This is a case report about a minimal invasive beating heart tricuspid valve repair in the presence of a severely calcified ascending aorta in an adult patient. Especially in the presence of severe aortic calcification it was the better choice to operate in beating heart technique. We reported the case with CT scan and intraoperative situs graphics.
Lichen sclerosus (LS) is a rare, chronic, mucocutaneous disease, with a genital and extragenital manifestation. The etiology is not completely clarified, but there are suspicions for the role of genetic, autoimmune, infectious or hormonal factors.We present a 58-year-old woman with five-year evolution of rare bullous-hemorrhagic type of Lichen sclerosus, engaging the trunk and limbs and verified by histopathological examination. The disease was characterized by the appearance of hemorrhagic bullae on the sclero-atrophic plaques. The lesions were locally treated with high-potency topical corticosteroid (Clobetasol propionate 0.05% cream). A solution with antiseptic action (Povidone-iodine 10%) was administered for the erosion, caused by a rupture of the bulla. As a result, the erosion fully epithelized for a month. This case describes a rare type of Lichen sclerosus which responded favorably to the local treatment with corticosteroids and antiseptics.
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