch, a result of elongation of the aorta. Endovascular approach was not possible, due to complexity of the aortic anatomy, and tortuosity. Open surgical repair was successfully performed. A primary coarctation-related isthmus aneurysm is an exceptional finding in adults, and is a life-threatening condition when diagnosis is delayed. Management and treatment are controversial and challenging.
Aortic wall papillary fibroelastoma González-Santos, Jose María, PhD; Arnáiz-García, María Elena, MD; Vargas-Fajardo, María del Carmen, PhD ...
The Journal of thoracic and cardiovascular surgery,
07/2013, Letnik:
146, Številka:
1
Journal Article
Giant pericardial cyst as the cause of syncope Arnáiz-García, María Elena; Ruiz-Olgado, María José; Santos-Iglesias, José Luis ...
European journal of cardio-thoracic surgery,
09/2020, Letnik:
58, Številka:
3
Journal Article
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