RESUMO
Anomalous left coronary artery from the pulmonary artery, or ALCAPA syndrome, is a rare congenital cardiac disease that can cause myocardial infarction, heart failure and even death in paediatric patients. Only few untreated patients survive until adult age. Here we present the case of a 33-year-old female patient with paroxysmal tachycardia, syncope and mild exertional dyspnoea. She was diagnosed with ALCAPA syndrome and underwent surgical correction with an alternative technique of left main coronary artery extension to the aorta.
RESUMO
Purulent pericarditis is an infrequent disease which affects the pericardium and has a high mortality rate. The diagnosis is suspected in a febrile patient with right cardiac failure and a primary infectious source. However, not all patients present in this form therefore the diagnosis and treatment can be difficult and a real challenge. This report is of a patient with this disease and other etiologic possibilities are discussed.
Assuntos
Pericardite/diagnóstico , Idoso , Humanos , Masculino , SupuraçãoRESUMO
Purulent pericarditis is an infrequent disease which affects the pericardium and has a high mortality rate. The diagnosis is suspected in a febrile patient with right cardiac failure and a primary infectious source. However, not all patients present in this form therefore the diagnosis and treatment can be difficult and a real challenge. This report is of a patient with this disease and other etiologic possibilities are discussed.