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Ruptura do septo interventricular após trauma torácico fechado
Mello, Ronaldo Peixoto de;Santana, Maria Virginia;Silva, Maria Aparecida de Paula;Esteves, César;Pedra, Carlos;Thom, Anneliese;Chaccur, Paulo;Miaira, Marly Akiko;Andrade, Pedro Beraldo;Rodrigues, Alejandra Borges;
Arquivos Brasileiros de Cardiologia , 2006, DOI: 10.1590/S0066-782X2006001900022
Abstract: we report a case of ventricular septal rupture following chest trauma resulting from a car accident. the outcome was relatively favorable despite the extension of the anatomic lesion.
Ressec??o de lipoma do septo interventricular
Figueira, Fernando;Moraes Neto, Fernando;Moraes, Carlos Roberto Ribeiro de;
Revista Brasileira de Cirurgia Cardiovascular , 2010, DOI: 10.1590/S0102-76382010000400026
Abstract: we report the case of an asymptomatic 43-year-old-man with a lipoma of the interventricular septum. diagnosis was established during routine medical examination by 2-dimensional echocardiography and confirmed by computed tomography and magnetic resonance imaging. the patient underwent successful resection of the tumor.
Curva de referência da área do septo interventricular fetal pelo método STIC: estudo preliminar
Rolo, Liliam Cristine;Nardozza, Luciano Marcondes Machado;Araujo Júnior, Edward;Simioni, Christiane;Zamith, Marina Maccagnano;Moron, Antonio Fernandes;
Arquivos Brasileiros de Cardiologia , 2011, DOI: 10.1590/S0066-782X2011005000036
Abstract: background: early detection of septal changes such as septal hypertrophy commonly present in fetuses of diabetic mothers would help reduce the high rates of infant mortality. objective: determine reference ranges for the fetal ventricular septal area through three-dimensional ultrasound (us3d) using the stic method (spatio-temporal image correlation). methods: we conducted a cross-sectional study with 69 pregnant women between the 18th and 33rd weeks of pregnancy. we used as a reference the four-chamber plane with the roi (region of interest) positioned from the ventricles; the septum area were manually marked. to assess the correlation of the interventricular septum area with gestational age (ga), we constructed scatter plots and calculated pearson's correlation coefficient (r), and the adjustment was performed by the coefficient of determination (r2). we calculated averages, medians, standard deviations (sd), as well as maximum and minimum values. to calculate the intraobserver reproducibility, we used the intraclass correlation coefficient (icc). the interventricular septum thickness was measured and it was correlated with gestational age and the septal area rendered in 52 patients using the icc. results: the interventricular septum area was highly correlated with gestational age (r = 0.81), and the average increased from 0.47 cm2 in the 18th week to 2.42 cm2 in the 33rd of gestation. the intraobserver reproducibility was excellent with icc = 0.994. no significant correlation was observed between the interventricular septum measurement and the ga (r2 = 0.200), as well as there was no correlation with the septal area rendered with icc = 0.150. conclusion: reference intervals for the interventricular septum area between the 18th and the 33rd pregnancy week were determined to be highly reproducible.
Circula o coronária dependente do ventrículo direito na atresia pulmonar com septo interventricular íntegro. Ausência da origem das artérias coronárias da aorta
Rivera Ivan Romero,Moises Valdir Ambrósio,Silva Celia Camelo,Abujamra Pedro
Arquivos Brasileiros de Cardiologia , 1998,
Abstract: S o descritos os aspectos clínicos, ecocardiográficos e angiográficos de um neonato de sexo masculino, com cinco dias de vida e diagnóstico de atresia pulmonar com septo interventricular íntegro. Tanto o ecocardiograma como a aortografia mostraram ausência da origem das artérias coronárias da aorta. O ecocardiograma bidimensional e, posteriormente, a ventriculografia direita identificaram as artérias coronárias, originando-se no ventrículo direito. N o houve contrasta o retrógrada da aorta ou do tronco pulmonar quando contrastadas as artérias coronárias. Este é o primeiro caso relatado com diagnóstico ecocardiográfico pré angiografia, e é um exemplo da necessidade de se avaliar as artérias coronárias em pacientes com atresia pulmonar e septo ventricular íntegro.
ROTURA DEL SEPTO INTERVENTRICULAR DESPUéS DE INFARTO AGUDO DE MIOCARDIO CON APERTURA Y CIERRE INTERMITENTES / Interventricular septal rupture after acute myocardial infarction with intermittent opening and closing
Héctor Díaz águila,Yamir Santos Monzón,Alberto Fragoso Estévez,Yonielis Rivero Nóbrega
CorSalud , 2013,
Abstract: Resumen La rotura del septo interventricular es una grave complicación en pacientes que sufren infarto agudo de miocardio. Se presenta aproximadamente en el 1 % de los pacientes infartados, su mortalidad es elevada y el tratamiento de elección es la reparación quirúrgica. Se presenta un paciente anciano que ingresó en la Unidad de Cuidados Intensivos por infarto agudo de miocardio de cara anterior, que recibió tratamiento trombolítico con estreptokinasa recombinante cubana y 24 horas más tarde, presentó deterioro hemodinámico con cambios electrocardiográficos y aparición de soplo sistólico en la punta. Se realizó una ecocardiografía que mostró un defecto del septo interventricular con apertura y cierre intermitentes. Horas más tarde el paciente falleció por insuficiencia cardiocirculatoria, a pesar del tratamiento. Se presentan las imágenes ecocardiográficas y la pieza anatómica. Lo inusual del presente caso fue la apertura y el cierre intermitentes del defecto interventricular. No se encontró ningún informe similar a en las bases de datos bibliográficas consultadas. / Abstract Ventricular septum rupture is a serious complication in patients with acute myocardial infarction. It occurs in approximately 1% of heart attack patients; its mortality rate is high and surgical repair is the treatment of choice. The case of an elderly male patient who was admitted to the Intensive Care Unit for acute anterior myocardial infarction is reported. This patient received thrombolytic therapy with Cuban recombinant streptokinase and 24 hours later presented hemodynamic deterioration with electrocardiographic changes and appearance of systolic murmur at the apex. Echocardiography was performed which showed a ventricular septal defect with intermittent opening and closing. Despite treatment, the patient died of circulatory failure hours later. Echocardiographic images and the anatomical specimen are shown. What was unusual in this case was the intermittent opening and closing of the ventricular septal defect. No similar report was found in the bibliographic databases consulted.
Estratégia cirúrgica na transposi o das grandes artérias com septo interventricular intacto após o período neonatal
Gontijo Filho Bayard,Fantini Fernando A.,Martins Cristiane,Lopes Roberto Max
Arquivos Brasileiros de Cardiologia , 2005,
Abstract: OBJETIVO: Analisar o resultado cirúrgico em portadores de transposi o das grandes artérias com septo interventricular intacto, operados após o período neonatal. MéTODOS: Entre janeiro de 1998 e mar o de 2004 foram atendidas 121 crian as com transposi o das grandes artérias com septo interventricular intacto, sendo 29 (24%) após o período neonatal. A sele o para tratamento cirúrgico foi baseada na avalia o ecocardiográfica pelo cálculo da massa do ventrículo esquerdo e da configura o do septo interventricular. Das 29 crian as, 12 foram selecionadas para corre o anat mica primária, 12 para corre o em dois estágios, após preparo cirúrgico do ventrículo esquerdo e 5 submetidas a corre o atrial. RESULTADOS: No grupo submetido à corre o anat mica primária houve 1 (8,3%) óbito hospitalar por sepsis. No grupo de corre o em dois estágios, 5 pacientes foram submetidos ao preparo lento, com corre o 3-6 meses após o 1o estágio, ocorrendo 4 óbitos após o 1o estágio. Este fato determinou mudan a no nosso protocolo, adotando-se a técnica de preparo rápido nos outros 7 pacientes, tendo todos atingido o 2o estágio. Das 8 crian as submetidas ao 2o estágio houve 1 óbito hospitalar e outro óbito tardio. A evolu o clínica tardia das crian as de ambos os grupos é excelente. CONCLUS O: A sele o ecocardiográfica adequada da transposi o de grandes artérias com septo interventricular intacto quando abordada após o período neonatal, permitiu uma orienta o segura da escolha da melhor abordagem cirúrgica nestes pacientes.
Cateterismo intervencionista na estenose valvar pulmonar crítica do recém-nascido e na atresia pulmonar com septo interventricular íntegro: 13 anos de experiência de um servi?o terciário
Manica, Jo?o Luiz;Bodini, André;Borges, Monica Scott;Machado, Paulo Renato Mercio;Rossi Filho, Raul Ivo;
Revista Brasileira de Cardiologia Invasiva , 2011, DOI: 10.1590/S2179-83972011000400014
Abstract: background: the percutaneous approach is the therapy of choice in neonates with critical pulmonary stenosis (ps) and pulmonary atresia with intact interventricular septum (paivs). consecutive cases treated at a reference center and their midterm follow-up was reported in this study. methods: most of the patients received an intravenous infusion of prostaglandin preoperatively, regardless of the need. for the paivs approach, a stiff-tip guidewire was used and more recently, radiofrequency valvotomy. in most cases, sequential balloon dilation was performed until 110% to 120% of the pulmonary valve ring diameter was reached. results: between 1998 and 2011, 17 neonates with paivs (median age of 5 days, mean weight of 3.1 + 0.6 kg) and 30 neonates with ps (median age of 12 days, mean weight of 3 + 1.4 kg) were treated at a tertiary center. in paivs patients, a stiff-tip guidewire was used in 14 cases, with a success rate of 71.4%, and radiofrequency perforation in 3 cases, with a success rate of 100%. in ps patients, success was achieved in all of the cases. hospital death was 23.5% for the paivs group and 3.3% for the ps group, none related to the percutaneous procedure. in the midterm follow-up, the reintervention rate due to restenosis was 21.4% in the paivs group and 10% in the ps group. conclusions: pulmonary valvuloplasty in ps or paivs has acceptable clinical and hemodynamic results, as long as favorable anatomic characteristics are observed and patent pulmonary flow is maintained until the procedure. morbidity and mortality of patients with critical ps are lower than patients with paivs.
Rotura extensa de septo interventricular por traumatismo torácico cerrado Interventricular septum rupture following blunt chest trauma  [cached]
Francisco Gandía-Martínez,David Andaluz-Ojeda,I?igo Martínez-Gil,Alberto Campo-Prieto
Medicina Intensiva , 2009,
Abstract: La rotura del septo interventricular por traumatismo cerrado de tórax es una rara lesión cardíaca cuyo diagnóstico puede ser pasado por alto y que muestra una elevada mortalidad en los casos con inestabilidad hemodinámica que requieren cirugía correctora precoz. Presentamos el caso de un joven de 18 a os con traumatismo toracoabdominal cerrado y shock hemorrágico que precisó cirugía abdominal urgente en tres ocasiones. Fue diagnosticado de rotura traumática del septo interventricular no detectada en el ecocardiograma inicial, que se sospechó tras cateterismo cardíaco derecho y se intervino quirúrgicamente de urgencia a las 72 h de su ingreso. Interventricular septum rupture following blunt chest trauma is a rare cardiac injury that sometimes is difficult to diagnose. It has a high mortality rate, especially when in cases of hemodynamic instability requiring early surgical repair. We report the case of an 18-year old man who suffered blunt thoracoabdominal trauma and hemorrhagic shock who required emergency abdominal surgery on three occasions. He was diagnosed of traumatic rupture of interventricular septum that had not been detected in the initial echocardiography, but was suspected after the right heart catheterism. Urgent cardiac surgery was performed 72 hours later because of hemodynamic instability.
Rotura extensa de septo interventricular por traumatismo torácico cerrado
Gandía-Martínez,Francisco; Andaluz-Ojeda,David; Martínez-Gil,I?igo; Campo-Prieto,Alberto; Parra-Morais,Laura; Citores-González,Rafael;
Medicina Intensiva , 2009,
Abstract: interventricular septum rupture following blunt chest trauma is a rare cardiac injury that sometimes is difficult to diagnose. it has a high mortality rate, especially when in cases of hemodynamic instability requiring early surgical repair. we report the case of an 18-year old man who suffered blunt thoracoabdominal trauma and hemorrhagic shock who required emergency abdominal surgery on three occasions. he was diagnosed of traumatic rupture of interventricular septum that had not been detected in the initial echocardiography, but was suspected after the right heart catheterism. urgent cardiac surgery was performed 72 hours later because of hemodynamic instability.
Ruptura miocárdica y formación de aneurisma después de un infarto agudo de miocardio silente: Reporte de un caso  [cached]
Eduardo Alvarado Sánchez,Harold Lacayo González,Marco Antonio Siles Varela
Revista Costarricense de Cardiología , 2011,
Abstract: Los aneurismas ventriculares y la ruptura del septum interventricular son complicaciones del infarto agudo del miocardio que pueden acompa arse de alta morbimortalidad. Se reporta el caso de un paciente con formación y ruptura de un aneurisma verdadero de la pared inferior y del septum interventricular inferior después de un infarto agudo de miocardio silente. Se discuten las características clínicas, diagnóstico y manejo de estas complicaciones potencialmente letales Ventricular aneurysms and interventricular septal rupture are complications of acute myocardial infarction and these complications may have a high morbidity and mortality. We report the case of a patient with an aneurysm involving the inferior myocardium and the inferior interventricular septum following an acute silent myocardial infarction. The clinical characteristics, diagnosis and management of these potentially lethal complications are discussed
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