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Khan Imtiaz R - - 2011
Phlegmasia cerulea dolens is a rare condition in which an extensive deep venous thrombus can partially or completely occlude venous outflow from the affected extremity. Clinical presentation is typically characterized by extremity edema, cyanosis, and pain. This condition is associated with a high rate of extremity amputation and mortality. Although ...
Liao Hsiu-Rong - - 2011
We report a rare malposition of a central venous catheter in a liver transplantation patient which occurred during an intensive care period. The waveform of central venous pressure was aberrant after connecting the catheter to the pressure kit transducer. It was misplaced into left internal mammary vein confirmed by thoracic ...
Hernandez Carlos Martinez - - 2011
We present a patient with an accidental self-inflicted stab wound to his right thigh in whom three-dimensional (3D) ultrasound was able to find two communications between the right femoral artery and the femoral vein, in contrast to two-dimensional (2D) peripheral ultrasound which could find only one communication between them, thereby ...
Eriksson Mats-Ola - - 2011
Background Careful pre-, intra- and postoperative diagnostics in endovascular treatment of thoracic aortic pathology is crucial for a favourable outcome. Computer tomography (CT) and digitally subtracted angiography (DSA) do not always provide sufficient diagnostic information. Purpose To report our primary experiences of using intraluminal phased-array imaging (IPAI) as an additive ...
Stein Andreas - - 2011
The report is on a 49-year-old patient who experienced life-threatening ventricular tachyarrhythmias caused by a pacemaker lead that was abandoned 26 years ago, migrated with its proximal ending to the main pulmonary artery and remained there asymptomatically for at least 3 years.
Pontone Gianluca - - 2011
We report the case of an asymptomatic 67-year-old man with positive ECG stress testing in whom low-dose multidetector computed tomography (MDCT) demonstrated a large aneurysm associated with critical stenoses of the mid left anterior descending coronary artery. A detailed anatomical depiction of this complex coronary lesion was obtained with MDCT ...
Clevert D A - - 2011
Carotid duplex ultrasound is the standard of care for the initial diagnosis of carotid artery bifurcation diseases. But in difficult examinations, carotid abnormalities are commonly encountered and may represent a diagnostic challenge in patients with clinical symptoms as well as in the follow up after carotid endarterectomy or carotid artery ...
Sachdeva Rajesh - - 2011
This case illustrates that fractional flow reserve (FFR) in addition to the severity and length of the coronary stenosis is critically dependent on the extent of viable myocardium perfused. In the presented case, the left anterior descending artery (LAD) that had modest angiographic stenosis supplied collaterals to the entire left ...
Davis Melissa F - - 2011
Using a rodent model of ischemia (permanent middle cerebral artery occlusion), our laboratory previously demonstrated that 4.27 minutes of patterned single-whisker stimulation delivered over 120 minutes can fully protect from impending damage when initiated within 2 hours of permanent middle cerebral artery occlusion ("early"). When initiated 3 hours postpermanent middle ...
Coppi Francesca - - 2011
Coronary artery anomalies are identified in approximately 1% of patients who undergo angiography; among these, circumflex branch agenesis represents 0.003%. A 38-year-old woman was brought to our emergency department with clinical findings suggestive of acute myocardial infarction. Absence of circumflex branch was reported during angiography. Further analysis showed great vessel ...
Tan M - - 2011
See also Tan M, Velthuis SI, Westerbeek RE, van Rooden CJ, van der Meer FJ, Huisman MV. High percentage of non-diagnostic compression ultrasonography results and the diagnosis of ipsilateral recurrent proximal deep vein thrombosis. J Thromb Haemost 2010; 8: 848-50; Hassen S, Barrellier MT, Seinturier C, Bosson JL, Genty C, ...
Lee Chih-Chia - - 2011
We report an unusual case of spontaneous coronary artery dissection in a 59-year-old patient with autosomal dominant polycystic kidney disease who presented with mild intermittent chest discomfort during hiking. Coronary computed tomography angiography revealed an unexpected dissection flap in the left main coronary artery extending to the proximal part of ...
Ramankutty Rajesh - - 2011
Abstract  Left main coronary artery aneurysm is a rare condition that presents as a potential surgical challenge due to its location. We present a case of successful repair of a posterior saccular aneurysm of the left main coronary artery by aneurysm exclusion, afferent and efferent ligation with coronary artery bypass ...
Huckstorf Katarina - - 2011
The phylogenetic position of Euphausiacea within Malacostraca is still under debate. Either they are seen as sister group to a taxon comprising Pancarida and Peracarida or closer related to Decapoda. Both hypotheses can be supported by characters of the circulatory system. Therefore, a comparative re-evaluation of the circulatory system seems ...
Gargani Luna - - 2011
For many years the lung has been considered off-limits for ultrasound. However, it has been recently shown that lung ultrasound (LUS) may represent a useful tool for the evaluation of many pulmonary conditions in cardiovascular disease. The main application of LUS for the cardiologist is the assessment of B-lines. B-lines ...
Eyding J - - 2010
Atherosclerotic alterations of the internal carotid artery frequently result in ischemic stroke. However, it remains unclear which specific factor mainly causes an increased risk of stroke. Constant improvements of the diagnostic possibilities of ultrasonic examinations provide increasingly profound insight into plaque alterations. If "risk plaque" could be reliably identified, the ...
Sánchez-Recalde Angel - - 2010
Very late thrombosis in an implanted bare-metal stent is a very uncommon event outside the context of brachytherapy and few data about its pathophysiology are available. We performed an intravascular ultrasound study during primary angioplasty in five patients with very late bare-metal stent thrombosis and carried out a histological analysis ...
Hayashida Kyoko - - 2010
A 74-year-old woman with exertional angina was diagnosed with occlusion of the left coronary ostium associated with a rudimentary aortic valve cusp. A transesophageal echocardiogram, a multi-detector computed tomographic scan, and a coronary angiographic scan revealed the rudimentary aortic cusp covering the small left coronary aortic sinus leading to occlusion ...
Sarno Giovanna - - 2010
The purpose of this study was to compare the performance of both conventional quantitative coronary angiography (QCA) and the dedicated three branch QCA model for bifurcations in the prediction of a functionally significant lesion according to fractional flow reserve (FFR) in patients with bifurcation lesions. Twenty patients with bifurcation lesions ...
Monopoli Daniel E - - 2011
Double-arterial coronary stent thrombosis in acute myocardial infarction (AMI) is an infrequent but severe complication, especially when the third main coronary artery is chronically occluded. The conus artery (CA) can serve as a major source of collateral when the left anterior descendent coronary artery (LAD) becomes obstructed. We report a ...
Paraskevas P - - 2011
Pelvic varicose veins secondary to ovarian vein reflux are common and can present with clinical pelvic congestion syndrome (PCS). After assessment with duplex ultrasound and venography, treatment often involves surgical ovarian vein ligation and more recently embolization of the ovarian vein(s) followed by ultrasound-guided foam sclerotherapy (UGFS) of the pelvic ...
Nakayama Yuki - - 2011
We describe a rare case of surgical repair of a coronary artery aneurysm with arteriosclerotic changes accompanied by coronary arteriovenous fistula (CAVF) after 26 years of conservative therapy. A 71-year-old woman, diagnosed with CAVF 26 years previously, was admitted to our hospital for general fatigue and dyspnea on exertion. Physical examinations revealed ...
Attaran Robert R - - 2010
Following aortic valve replacement (AVR) and a single vessel bypass (SVG) to the left-anterior descending artery (LAD), the patient had a non-ST segment myocardial infarction with graft occlusion and underwent left internal mammary artery (LIMA) to SVG to LAD. When we evaluated her at our institution for ischemic symptoms, we ...
Hussein Hesham - - 2010
Trifurcation lesions, especially around the left main coronary artery (LMCA), are occasionally encountered. Complex lesions, involving the bifurcation or the trifurcation of the unprotected LMCA, represent a real challenge for interventional cardiologists. Trifurcation lesions intervention reported to have high overall major adverse cardiovascular events, and require the use of various ...
Simmons Ashley - - 2010
Dynamic compression of the left main coronary artery during systole is extremely rare. We report a case of a 29-year old female who presented with shortness of breath and chest pain with exertion. She had a history of congenital pulmonic stenosis and had a pulmonary valve resection at age 2. ...
Capodanno Davide - - 2011
Several studies have produced estimates of the outcome of percutaneous coronary intervention (PCI) in the field of left main (LM) coronary artery disease, but no research has been found that surveyed the issue of a comprehensive knowledge of LM anatomy and assessed the impact of different anatomic phenotypes on the ...
Toh E-L - - 2010
Transanal haemorrhoidal dearterialisation is a non-excisional surgical method for the treatment of haemorrhoidal disease. It uses a Doppler ultrasound probe to accurately identify the site to suture-ligate the piles, resulting in a decrease in the arterial inflow to the piles and their subsequent regression. A total of 140 consecutive patients ...
de Groot Daphne - - 2011
Therapeutic stimulation of collateral artery growth is a promising approach for treatment of cardiovascular diseases. Unfortunately, translation into clinical practice yet remains cumbersome. Cardiovascular physiology and anatomy are major determinants of vascular growth processes. Hence, large-animal models are needed to improve clinical translatability of preclinical research. Furthermore, acute complete occlusions ...
Lee Michael S - - 2010
Extrinsic compression of the left main coronary artery by an enlarged pulmonary artery is an increasingly recognized and potentially reversible cause of angina and left ventricular dysfunction in patients with pulmonary hypertension. The diagnosis of extrinsic left main coronary artery compression requires a high index of suspicion and should be ...
Suzuki Makoto - - 2010
As one of the great breakthrough techniques in the percutaneous coronary intervention (PCI) for the chronic total occlusions of coronary arteries, the controlled antegrade and retrograde subintimal tracking, so called the "CART" technique, has been developed. We present a first case in whom CTO of the mid LAD coronary artery ...
Ozmen Namik - - 2010
Background: Exercise treadmill testing (ETT) is the most widely used method for evaluating patients with coronary artery disease. Predicting the left main coronary artery (LMCA) disease before invasive procedures is very important in risk assessment because of its severe clinical outcome. Aim: To examine whether ST elevation in lead aVR ...
Trost Biana - - 2010
The prevalence of coronary anomalies is about 1.3% among patients who undergo coronary angiography. Although the majority of coronary artery anomalies are incidental findings and are not clinically significant, the interarterial course between the great vessels of the aberrant artery may be responsible for syncope, angina, arrhythmias or sudden death. ...
Watanabe Yoshinori - - 2010
A 74-year-old female patient with left main trunk (LMT) and triple vessel disease underwent coronary artery bypass graft (CABG) surgery. The patient began to experience exertional dyspnea. A coronary artery angiogram confirmed a severe stenosis in the proximal side of the saphenous vein graft (SVG). The patient had impending infarction ...
Fazliogullari Z - - 2010
This study examined the routes and variations of the left coronary artery (LCA), the right coronary artery (RCA), and their branches, as well as the frequency of a median artery in cadaver hearts. The hearts of 50 adult Turkish cadavers from various centres were dissected. The LCAs branched out of ...
Yalin Kivanc - - 2012
Wolff-Parkinson-White (WPW) syndrome is a disorder characterized by presence of an accessory pathway that predisposes patients to tachyarrhythmias and sudden death. Radiofrequency ablation (RFA) is both effective and safe for patients with symptomatic tachyarrhythmias mediated by accessory atrioventricular pathways. During the procedure, fatal complications may occur but it is considered ...
Millar Kyle - - 2012
Corticosteroid administration in Kawasaki disease (KD) is controversial but accepted as treatment for patients who do not respond to initial treatment. The impact of corticosteroids on evolving coronary artery aneurysms (CAA) and future vascular remodelling is unknown. The clinical history of 80 patients (73% male; median age at diagnosis 2.2years) ...
Vales Lori - - 2011
In acute inferior ST-segment elevation myocardial infarction (STEMI), multiple electrocardiographic algorithms have been proposed to predict the culprit artery. Our purpose is to review these and compare them to ST depression in lead aVR to predict culprit artery in inferior STEMI. In 106 patients with acute inferior STEMI who underwent ...
Karanian John W - - 2010
To compare the efficiency of five different drug delivery methods to the coronary artery in swine. A nanoparticle-albumin-bound, nonradioactive isotopic marker was administered within the left anterior descending coronary artery (LAD) through a microinfusion catheter (MIC: adventitial, n = 8, and luminal, n = 4), a porous drug infusion balloon ...
Gupta A - - 2010
Coronary artery aneurysms are uncommon, especially in young patients. Most aneurysms in young patients are congenital, traumatic or due to Kawasaki disease. Giant coronary aneurysms warrant surgical management due to their propensity for complications. Coronary artery bypass grafting (CABG) with suture closure of the involved coronary artery seems to be ...
Baskurt M - - 2010
Congenital absence of the left circumflex artery (LCX) is a very rare congenital anomaly of the coronary circulation, and only a few cases have been reported in the literature. We report on a 55-year-old female with atypical chest pain. Routine coronary angiography showed a normal left anterior descending coronary artery ...
Xuguang Qin - - 2010
The most common coronary anomaly is the left circumflex artery (LCX) arising from the proximal right coronary artery (RCA). This variant is benign. The anomalous RCA often originates from the left sinus or from the proximal of the left main coronary artery. This case report presents a single coronary artery ...
Chung Seung-Kyu - - 2010
A single coronary artery (SCA) is a rare congenital anomaly of the coronary circulation, which is often associated with myocardial ischemia and other congenital cardiac anomalies. A 77-year-old woman visited our hospital complaining of typical chest pain. Coronary angiography revealed an isolated SCA. The right coronary artery did not originate ...
Trianti Myrto - - 2011
The localization of coronary atherosclerotic lesions in patients with coronary artery disease is important. We investigated the relationship between individual cardiovascular risk factors and lesion localization in the coronary arteries. We studied 200 consecutive patients with suspected or known coronary artery disease who were referred for coronary angiography because of ...
Endo George J - - 2010
A 75-year-old man, who presented with acute myocardial infarction and cardiogenic shock underwent emergency cardiac catheterization, assisted by catecholamine administration, respiratory support with intubation and intra-aortic balloon pumping (IABP). The coronary arteriogram showed a high-grade obstruction of two main branches of the left coronary artery. The occlusion of the left ...
Damelou Anastasia - - 2010
A 58-year-old man presented with frequent episodes of angina at rest. A diagnosis of anterior non-ST elevation myocardial infarction was made. Coronary angiography performed on the day of admission revealed a significant stenosis (50% to 60%) of the distal left main stem (LMS) extending to the ostia of the left ...
Pride Yuri B - - 2010
This study sought to determine angiographic and clinical outcomes among patients with acute coronary syndrome (ACS) presenting with isolated anterior ST-segment depression on 12-lead electrocardiogram (ECG). In patients with ACS, anterior ST-segment depression on 12-lead ECG may represent plaque rupture with: 1) acute thrombotic occlusion with elevation of cardiac biomarkers ...
Sleilaty Ghassan - - 2010
We report a case of left main coronary artery thrombosis 7 days after aortic valve replacement for native aortic valve regurgitation. The patient had undergone apicoaortic conduit implantation 3 years earlier. The thrombosis resulted from deviation of the cardiac output through the apicoaortic conduit and consequent turbulence of flow in ...
Edris Ahmad - - 2010
Catheter-induced left main coronary artery (LMCA) vasospasm is a rare complication of coronary angiography that confounds the decision for coronary artery bypass graft (CABG) surgery. We report two cases of catheter-induced LMCA vasospasm. The first case was a 68-year-old woman who presented 6 years after CABG for presumed severe LMCA ...
Mladenović Zorica - - 2010
INTRODUCTION: Coronary artery disease in people under 30 years is relatively uncommon, but once a disease occurs it brings a significant morbidity and psychological effects. CASE REPORT: We reported a 28-year-old patient presenting atypical symptoms after sincopa and non-specific changes on electrocardiogram at admission. After noninvasive and invasive cardiology diagnostic ...
Garg Naveen - - 2010
Left main coronary artery aneurysms are very infrequent (0.1%) and the majority is related to atherosclerotic obstructive lesions. We describe a young male having no conventional coronary risk factors presenting with acute inferior wall myocardial infarction. Coronary angiography revealed a prominent aneurysm of the left main coronary artery with selective ...
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