Cardiomiopatia isquêmica terminal associada à complicação do uso de stent no tratamento de infarto agudo do miocárdio

Braulio, Renato; Gelape, Cláudio Léo; Filho, Geraldo Brasileiro; Moreira, Maria da Consolação Vieira

doi:10.5935/1678-9741.20110026

Cited by 3 publications

(8 citation statements)

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“…Therefore, this case suggests that stent extrusion with concomitant coronary occlusion may be the mechanism underlying the clinical deterioration in patients with ischemic heart failure, who underwent stenting because of coronary dissection. Moreover, it also suggests that coronary angiography should be performed even if there is myocardial viability in sestamibi myocardial scintigraphy, as can be seen in the case reported by Braulio et al [8].…”

Section: Full Professor In Cardiology (Teaching Coordinatormentioning

confidence: 96%

“…However, the mortality rate associated with this procedure is still high, ranging from 4% to 14% [9]. An alternative treatment for coronary artery dissection is the stent, as was performed in the case reported by Braulio et al [8]. However, the long-term effects of stenting with respect to the maintenance of patency of coronary artery flow and reversing left ventricular remodeling process is still unknown.…”

mentioning

confidence: 92%

“…Another key aspect that deserves further discussion is a rare complication reported by Braulio et al [8], ie, the extrusion of the stent to the aortic lumen with concomitant occlusion of the circumflex artery. The presence of this abnormality was not suspected, probably because of the absence of angina.…”

Section: Full Professor In Cardiology (Teaching Coordinatormentioning

confidence: 99%

“…In this volume of BJCVS, Braulio et al [8] reported an interesting clinical case of ischemic cardiomyopathy treated successfully with terminal heart transplant. The patient had acute myocardial infarction with ST-segment elevation 14 months after heart transplantation, appropriately treated with percutaneous transluminal coronary artery, complicated, however, by dissection of the left coronary Reinaldo Bestetti 1 artery, which, in turn, was treated with stenting.…”

mentioning

confidence: 99%

“…However, the long-term effects of stenting with respect to the maintenance of patency of coronary artery flow and reversing left ventricular remodeling process is still unknown. So, I guess, if the implant bypass had been performed in the case reported by Braulio et al [8], the onset of ischemic heart disease could have been avoided, or at least mitigated.…”

mentioning

confidence: 99%

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Cardiomiopatia isquêmica terminal associada à extrusão de stent para a luz da aorta

Bestetti¹

2011

Rev Bras Cir Cardiovasc

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Section: Full Professor In Cardiology (Teaching Coordinatormentioning

confidence: 96%

mentioning

confidence: 92%

Section: Full Professor In Cardiology (Teaching Coordinatormentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Cardiomiopatia isquêmica terminal associada à extrusão de stent para a luz da aorta

Bestetti¹

2011

Rev Bras Cir Cardiovasc

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Extrusion of stent graft from the carotid artery

Maramattom¹,

Thomas²,

Iype³

2012

Neurology

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A stent graft was deployed to treat a postcarotid endarterectomy pseudoaneurysm in a 52-year-old man. One and a half years later, he developed asymptomatic extrusion of the stent graft. CT angiography showed stent extrusion with occlusion of the right carotid artery (figure). The stent was explanted uneventfully. Stent extrusion is very rare.1 Reasons for stent extrusion include stent undersizing, ongoing pseudoaneurysm expansion, or carotid blowout at the time of stent deployment.

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Associated Clinical and Laboratory Markers of Donor on Allograft Function After Heart Transplant

Braulio¹,

Sanches²,

Teixeira³

et al. 2016

Brazilian Journal of Cardiovascular Surgery

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IntroductionPrimary graft dysfunction is a major cause of mortality after heart transplantation.ObjectiveTo evaluate correlations between donor-related clinical/biochemical markers and the occurrence of primary graft dysfunction/clinical outcomes of recipients within 30 days of transplant.MethodsThe prospective study involved 43 donor/recipient pairs. Data collected from donors included demographic and echocardiographic information, noradrenaline administration rates and concentrations of soluble tumor necrosis factor receptors (sTNFR1 and sTNFR2), interleukins (IL-6 and IL-10), monocyte chemoattractant protein-1, C-reactive protein and cardiac troponin I. Data collected from recipients included operating, cardiopulmonary bypass, intensive care unit and hospitalization times, inotrope administration and left/right ventricular function through echocardiography.ResultsRecipients who developed moderate/severe left ventricular dysfunction had received organs from significantly older donors (P =0.020). Recipients from donors who required moderate/high doses of noradrenaline (>0.23 µg/kg/min) around harvesting time exhibited lower post-transplant ventricular ejection fractions (P =0.002) and required longer CPB times (P =0.039). Significantly higher concentrations of sTNFR1 (P =0.014) and sTNFR2 (P =0.030) in donors were associated with reduced intensive care unit times (≤5 days) in recipients, while higher donor IL-6 (P =0.029) and IL-10 (P =0.037) levels were correlated with reduced hospitalization times (≤25 days) in recipients. Recipients who required moderate/high levels of noradrenaline for weaning off cardiopulmonary bypass were associated with lower donor concentrations of sTNFR2 (P =0.028) and IL-6 (P =0.001).ConclusionHigh levels of sTNFR1, sTNFR2, IL-6 and IL-10 in donors were associated with enhanced evolution in recipients. Allografts from older donors, or from those treated with noradrenaline doses >0.23 µg/kg/min, were more frequently affected by primary graft dysfunction within 30 days of surgery.

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Cardiomiopatia isquêmica terminal associada à complicação do uso de stent no tratamento de infarto agudo do miocárdio

Cited by 3 publications

References 0 publications

Cardiomiopatia isquêmica terminal associada à extrusão de stent para a luz da aorta

Cardiomiopatia isquêmica terminal associada à extrusão de stent para a luz da aorta

Extrusion of stent graft from the carotid artery

Associated Clinical and Laboratory Markers of Donor on Allograft Function After Heart Transplant

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