RESUMEN
Experience in treatment of leiomyosarcoma of the retrohepatic segment of the inferior vena cava at any separately taken clinic is scarce. Given a rare nature of the pathology involved, whose diagnosis and management require joint participation of various-specialty physicians, we have considered it wise to present our own clinical case report.
Asunto(s)
Implantación de Prótesis Vascular/métodos , Leiomiosarcoma , Neoplasias Vasculares , Vena Cava Inferior , Adulto , Diagnóstico Diferencial , Disección/métodos , Femenino , Humanos , Leiomiosarcoma/diagnóstico , Leiomiosarcoma/fisiopatología , Leiomiosarcoma/cirugía , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Neoplasias Vasculares/diagnóstico , Neoplasias Vasculares/fisiopatología , Neoplasias Vasculares/cirugía , Vena Cava Inferior/patología , Vena Cava Inferior/cirugíaRESUMEN
The article is based on experience gained in 25-year follow-up of a female patient presenting with pathology of the thoracoabdominal aorta and its branches in non-specific aortoarteritis. Discussed herein are clinical peculiarities of the development and course of the disease, analysing the outcomes of the reconstructive operations performed, followed by due assessment of efficacy of long-term treatment.
Asunto(s)
Aorta Abdominal , Aorta Torácica , Arteriopatías Oclusivas/cirugía , Implantación de Prótesis Vascular/métodos , Arteritis de Takayasu/complicaciones , Angiografía , Arteriopatías Oclusivas/diagnóstico por imagen , Arteriopatías Oclusivas/etiología , Femenino , Estudios de Seguimiento , Humanos , Persona de Mediana Edad , Arteritis de Takayasu/diagnóstico por imagen , Factores de Tiempo , Tomografía Computarizada EspiralRESUMEN
Based on the rich clinical material (405 patients), the authors have assessed the most common blood and crystalloid cardioplegic techniques by applying the criteria which do not apply to those of myocardial protection adequacy. Differences have been found between the methods in the volumes of blood loss, the number of patients operated on without utilizing donor blood, terms of aortic occlusion at one-stage operative interventions, recovery of cardiac performance after aortic occlusion. The differences found are essential in choosing the type of cardioplegia by taking into account the individual traits of each surgical intervention and an operating surgeon's opinions.