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Cesare Rusconi

Publications and source records attributed to Cesare Rusconi.

7 recordsLinked to original sources
PubMed2006

Is transesophageal echocardiography useful in planning surgery of mediastinal thymomas? Transesophageal investigation of a mediastinal thymoma.

Thymomas are the commonest tumors arising in the anterior mediastinum, sometimes representing an incidental finding at radiological examination. Surgery of these neoplasms must be planned after accurately assessing the invasive or non-invasive nature of the mass. In the present case this could be achieved also by submitting the patient to transesophageal echocardiography which could accurately exclude infiltration of heart walls. We therefore think that this technique can be considered a useful complement to radiological ones in defining the surgical strategy of mediastinal thymomas.

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PubMed2006

Regression of warfarin-resistant left atrial appendage thrombus after ablation of atrial fibrillation and permanent pacing.

Atrial fibrillation is the most common rhythm disturbance and can also occur in absence of true cardiac disease. However, also in these cases, it can generate left atrial appendage thrombi with systemic embolic potential. A regular and well conducted anticoagulant therapy with dicoumarol derivatives, as indicated in these patients, is not always successful. We report the case of a patient with lone atrial fibrillation and a left atrial appendage thrombus resistant to anticoagulant therapy with warfarin, which disappeared after catheter ablation of atrial fibrillation by electrical disconnection of the pulmonary veins, restoration of sinus rhythm and dual-chamber pacemaker implantation.

Anticoagulants↗
PubMed2005

Congestive heart failure secondary to right ventricular metastasis of colon cancer. A case report and review of the literature.

Although metastatic tumors of the heart occur more frequently than primary ones, infiltration of the right heart by a metastatic colon cancer has rarely been reported. We report the case of a woman previously operated on for colon cancer, presenting with symptoms of congestive heart failure due to metastatic invasion of the right ventricular cavity. Both transthoracic and transesophageal echocardiography were useful in detecting the mass, but not in defining its nature. The patient underwent a palliative surgical resection of the neoplastic mass but died soon after the intervention.

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PubMed2004

Transesophageal investigation of surgically ligated left atrial appendage.

Surgical ligation of the left atrial appendage is often performed during heart surgery for various diseases like mitral prosthesis implantation, mitral valve repair, and even coronary artery revascularization, mainly to prevent thrombus formation and systemic embolism in patients with atrial fibrillation. However surgical ligation is sometimes incomplete, thereby exposing the patient to residual embolic risk. We report two cases of surgical ligation of the left atrial appendage focusing on the transesophageal echographic aspects of complete or incomplete closure of the appendage.

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PubMed2002

Transesophageal echocardiographic evidence of atrial fibrillation with systolic flow in the right atrial appendage and systolic reversal pulmonary flow in a patient with DDD permanent pacing.

We report the case of a patient with atrial fibrillation on standard electrocardiogram who underwent transesophageal echocardiography to rule out presence of thrombi in heart cavities. Pulsed-wave Doppler investigation revealed multiphasic waves consistent with atrial fibrillation in the left atrial appendage, while in the right atrial appendage, a biphasic flow was registered after QRS depolarization. Some hypotheses are made about the origin of this signal.

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