[A case of "late" perforation of the right atrium during permanent endocardiac stimulation].
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Biomedical subjects
Publications and source records attributed to B Zingone.
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A case of false aneurysm originating from the ascending aortic cannulation site in the absence of mediastinal infection is described. Surgical treatment was carried out by means of limited cardiopulmonary bypass and hypothermic circulatory arrest, but the patient died early in the postoperative period. The technical failures responsible for the unsuccessful outcome are emphasized.
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A right coronary artery stenosis was resected in eight patients during multivessel operations. The artery was reconstructed by end-to-end anastomosis, restoring a normal antegrade pathway. All patients recovered uneventfully and remain asymptomatic at follow-up.
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Five cases of annulo-aortic ectasia are described: etiology was cystic medial necrosis in three, syphylitic aortitis in one and giant-cell aorto-arteritis in another. Apart from the latter patient, in whom the ascending aorta was not truly aneurysmal and aortic valve replacement and aneurysmorraphy were considered adequate, total replacement of the ascending aorta and valve was employed in every case. All patients survived without any complication related to the technique, and are completely asymptomatic 14 to 26 months after the operation. The available techniques for managing annulo-aortic ectasia are reviewed, and their merits and drawbacks discussed.