Portal de Periódicos da CAPES

Clinical Case Poster session 4P1046An unexpected findingP1047Coronary artery ectasia in the setting of subacute Inferior STEMIP1048Diagnosis through the back door: the utility of the subscapular acoustic windowP1049A challenging case of paravalvular leakage closureP1050A life-threatning asymptomatic incidental findingP1051Acute heart failure due to intermittent aortic prosthesis regurgitation - case reportP1052Role of echocardiography in a patient with sequels after surgical treatment of …

2016; Oxford University Press; Volume: 17; Issue: suppl 2 Linguagem: Inglês

10.1093/ehjci/jew261

2047-2412

Rita Ilhão Moreira, E. Cambronero Cortinas, G. Giannakopoulos, CY. Wong, MJV Maria Joao Vieira, Gonçalo Pestana, K. Andjelkovic, AG. Pavon, Adolfo José Lages Nunes, JJ. Portero Portaz, C. Stefan, A. Namitokov, M. Chivulescu, A. Wojtkowska, AC. Gomes, T. Jurko, I. Cazzoli, F. Valente, L. Moura Branco, Madalena Coutinho Cruz, P. Pinto Teixeira, L Almeida Morais, André Monteiro, M. Oliveira, R. Ramos, A. Agapito, R. Cruz Ferreira, P. Racugno, D. Escribano, Julio C. Mendez, A. Paya, C. Bonanad, A. Valle Munoz, MJ. Corbi Pascual, FJ. Chorro, V. Bodi, H. Mueller, CC. Catia Costa, BSS Beatriz Saldanha Santos, KD. Kevin Domingues, NC. Nuno Craveiro, MLP Maria Luz Pitta, MA. Miguel Alves, ML. Margarida Leal, P. Bernardo-Almeida, C. Sousa, M. Tavares-Silva, Roberta Diniz de Almeida, R. Lima, MJ. Amorim, J. Almeida, F. Macedo, MJ. Maciel, D. Kalimanovska Ostric, M. Boricic Kostic, O. Petrovic, M. Petrovic, Bosiljka Vujisić Tešić, A. Mikic, A. Kalangos, C. Marini, I. Rosa, S. Stella, F. Ancona, M. Spartera, A. Margonato, A. Colombo, Eustachio Agricola, H. Nascimento, P. Maia Araujo, Adalberto Ferreira, T. Pinho, Rui André Rodrigues, Pedro Bernardo Almeida, M. Campelo, P. Dias, Maria Júlia Maciel, Antonia Tercero Martínez, MJ. Corbi Pascual, D. Prieto Mateos, Concepción Urraca Espejel, S. Calero Nunez, Raquel Fuentes Manso, JC. Gallego Page, JC. Garcia Lopez, MJ. Barambio Ruiz, S. Iancovici, E. Ianovici, D. Zamfir, M. Dorobantu, N. Kizhvatova, M. Kolodina, K. Skaletsky, N. Soroka, S. Mayngart, E. Kosmacheva, K. Barbukhatti, V. Porhanov, C. Jurcut, R. Enache, BA. Popescu, C. Ginghina, P. Spirito, R. Jurcut, A. Tomaszewski, E. Czekajska-Chehab, M. Tomaszewski, D. Stettner, A. Wysokinski, P. Fazendas, J. Carvalho, F. Ferreira, LARISSA ALVES DE SOUSA, A. Fiarresga, J A A Martins, H. Pereira, A. Jurko, J. Krsiakova, AJR Jurko, K. Matasova, M. Zibolen, S. Babu-Narayan, R. Senior, MA. Gatzoulis, W. Li, G. Maldonado, H. Cuellar, Giselle Enriquez Marti, ângela Gomes Roque, G. Teixido, MT. Gonzalez-Alujas, D. Garcia-Dorado, Araújo Evangelista, JF. Rodriguez-Palomares,

Cardiac Arrhythmias and Treatments

A 50-years-old man, with previous history of patient ductus arteriosus submitted to surgical therapy in 1972, aortic valve replacement with mechanical prosthetic valve in 2008 due to aortic stenosis in a bicuspid valve and persistent atrial fibrillation, was electively admitted for left atrium atrial fibrillation catheter ablation.Three months before admission, a cardiac computed tomography was performed which showed no intracavitary thrombus nor other significant pathological change.During hospitalization, a transoesophageal echocardiogram showed a filiform image very mobile in the left atrium, compatible with a thrombus, 20 mm, attached to a foreign body which crossed the interauricular septum.This exam was repeated after two weeks and the size and mobility of the thrombus remained the same.A cardiac computed tomography angiogram was performed and showed a filiform material (3 mm caliber range) that originated in the right atrial appendage, travelled posterior and inferiorly passing posterior to superior vena cava and then anterior to right superior pulmonary vein, entering through the interauricular septum to become apparently free on the left atrium cavity.The patient underwent cranial computed tomography that excluded the presence of ischemic lesions.After reviewing the surgical protocol of the aortic valve replacement, there was no reference to a possible foreign body, eventually a catheter, which could have been left during surgery.Therefore, there is no possibility to assess the origin of this foreign body that looks very much like a catheter.The patient refused surgery and was discharged maintaining oral anticoagulation.After nine months, the patient continued to be asymptomatic and in the control transoesophageal echocardiogram, the thrombus had disappeared and the foreign structure remained in the same position.Had the patient been submitted to left atrial catheter ablation without previous transoesophageal echocardiogram, the possible complications could have been disastrous. P1047