Introducción y objetivos: La población de adultos con cardiopatías congénitas es creciente, y de ... more Introducción y objetivos: La población de adultos con cardiopatías congénitas es creciente, y de tan reciente aparición que su evolución aún nos es desconocida. Pacientes con cardiopatías congénitas que han podido pasar desapercibidas en la infancia, al ser menos graves, o pacientes con cardiopatías conocidas, pero que no han requerido tratamiento quirúrgico hasta la edad adulta; pacientes con cardiopatías congénitas operadas en la infancia que alcanzan ahora la edad adulta. El objetivo de esta investigación es estudiar la población adulta que requiere intervención quirúrgica de una cardiopatía congénita.Métodos: Análisis de la población adulta con una cardiopatía congénita que ha requerido intervención quirúrgica relacionada con la misma en los últimos diez años en el Servicio Murciano de Salud. Intervención y resultados. Conclusiones: Hasta hace poco únicamente los pacientes con cardiopatías congénitas “muy simples” podían llegar a la vida adulta, por su natural tendencia a la sup...
Bronchiectasis presenting as massive hemoptysis and iatrogenic lesions of the thoracic aorta are ... more Bronchiectasis presenting as massive hemoptysis and iatrogenic lesions of the thoracic aorta are life-threatening processes with very difficult management. We report a case of massive hemoptysis from bronchiectasis complicated with contained rupture of the descending thoracic aorta during bronchial artery embolization. Both lesions were confirmed by angiography and successfully treated by implantation of an endovascular stent-graft in the thoracic aorta. As far as we know, there are no previous reports of successful management of massive hemoptysis from bronchiectasis with an endovascular covered stent-graft prosthesis.
ABSTRACT Introduction The aim of the study is to report our initial experience with combined open... more ABSTRACT Introduction The aim of the study is to report our initial experience with combined open surgical treatment and endovascular therapy in the treatment of complex thoracic aortic disease. Material and methods Two patients treated with similar surgical strategy including surgical revascularization of the neck vessels and deployment of thoracic aortic stent-graft. Results Patient 1, with concomitant aneurysms of abdominal aorta (AAA), descending thoracic aorta (DTAA) and aberrant right subclavian artery that underwent surgical resection of the AAA. Patient 2 was diagnosed of left subclavian artery pseudoaneurysm twenty years after open surgical repair of distal arch post-traumatic pseudoaneurysm. Both patients first underwent open surgical revascularization of the neck vessels (aorto-biaxillary bypass in patient 1 and aorto-left carotid-left subclavian bypass in patient 2) and the 2nd step of the procedure was the deployment of thoracic endograft with occlusion of the origin of the neck vessels. The right subclavian artery in patient 1 and left subclavian and vertebral artery in patient 2 were embolized. Patient 1 experienced transient paraparesia. Patient 2 had no complications. After 1-year of follow-up no complications have been detected. Conclusions Combined surgical and endovascular approach to the aorta arch may represente an alternative to open surgery of the arch and descending thoracic aorta. Our satisfactory experience is too short as there are only two cases reported.
Tricuspid atresia and common truncus arteriosus are rare forms of congenital heart disease; the c... more Tricuspid atresia and common truncus arteriosus are rare forms of congenital heart disease; the coexistence of both anomalies is therefore an extremely uncommon event. Without treatment, early mortality is the natural course so diagnostic and therapeutic management must be performed without delay. We report a case of a newborn with a postnatal diagnosis of coexistent tricuspid atresia and common arterial trunk in whom successful palliation was performed using a staged surgical approach.
Introducción y objetivos: La población de adultos con cardiopatías congénitas es creciente, y de ... more Introducción y objetivos: La población de adultos con cardiopatías congénitas es creciente, y de tan reciente aparición que su evolución aún nos es desconocida. Pacientes con cardiopatías congénitas que han podido pasar desapercibidas en la infancia, al ser menos graves, o pacientes con cardiopatías conocidas, pero que no han requerido tratamiento quirúrgico hasta la edad adulta; pacientes con cardiopatías congénitas operadas en la infancia que alcanzan ahora la edad adulta. El objetivo de esta investigación es estudiar la población adulta que requiere intervención quirúrgica de una cardiopatía congénita.Métodos: Análisis de la población adulta con una cardiopatía congénita que ha requerido intervención quirúrgica relacionada con la misma en los últimos diez años en el Servicio Murciano de Salud. Intervención y resultados. Conclusiones: Hasta hace poco únicamente los pacientes con cardiopatías congénitas “muy simples” podían llegar a la vida adulta, por su natural tendencia a la sup...
Bronchiectasis presenting as massive hemoptysis and iatrogenic lesions of the thoracic aorta are ... more Bronchiectasis presenting as massive hemoptysis and iatrogenic lesions of the thoracic aorta are life-threatening processes with very difficult management. We report a case of massive hemoptysis from bronchiectasis complicated with contained rupture of the descending thoracic aorta during bronchial artery embolization. Both lesions were confirmed by angiography and successfully treated by implantation of an endovascular stent-graft in the thoracic aorta. As far as we know, there are no previous reports of successful management of massive hemoptysis from bronchiectasis with an endovascular covered stent-graft prosthesis.
ABSTRACT Introduction The aim of the study is to report our initial experience with combined open... more ABSTRACT Introduction The aim of the study is to report our initial experience with combined open surgical treatment and endovascular therapy in the treatment of complex thoracic aortic disease. Material and methods Two patients treated with similar surgical strategy including surgical revascularization of the neck vessels and deployment of thoracic aortic stent-graft. Results Patient 1, with concomitant aneurysms of abdominal aorta (AAA), descending thoracic aorta (DTAA) and aberrant right subclavian artery that underwent surgical resection of the AAA. Patient 2 was diagnosed of left subclavian artery pseudoaneurysm twenty years after open surgical repair of distal arch post-traumatic pseudoaneurysm. Both patients first underwent open surgical revascularization of the neck vessels (aorto-biaxillary bypass in patient 1 and aorto-left carotid-left subclavian bypass in patient 2) and the 2nd step of the procedure was the deployment of thoracic endograft with occlusion of the origin of the neck vessels. The right subclavian artery in patient 1 and left subclavian and vertebral artery in patient 2 were embolized. Patient 1 experienced transient paraparesia. Patient 2 had no complications. After 1-year of follow-up no complications have been detected. Conclusions Combined surgical and endovascular approach to the aorta arch may represente an alternative to open surgery of the arch and descending thoracic aorta. Our satisfactory experience is too short as there are only two cases reported.
Tricuspid atresia and common truncus arteriosus are rare forms of congenital heart disease; the c... more Tricuspid atresia and common truncus arteriosus are rare forms of congenital heart disease; the coexistence of both anomalies is therefore an extremely uncommon event. Without treatment, early mortality is the natural course so diagnostic and therapeutic management must be performed without delay. We report a case of a newborn with a postnatal diagnosis of coexistent tricuspid atresia and common arterial trunk in whom successful palliation was performed using a staged surgical approach.
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