http://dx.doi.org/10.1590/0100-3984.2016.0070 Leonor Garbin Savarese1, Henrique Simão Trad2, Edwaldo Edner Joviliano1, Valdair Francisco Muglia1, Jorge Elias Junior1 1. Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP), Ribeirão Preto, SP, Brazil. 2. CEDIRP – Central de Diagnóstico Ribeirão Preto, Ribeirão Preto, SP, Brazil. Mailing address: Dra. Leonor Garbin Sava...

A pseudoaneurysm of the ascending aorta is an unusual and potentially fatal complication after aortic surgical operations. TEE and CT scan are the investigations of choice. Surgical treatment is mandatory. We describe the successful management of a pseudoaneurysm of the ascending aorta, with aorto-sternal-cutaneous fistula requiring right axillary and femoral artery cannulation with Remote Acce...

We present an interesting case of a symptomatic high flow AV fistula between the right common iliac artery (CIA) and the inferior vena cava (IVC), successfully treated by endovascular coil embolization. The patient was found to have a right lower polar renal artery crossing the ipsilateral ureter arising from the CIA, causing pelvi-ureteric junction (PUJ) obstruction and recurrent pyelonephriti...

Coarctation of aorta and sinus of Valsalva aneurysm are frequently missed congenital cardiac defects that their diagnosis might be delayed. To our knowledge, coincidence of these cardiac defects is unusual and has not been reported in the literature before. Here, we present a patient with coarctation of aorta and ruptured noncoronary sinus of Valsalva aneurysm leading to aorto-right atrial fist...

Bacterial endocarditis of the aortic valve may lead to aortic regurgitation, or the aortic wall may become affected with perforation into the right atrium, right ventricle, or left ventricle. Perforation from the aorta into the left atrium forming an aorto-left atrial fistula is rare, and diagnosis is difficult because it closely mimics the features of mitral incompetence (Kay et al., 1959). Th...

Background The primary treatment of symptomatic aortic stenosis is aortic valve replacement. Instead of open chest surgery, transcatheter aortic valve replacement (TAVR) is an alternative intervention for high-risk surgical candidates. Clinical Case A 92-year-old male presented with progressive exertional dyspnea and recurrent syncopal attacks secondary to severe AS. The patient underwent suc...

For patients with cardiogenic shock, delaying surgery mechanical circulatory support is reported to yield better outcomes than emergency surgery. We report on an 82-year-old man diagnosed vertebral osteomyelitis concomitant infective endocarditis. Chest radiographs revealed a growing abscess, which resulted in aorto-right ventricular fistula. Providing Impella allowed for hemodynamic stabilizat...

Abstract We report an extremely rare case of primary aortocaval fistula with simultaneous development aortoenteric in a 68-year-old man. The patient developed under oral anticoagulation spontaneous intracaval aortic rupture. An emergency intervention was performed covering the aorto-uniiliac stent graft and femoro-femoral crossover bypass. One week later, transferred to our institution diagnosi...