RESUMEN
Conservative aortic valve surgery is becoming an effective alternative to aortic valve replacement for patients with aortic insufficiency (AI) and ascending aortic aneurysms. It has become a crucial component of the therapeutic arsenal recommended by the learned societies. This paper reports the case of a patient with severe AI following dilatation of the supra-coronary aorta that underwent aortic plasty associated with a supra-coronary tube in the Cardiovascular Surgery Department 'A' of the Ibn Sina Hospital, Rabat, Morocco.
RESUMEN
INTRODUCTION: Nail guns are responsible for an estimated 14% of injuries among residential carpenters, intrathoracic injuries are rare but almost always require operative management with a sternotomy or thoracotomy. CASE REPORT: We report the case of a young carpenter who injured himself by accident during work. The nail perforated the right ventricle. He was operated and postoperative course was uneventful. CONCLUSION: This case highlights the importance of urgent and adequate management of these cases and the need to raise awareness about work safety among carpenters.
Asunto(s)
Lesiones Cardíacas , Heridas Penetrantes , Masculino , Humanos , Heridas Penetrantes/cirugía , Corazón , Ventrículos Cardíacos , Lesiones Cardíacas/etiología , Lesiones Cardíacas/cirugíaRESUMEN
Cardiac myxomas are the most common primary intracardiac tumors, accounting for 50% of all cardiac neoplasms, with an estimated frequency of 0.5/million/inhabitants/year. Presenting symptoms are related to cerebral or peripheral embolism, and/or intracardiac obstruction. Thus, urgent management of myxoma is mandatory due to embolism's risk. Herein, we report the case of an 82-year-old woman with a myxoma of the left atrium, revealed by a multiple ischemic strokes, to raise awareness of this entity.
RESUMEN
Coronary artery fistulas are rare and half of them are symptomatic. Diagnosis is confirmed by echocardiography and coronarography and can be precisely located by multislice CT-scan. We report the case of a 56-year-old female patient with congestive heart failure caused by a coronaro-cardiac fistula established between the proximal circumflex coronary artery and the right atrium. Surgical exclusion of the fistula was achieved by ligation of both extremities and a running suture on the aneurysmal vessel. Follow-up at 6 months was satisfactory with an asymptomatic patient and absence of recurrence of the fistula on echocardiography.