Month: November 2025

Arch Peru Cardiol Cir Cardiovasc. 2025 Sep 24;6(3):170-175. doi: 10.47487/apcyccv.v6i3.499. eCollection 2025 Jul-Sep.

ABSTRACT

Clinical case of an 86-year-old male patient presenting with a late anterior myocardial infarction without reperfusion is reported. Initial echocardiographic assessment revealed a rare and complex mechanical complication: intramyocardial dissection of the left ventricular apex associated with interventricular septal rupture. Given the severity of the condition, an urgent surgical intervention was undertaken using a bovine pericardial patch. Although the initial postoperative course was favourable, multiple subsequent complications ultimately led to the patient’s death from ventricular arrhythmia on day 50th of hospitalisation. This report underscores the importance of timely diagnosis and multidisciplinary management of this rare clinical entity.

PMID:41262631 | PMC:PMC12624472 | DOI:10.47487/apcyccv.v6i3.499

Arch Peru Cardiol Cir Cardiovasc. 2025 Sep 24;6(3):181-185. doi: 10.47487/apcyccv.v6i3.498. eCollection 2025 Jul-Sep.

ABSTRACT

Aortic arch hypoplasia associated with ventricular septal defect (VSD) is a life-threatening congenital condition that demands early intervention. In low-resource settings, the lack of advanced tools complicates the safe use of selective antegrade cerebral perfusion (SACP) and innovative repair techniques such as interdigitating patch reconstruction. We describe the case of a newborn with severe aortic arch hypoplasia and a large perimembranous VSD who underwent successful one-stage surgical correction. The repair included aortic arch reconstruction using an interdigitating bovine pericardial patch and VSD closure under SACP delivered via direct brachiocephalic trunk cannulation. Despite the challenges of limited monitoring and equipment, the infant had an excellent clinical outcome. This case highlights the feasibility of adapting high-complexity cardiac techniques in resource-limited environments when surgical fundamentals and teamwork are prioritized. With strategic planning, multidisciplinary coordination, and adherence to evidence-based principles, successful single-stage repair of complex congenital heart disease is achievable even in under-resourced settings.

PMID:41262635 | PMC:PMC12624446 | DOI:10.47487/apcyccv.v6i3.498

Sex Med Rev. 2025 Sep 12:qeaf053. doi: 10.1093/sxmrev/qeaf053. Online ahead of print.

ABSTRACT

INTRODUCTION: Peyronie’s disease causes penile curvature and painful erections, potentially impairing quality of life; surgical grafts are employed to correct curvature and restore penetrative sexual function.

OBJECTIVES: This study aimed to summarize the evidence on perioperative and functional outcomes of surgical grafting procedures for Peyronie’s disease.

METHODS: A systematic review was conducted following the PRISMA guidelines. Databases including PubMed, EMBASE, Scopus, Google Scholar, and the Cochrane Library were searched up to April 1, 2023. Eligible studies included retrospective or prospective reports on patients aged 18 years or older treated with various graft materials, including vein, dermal, buccal mucosa, small intestinal submucosa, human cadaveric, and bovine pericardium. Quality was assessed using the JBI Critical Appraisal Checklist. Due to data heterogeneity and a lack of comparative studies, no quantitative synthesis was performed. The systematic review was registered on PROSPERO-CRD42024508997. The review focused on perioperative outcomes, erectile function changes, and complication rates associated with different graft materials.

RESULTS: Out of 521 articles identified from 1933 to 2023, 71 studies involving 2692 patients met the inclusion criteria. Six studies were prospective, and the remainder were retrospective. Quality assessment revealed a high or severely high risk of bias across all included studies. Erectile function worsened in 0%-70% of patients, with complication rates ranging from 0% to 50%. No comparative studies among graft types were identified.

CONCLUSION: Various graft materials offer reliable perioperative and functional outcomes for Peyronie’s disease; however, further comparative studies are essential.

PMID:40966483 | DOI:10.1093/sxmrev/qeaf053