Interactive cardiovascular and thoracic surgery
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Interact Cardiovasc Thorac Surg · Nov 2010
Case ReportsIsolated ventricular septal rupture secondary to blunt trauma.
A ventricular septal rupture (VSR) is a rare complication of blunt chest trauma. We describe the case of a 25-year-old man who developed a VSR as a result of a high-speed road accident. ⋯ Redo surgery was necessary at nine months due to patch detachment and embolization of the glue in the right lower lobe. The patient is asymptomatic, at 13-month follow-up.
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Interact Cardiovasc Thorac Surg · Nov 2010
Case ReportsExtensive cardiac lipoma with aneurysmal right ventricle.
A 56-year-old female with history of mitral valve replacement and automated implantable cardioverter-defibrillator placement presented with dyspnea on exertion for two years and recurrent ascites. Imaging studies, including transthoracic and transesophageal echocardiograms as well as 64-slice computed tomography (CT) angiogram revealed a large mass encasing the entire heart consistent with lipoma. In addition, a right ventricular free wall aneurysm was found. ⋯ The anterior portion of the cardiac lipoma was also resected. Gross specimen revealed an 11.5×6.5×5 cm mass of adipose tissue without malignancy. In this case, the patient presented with symptoms of congestive heart failure due to the aneurysm in the right ventricle.