In this study, imaging diagnosis was basically attained through echocardiography, with good correlation with intraoperative findings. Histopathological findings were consistent with the literature, with rhabdomyoma being the most common neoplasm in children. The evolution after surgical treatment was favorable in most cases.
Correção de fístula coronariana sem circulação extracorpórea: técnica da sutura únicaOff-pump correction of coronary fistula: the single suture technique approach
AbstractThe single suture technique was developed to obtain stabilization and exposure of all coronary branches during off-pump coronary artery bypass, while maintaining hemodynamic stability during the procedure. We describe the use of this technique during an off-pump correction of a coronary artery fistula associated with right coronary dilatation. The suggested technique is quicker and less complex than on-pump surgery. Furthermore, it can be a useful tool for congenital fistula correction in select cases, stimulating the practice of less invasive heart surgery in these patients.Descriptors: Cardiopulmonary Bypass. Arteriovenous Fistula. Coronary Artery Disease. Congenital Abnormalities. Heart Defects, Congenital.
ResumoA técnica da sutura única foi desenvolvida para obter estabilização e exposição de todos os ramos coronarianos durante a cirurgia de revascularização do miocárdio, mantendo a estabilidade hemodinâmica durante o procedimento. Nós descrevemos a utilização desta técnica durante a correção de uma fístula arterial coronariana associada à dilatação coronariana direita, sem a utilização da circulação extracorpórea. A técnica sugerida é mais rápida e menos complexa do que a utilização do desvio cardiopulmonar. Além disso, essa técnica pode ser uma ferramenta útil para a correção de fístulas arteriais coronarianas em casos selecionados, permitindo a prática de abordagens menos invasivas nesses pacientes. Rev Bras Cir Cardiovasc 2009; 24(4): 581-583 the pericardium, in an equidistant position between the inferior vena cava and the left inferior pulmonary vein and, afterwards, trespassed by double cardiac tape.
DescritoresThe operation table was moved to the Trendelemburg position and the two arms of the cardiac tape were tractioned downwards and sidewise, each arm on each side, as shown in Figure 1.
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