RESUMO
O aneurisma da aorta abdominal do tipo inflamatório, descrito por Waker e Goldbone, é considerado uma variante do aterosclerótico. Apresenta algumas características, como a fibrose da parede e do retro peritoneo e aderências em estruturas vizinhas que dificultam o ato opertório, exigindo maiores cuidados da equipe cirúrgica. O trabalho faz a análise comparativa entre o AAA e o AAAI, nos aspectos clínicos no pré, intra e pós-operatório, observando algumas variáveis como: quadro clínico, doenças associadas, técnica cirúrgica/duração do ato cirúrgico, as complicaçöes, volume de transfusão e a morbi-mortalidade. Os resultados obtidos demosntram diferenças importantes entre o AAA e o AAAI, e que o cirurgião vascular deverá ficar atento na avaliação dos aneurismas da aorta abdomina, buscando diagnosticar o AAAI na fase pré-opertória, e com isto preparar-se para melhores resultados e redução da taxa de morbi-mortalidade.
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Aneurisma da Aorta Abdominal/história , Aterosclerose , Idoso de 80 Anos ou mais , Cuidados Pós-Operatórios , PrevalênciaRESUMO
At the present, patients with obstructive vascular disease in the lower extremities can be treated with percutaneous procedures without surgery. By what is called Interventional Radiology. Three patients with iliac or femoral arterial obstructions were treated with Percutaneous Transluminal Angioplasty (PTA). For all of them, claudication was the principal symptom and was treated with PTA due the failure of regular treatment. The dilatation was performed with high pressure balloon. Both technical and clinical results showed success and there were no complications.
Assuntos
Angioplastia com Balão , Arteriopatias Oclusivas/terapia , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do TratamentoRESUMO
A male patient, six years old, with mitral valve endocarditis presented with pseudoaneurysm of the right femoral artery. He was submitted to surgical treatment with reconstruction of the artery with good outcome.
Assuntos
Aneurisma Infectado/etiologia , Endocardite Bacteriana Subaguda/complicações , Artéria Femoral , Valva Mitral , Aneurisma Infectado/diagnóstico , Aneurisma Infectado/cirurgia , Angiografia Digital , Criança , Embolia/etiologia , Artéria Femoral/cirurgia , Humanos , MasculinoRESUMO
Owing to the vasoconstrictive effect of nicotine, smoking may potentially interfere in the results of the drug-induced erection test for papaverine hydrochloride. To investigate the effect of smoking on this test, 12 patients between 22 and 65 years old underwent the following protocol: phase 1--intracavernous injection of 100 mg. papaverine hydrochloride with measurement of intracavernous pressure by puncture with a 19 caliber butterfly needle attached to an aneroid manometer and phase 2--1 week after the initial test the procedure was repeated after the patient smoked 2 cigarettes. In phase 1 all men obtained a full erection, compared to only 4 in phase 2. The average intracavernous pressures were 85.83 and 53.50 mm. Hg, respectively, in phases 1 and 2 (p less than 0.01). We conclude that cigarette smoking, probably through nicotine, interferes with the drug-induced erection test, which might explain some false negative results.