Hematoma – ABC CARDIOL

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Editorial

Cost-Effectiveness Related to Implantable Electronic Cardiac Devices: An Ever-Constant Concern

Implantable electronic cardiac devices (IECDs) play a crucial role in patients with bradyarrhythmias, with proven effectiveness in improving quality of life and maintaining life itself, and their use in clinical practice is unquestionable. However, the technology used and its possible complications represent a considerable cost to regulatory agencies and the respective paying sources. If, on the one hand, the benefit of IECDs in different clinical scenarios is not questioned, on the other hand, the associated cost, including possible complications, should also be a reason for reflection.

The initial cost related to the procedure is high, as is the cost related to possible complications, such as pneumothorax, hemothorax, electrode disposition, infection, and clinical complications in general.^–

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Pulmonary Arterial Intramural Hematoma Due to Acute Aortic Dissection

Lucas de Pádua Gomes de Farias et al. Ana Cristina Favaretto Luciana de Pádua Silva Baptista Gustavo Borges da Silva Teles

A 54-year-old male patient, who was a smoker, was admitted to the emergency room with acute chest pain and dyspnea. Investigation was initiated by means of computed tomography angiography of the chest, which showed extensive dissection of the thoracic aorta, beginning in the ascending segment (Stanford type A), associated with intramural hematoma of the pulmonary artery trunk and its main branches. It was more evident on the right, which determines local pulmonary luminal reduction, in addition to a small para-aortic and subaortic mediastinal hematoma. There were no signs of pulmonary thromboembolism, and the evaluation of the parenchyma showed no signs of pulmonary hemorrhage ( and ).

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Relato de Caso

Iliopsoas muscle hematoma during treatment with warfarin

Gabriel Zago et al. Marcelo Campos Appel-da-Silva Luiz Claudio Danzmann

Warfarin is a widely used drug for the prevention of thromboembolic events. Knowledge of its adverse effects is necessary for patient follow-up. Although the development of blood dyscrasias is a potential complication in these patients, retroperitoneal bleeding is rare. This article reports the case of a patient who developed iliopsoas muscle hematoma during treatment with warfarin after implantation of a metallic prosthetic aortic valve. The clinical manifestations involved important differential diagnoses.

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Cost-Effectiveness Related to Implantable Electronic Cardiac Devices: An Ever-Constant Concern

Pulmonary Arterial Intramural Hematoma Due to Acute Aortic Dissection

Iliopsoas muscle hematoma during treatment with warfarin

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Electronic Document Format (ABNT)

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Electronic Document Format (ISO)