scholarly journals Ventricular septal intramyocardial dissection after cardiac fibrosarcoma excision

2021 ◽  
Author(s):  
Gang Wang ◽  
Jianhua Wang ◽  
Gengxu Zhou ◽  
Zhichun Feng
Keyword(s):  
Cardiac Tumor ◽  
Case Reports ◽  
Interventricular Septum ◽  
Interventional Therapy ◽  
Hemodynamic Stability ◽  
Surgical Risk ◽  
Tumor Excision ◽  
Conservative Strategy ◽  
High Surgical Risk

Intramyocardial dissection following cardiac tumor excision is uncommon. The evidence available is limited to few case reports. Herein,we report an infant with large cardiac fibrosarcoma arising from the interventricular septum and underwent surgical excision.One month after surgery echocardiography revealed a cystic dissection located in the interventricular septum with residual shunts within the ventricular chambers. we performed conservative strategy due to the high surgical risk, difficulty of interventional therapy and hemodynamic stability.

scholarly journals Percutaneous Valvuloplasty for Bioprosthetic Tricuspid Valve Stenosis

2017 ◽  
Vol 44 (1) ◽  
pp. 43-49
Author(s):  
Gaurav Rana ◽  
Rohit Malhotra ◽  
Anjali Sharma ◽  
Nikolaos Kakouros
Keyword(s):  
Literature Review ◽  
Tricuspid Valve ◽  
Case Reports ◽  
Standard Technique ◽  
Symptomatic Improvement ◽  
Tricuspid Valve Replacement ◽  
Hemodynamic Stability ◽  
Surgical Risk ◽  
High Surgical Risk ◽  
Tricuspid Valve Stenosis

Percutaneous transcatheter tricuspid balloon valvuloplasty (PTTBV) is an accepted treatment option for symptomatic severe native tricuspid valve stenosis, although surgical tricuspid valve replacement remains the treatment of choice. There have been few reports of successful PTTBV for bioprosthetic tricuspid valve stenosis. We present case reports of 3 patients from our hospital experience. Two of the 3 cases were successful, with lasting clinical improvement, whereas the 3rd patient failed to show a reduction in valve gradient. We describe the standard technique used for PTTBV. We present results from a literature review that identified 16 previously reported cases of PTTBV for bioprosthetic severe tricuspid stenosis, with overall favorable results. We conclude that PTTBV should perhaps be considered for a select patient population in which symptomatic improvement and hemodynamic stability are desired immediately, and particularly for patients who are inoperable or at high surgical risk.

scholarly journals Thrombus in Transit through Patent Foramen Ovale

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Hassan Baydoun ◽  
Iskander Barakat ◽  
Elie Hatem ◽  
Michel Chalhoub ◽  
Ali Mroueh
Keyword(s):  
Patent Foramen Ovale ◽  
Case Reports ◽  
Rare Event ◽  
Paradoxical Embolism ◽  
Foramen Ovale ◽  
Surgical Risk ◽  
Transient Nature ◽  
Clinical Scenarios ◽  
High Surgical Risk ◽  
In Transit

A thrombus in transit through a patent foramen ovale (PFO) with impending paradoxical embolism is an extremely rare event. Due to its transient nature, it is unable to identify the thrombus, and most of the cases have been reported at autopsy. We are reporting a case of thrombus straddling the foramen ovale which was diagnosed by echocardiography and treated surgically. Through this personal case, an exhaustive review of the literature was performed. There were 88 cases reported. We concluded that there is no medical consensus about the best option for treatment. Nevertheless, surgery, which is associated with fewer complications of recurrent embolic events than those of thrombolysis and anticoagulation, appeared to be the best approach in patients who are not at a high surgical risk. Anticoagulant treatment appears to be an acceptable therapeutic alternative to surgery, particularly in patients with comorbidities who are at high surgical risk and for patients with small PFO. Thrombolysis is linked to the highest mortality, which could be explained by the severity of the patient’s initial presentation. In conclusion, and after the cumulative effects of these case reports, we propose a diagram consisting of the use of the three therapeutic options in the different clinical scenarios.

Transapical mitral valve-in-valve implantation in patients with degenerated bioprostheses and high surgical risk

2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
M Seiffert ◽  
L Conradi ◽  
S Baldus ◽  
J Schirmer ◽  
M Knap ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Surgical Risk ◽  
High Surgical Risk ◽  
Valve In Valve ◽  
Valve Implantation

FEATURES OF FLUID REDISTRIBUTION DURING GOAL-DIRECTED INFUSION THERAPY OF HIGH SURGICAL RISK PATIENTS IN URGENT SURGERY

2020 ◽  
pp. 29-32
Author(s):  
Olha Viktorivna Kravets
Keyword(s):  
Infusion Therapy ◽  
Volume Depletion ◽  
Surgical Risk ◽  
Mild Degree ◽  
Urgent Surgery ◽  
Post Surgery ◽  
Fluid Redistribution ◽  
High Surgical Risk ◽  
Moderate Volume ◽  
Risk Patients

One of the basic components of intensive treatment of patients with an urgent abdominal pathology is perioperative infusion therapy. To analyze the perioperative dynamics of the water sectors of a body in the patients with a high surgical risk with acute abdominal pathology, a targeted regimen of infusion therapy was used to examine 35 patients. Perioperative targeted infusion therapy was carried out with balanced crystalloid solutions. With the non−invasive bioelectric rheography, the indices of water sectors of a body were studied. On the first day, the extracellular sector volume overflow was established due to an increase in interstitial volume. From the second day, the excess volumes of intravascular fluid and plasma were determined. On the third day there was a deficit of all the studied indices. On the fifth day of the post−surgery period, volumetric depletion of mild degree was noted. From the seventh to the tenth days, all the studied parameters to normal were reliably restored. A targeted regimen of infusion therapy in such patients was concluded to correct a moderate volume depletion on the tenth day after surgery by an excessive increase in plasma volume after six hours of treatment, the development of interstitial edema in the first two days, and the formation of mild volumetric depletion from third to seventh day. Key words: water sectors, goal−direct infusion therapy, depletion, urgent surgery, high surgical risk.

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