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Biomedical subjects

D Hurtado del Río

Publications and source records attributed to D Hurtado del Río.

18 recordsLinked to original sources
PubMedDate not supplied

[Congenital cardiopathies in the newborn].

Ten years experience in newborn congenital cardiac malformations with severe hemodynamic changes is reported. The anatomic diagnosis was made at necropsy (85%) or by cardiac catheterization and angiocardiography (15%). One hundred and twenty-six cases were found in which aortic valve atresia or stenosis, tricuspid atresia, cardiac anomalies associated to visceral heterotaxy, tetralogy of Fallot, aortic coartation, endocardial cushion defect, ventricular septal defect, total anomalous pulmonary venous return and pulmonary atresia with intact ventricular septum were the most common malformations. They presented with either cardiac insufficiency or hypoxia and acidosis. The principal anatomic features of these cases were discussed and the associated malformations in other systems was noted.

Female↗
PubMedDate not supplied

[Perspective of heart transplantation in advanced congenital cardiopathy: report of a case].

Heart transplantation is an infrequent treatment modality in advanced congenital cardiopathy. We present the case of a 17-years old youngster coursing with a dilated Fallot's tetralogy, in terminal stage, who was subjected to an orthotopic heart transplantation. We present the most relevant data on his management during the 53 months after the surgery and discuss the long-term perspectives, which are comparable to those expected in transplanted patients due to other cardiac disorders.

Adolescent↗
PubMedDate not supplied

[Familial myxoma. Report of a case and review of the literature].

This is a report of two family members (mother and her first son) with atrial myxoma detected by echocardiography, computed axial tomography and cardiac catheterization, the former located in the left atrium and the latter in the right ventricle. They were successfully treated with heart surgery. We emphasize the need to detect myxoma in the other members of the family, especially when it is of multicentric localization.

Adolescent↗
PubMedDate not supplied

[Aortic atresia. Presentation of 7 cases].

The clinical and anatomic findings of 7 patients with aortic atresia were studied. All cases had usual atrial arrangement, atrioventricular and ventriculoarterial concordance. All but one had an intact ventricular septum. All cases presented a hypoplastic left ventricle, and in one, a mitral atresia was found. The clinical diagnosis was made by means of cardiac catheterization and angiocardiography. The presence of a patent ductus arteriosus, the size of the atrial and ventricular septal defects, the diameter of the ascending aorta, pulmonary vascular resistances and right ventricular function are all factors that influence the survival in the patients with aortic atresia.

Abnormalities, Multiple↗
PubMedDate not supplied

[Sudden cardiac death recorded during ambulatory electrocardiography].

Two patients who had sudden unexpected death while being monitored by a Holter electrocardiograph apparatus are reported. The first patient with heart disease of unknown etiology initially developed first degree A-V block, progressive left bundle branch block and finally asystole. The second patient with previous coronary artery disease and recent myocardial infarction revealed multifocal ventricular extrasystoles with frequent bigeminism and trigeminism which ended in ventricular tachycardia and fibrillation. Emphasis is made on the necessity of detecting those high risk patients and establishing preventive post-hospitalization care to modify the evolution and prognosis in this group of patients.

Aged↗
PubMedDate not supplied

[Myxoma of the right ventricle. Report of a case operated on].

A case of right ventricular tumor in a 14 year old male is presented. Congestive heart failure and a systolic pulmonary murmur due to right ventricular obstruction were the main symptoms. The diagnosis was confirmed by echocardiogram (M mode) and right ventricular angiography. The surgical treatment was curative and the histological exam revealed a myxoma.

Adolescent↗
PubMedDate not supplied

[Auricular flutter associated with interauricular communication in an infant].

A case of a two year old child with atrial flutter diagnosed at four months of age is presented. The child also had a large atrial septal defect. We were not able to convert the atrial flutter to sinus rhythm with medical treatment of electroshock. However, it did respond to mechanical stimulation during cardiac catheterization. The atrial septal defect was repaired and the patient has not had a recurrence of the flutter.

Atrial Flutter↗
PubMedDate not supplied

[Indomethacin and persistent ductus arterious in the pre-term newborn infant with respiratory insufficiency].

Forty-two cases of preterm infants with respiratory distress syndrome who developed congestive heart failure secondary to large arteriovenous shunt across permeable ductus arteriosus and who were treated with indomethacin are presented. The cases were divided into three groups according to birth weight: group I less than 1,200 g, group II between 1,250 and 2,000 g and group III from 2,000 to 2,500 g. Satisfactory results were obtained by either ductal closure or by important reduction in the left to right shunt with disappearance of the congestive failure in 37.5% of group 1, 71% in group II and 69% in group III. We concluded that indomethacin is the treatment of choice for patients weighing more than 1,050 g and over 30 weeks gestational age and that surgical ligation is the treatment of choice in patients under this weight and gestational age.

Birth Weight↗
PubMedDate not supplied

[Massive mitral valve insufficiency caused by thrombosis in a Björk-Shiley prosthesis. Report of a case].

This is a case of a 25 year old male with rheumatic heart disease who after 8 months of mitral valve replacement developed bacterial endocarditis complicated by severe valve malfunction due to a thrombus in the valve ring. The patient was correctly anticoagulated since the time the valve replacement, it was felt that the infection was responsible for the thrombus formation. The patient was reoperated and the valve changed for another of the same size and model. The need for prompt diagnosis and surgical intervention is emphasized in cases of prosthesis malfunction.

Adult↗
PubMedDate not supplied

[Struma cordis: first case in Mexico].

The Intracardiac ectopic thyroid is an extremely rare condition and there is no previous report on this subject in Mexico. This is the case of a 33 years old woman, with normal thyroid function. She was found to have an intracardiac tumor in the interventricular septum. The intraoperative biopsy showed typical thyroid follicules; tumor removal left a septal defect that was closed with a dacron patch suture. Two years follow-up showed normal echocardiographic images, good clinical status an normal thyroid functioning. A brief review of the literature is included.

Adult↗