RESUMO
This is a case of a 25 year old male with rheumatic heart disease who after 8 months of mitral valve replacement developed bacterial endocarditis complicated by severe valve malfunction due to a thrombus in the valve ring. The patient was correctly anticoagulated since the time the valve replacement, it was felt that the infection was responsible for the thrombus formation. The patient was reoperated and the valve changed for another of the same size and model. The need for prompt diagnosis and surgical intervention is emphasized in cases of prosthesis malfunction.
Assuntos
Endocardite Bacteriana/etiologia , Próteses Valvulares Cardíacas/efeitos adversos , Insuficiência da Valva Mitral/etiologia , Trombose/complicações , Adulto , Antibacterianos/uso terapêutico , Humanos , Masculino , Insuficiência da Valva Mitral/cirurgia , Cardiopatia Reumática/cirurgiaRESUMO
Two cases of patent ductus arteriosus in preterm newborns who were operated on are reported. Several physiopathologic and clinical aspects of importance for the diagnosis and treatment of this entity are pointed out.
Assuntos
Permeabilidade do Canal Arterial/cirurgia , Permeabilidade do Canal Arterial/diagnóstico por imagem , Humanos , Recém-Nascido , Doenças do Prematuro/cirurgia , Ligadura , Masculino , RadiografiaRESUMO
Sixteen newborn babies with severe respiratory distress and patent ductus arteriosus with congestive heart failure are presented. Fifteen of them were premature and one at full term. Management consisted of the accepted medical and ventilatory aids such as digitalis, diuretics, ventilators, etc. Thirteen cases were given indomethacin with clinical closure in five of them (38%). Ten cases underwent surgical closure with 30% mortality. It is recommended that these patients be given indomethacin inicially; if there is no response in 36 hours surgical closure of the duct should be performed prior to progressive deterioration and eventual death.
Assuntos
Permeabilidade do Canal Arterial/tratamento farmacológico , Indometacina/administração & dosagem , Síndrome do Desconforto Respiratório do Recém-Nascido/tratamento farmacológico , Administração Oral , Digoxina/uso terapêutico , Permeabilidade do Canal Arterial/cirurgia , Furosemida/uso terapêutico , Humanos , Indometacina/uso terapêutico , Lactente , Recém-Nascido , Intubação , Respiração Artificial , Síndrome do Desconforto Respiratório do Recém-Nascido/cirurgiaRESUMO
The 8 years (1967-1975) experience with axillary-femoral and femoro-femoral grafts in 40 patients is presented; 6 females and 34 males, between 50 and 90 years of age, with arteriosclerosis, all complicated by chronic illnesses. The results have been satisfactory, as the grafts are functioning from 2 months to 80 months (6 years, 8 months), most of them being more than 12 months old. Twenty eight of the 40 patients operated are alive. Four patients (10%) had infection of their grafts. In 6 (15%) the graft closed because of severe progresive distal obstruction. Three patients (7.5%) died in the first 32 post-operative days. In 9 (22.5%) the deaths were not related to surgery. The indications for placement of axillary-femoral and femoro-femoral grafts is established.