É apresentado o caso de um paciente portador de síndrome de Wolf-Parkinson-White de grande significado clínico, com eletrocardiograma basal dentro dos padröes de normalidade. O estudo eletrofisiológico transesofágico caracterizou a importância da síndrome, tornando evidente a presença de uma via...
A síndrome do QT longo é caracterizada por prolongaçao intermitente ou permanente do intervalo QT, taquicardias paroxísticas ventriculares (TVR) e morte súbita. Existem três casos publicados na literatura tratados cirurgicamente com a técnica do autotransplante cardíaco, com l paciente sobreviven...
PURPOSE--To evaluate pre and post-hemodynamic changes after thrombolytic therapy in patients with acute pulmonary embolism with multiple pulmonary segments compromised. METHODS--Nine patients, 5 females, aged between 27 and 83 (mean 62 +/- 16) years, with the onset of symptoms preceding 7 days, were subm...
Silva, José Pedro;
Cascudo, Marcelo M;
Baumgratz, José F;
Vila, José Henrique A;
Almeida, Amarildo B. de;
Leite, Weverton F;
Tângari Júnior, Americo;
Canêo, Luiz Fernando;
Fonseca, Luciana da;
Armelin, Egas.
PURPOSE--To report our initial clinical experience with heterotopic heart transplantation, stressing its indications and a new modification in surgical technique. METHODS--We studied three patients underwent heterotopic heart transplantation, using an original technique in one of them. This new technique...
PURPOSE--It is well established the association between heart failure and arrhythmias in different cardiopathies. There are no studies in Chagas' myocardiopathy that analyze the relation between arrhythmias and left ventricular function. METHODS--We studied 629 patients with Chagas' disease, divided in 3...
PURPOSE--To study characteristics of the natural history of mitral stenosis (MS) in patients that have no correlation between mitral valve areas (MVA) and symptoms. METHODS--We studied 18 patients with MS, that presented no correlation between MVA and functional class (FC), 16 (89) were female and two (1...
PURPOSE--To evaluate the mechanisms and dynamics of episodes of progression to high degree (HD) atrioventricular (AV) block (B) analyzed during incremental atrial pacing (St), in patients with previous 2:1 His-Purkinje (HP) AVB. METHODS--Data from 4 patients were analyzed. All of them with history of syn...
PURPOSE--To study the surgical and clinical evolution of 32 cases with absent pulmonary valve to propose the ideal period of time for surgical correction. METHODS--Clinical and laboratorial analysis were performed in 32 infants, under 12 months of age, between 1980 an 1993, in an evolutive character. Fro...
Apical lesions of the left ventricle, ranging from endocardial thickening to aneurysms, are commonly found in Chagas' heart disease. These abnormalities can be identified by ventriculography, two-dimensional echocardiography and radioisotopic studies. Generally, clinical manifestations are limited to arr...
Chronic Chagas' disease shows several progression modes. Usually, the different clinical syndromes manifest themselves together, however, isolated forms can occur. Cardiac arrhythmias, which are very frequent, are present in about 50 percent of patients. The cardiac damage manifests itself later, with th...
