Revista brasileira de cirurgia cardiovascular : órgão oficial da Sociedade Brasileira de Cirurgia Cardiovascular
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Patients with bullets in the pericardial sac without myocardial injuries are rare, and most commonly are associated with significant trauma. The diagnosis of an intrapericardial foreign body can be difficult. Its removal is always indicated because it prevents pericarditis, either sterile or infectious, with potential for other significant complications. The authors present two cases of a meandering bullet in the pericardial sac and propose approach and perform review of the literature.
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Rev Bras Cir Cardiovasc · Apr 2008
ReviewPostoperative cognitive dysfunction after cardiac surgery.
Postoperative cognitive dysfunction is frequent in cardiac surgeries leading to major consequences. The physiopathological processes involved in this condition are still not completely elucidated, despite the multifactor character. ⋯ However, according to a vast literature on the subject, these factors are not capable to clarify the totality of the cases, taking us to a genetic base for this neurological sequel. In this revision, we briefly assess the factors involved in this cognitive dysfunction as well as discuss the pharmacotherapy in the prevention of this event.