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Khouzam Rami N RN Department of Medicine, Division of Cardiovascular Diseases, University of Tennessee Health Science Center in - - 2014
It is rare to find aortic root thrombi in the absence of aortic root aneurysm or extensive aortic atherosclerosis. Up to this date, only a few cases have been reported. The etiology has been mainly attributed to hypercoagulable disorders. Herein, we present a case of a large thrombus obliterating the ...
Regeer Madelien V MV Department of Cardiology, Heart Center Leiden, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The - - 2014
The underlying mechanism of aortic regurgitation and aortic valve and root characteristics are associated with the durability of surgical repair. We investigated whether multidetector CT (MDCT) identifies the characteristics of the aortic valve and root that may be associated with the ability to perform successful surgical repair. Sixty-one patients with ...
Hapka Lukasz - - 2014
Abstract The study presented a case of a 58-year-old male patient treated for retroperitoneal fibrosis, right hydronephrosis, and right common iliac artery stenosis and saccular aneurysm of the above-mentioned vessel. The patient was qualified for endovascular treatment. Stentgraft implantation was performed with good long-term patency during more than 3 years ...
He Yue Y Professor, Department of Oral Maxillofacial-Head Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, - - 2014
To investigate the application of the medial sural artery perforator flap in hemiglossectomy reconstruction and evaluate the value of preoperative computed tomographic angiography (CTA) for perforator location. Nine patients received medial sural artery perforator flaps for tongue reconstruction from August 2013 to January 2014. Of the 9 patients, 5 were ...
Scotten Lawrence N LN 1 ViVitro Systems Inc. (VSI), Victoria, B.C., Canada ; 2 90 Garibaldi Street, Lake Oswego, OR, - - 2014
Significant paravalvular leakage after transcatheter aortic valve implantation (TAVI) correlates with increased morbidity and mortality, but adverse consequences of trivial paravalvular leakage have stimulated few investigations. Using a unique method distinctly different from other diagnostic approaches, we previously reported elevated backflow velocities of short duration (transients) in mechanical valve closure. ...
Garg Arun A Institute of Neurosciences, Medanta-the Medicity, Gurgaon, Haryana 122001, - - 2014
Paraplegia is a rare complication after coronary artery bypass graft (CABG) surgery mostly caused by spinal cord ischemia. Even rarer is the paraplegia following infarction involving both anterior cerebral artery (ACA) territories caused by embolism during coronary artery bypass graft surgery. This case has become even more interesting as cerebral ...
Raja Shahzad G SG Shahzad G Raja, Umberto Benedetto, Department of Cardiac Surgery, Harefield Hospital, Middlesex UB9 6JH, United - - 2014
Coronary artery bypass grafting (CABG) continues to be one of the most commonly performed cardiac surgical procedures worldwide. Conventional CABG performed on cardiopulmonary bypass termed on-pump CABG is regarded as the gold standard. However, on-pump CABG results in several physiologic derangements including but not limited to thrombocytopenia, activation of complement ...
Adeli Hassan H Clinical Research Development Center, Qom University of Medical Sciences, Qom, - - 2014
Primary pulmonary artery sarcomas are very rare and their histologic type called leiomyosarcoma is even rarer. These tumors are frequently misdiagnosed as pulmonary thromboembolism in clinical settings. Many patients receive anticoagulant therapy without response, and many are diagnosed postmortem only. Most of the tumors reported in the literature have involved ...
Hiremath Jagdish - - 2014
With increase in aging population and increased prevalance of coronary risk factors including diabetes mellitus, more people with multivessel coronary artery disease are diagnosed. Many of these patients undergo coronary angioplasty or bypass graft surgery (CABG). Hybrid coronary revascularisation may be preferred in multivessel CAD patients with technical limitations to ...
Musoke Charles - - 2014
Falciparum malaria is known to cause alterations in the coagulation cascade, including disseminated intravascular coagulation. Microthrombotic complications are the best described; however, a number of cases of thrombosis involving larger vessels have been published in the literature. Herein, we describe the case of a woman with malaria associated with massive ...
Baseri Mehdi M Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, - - 2014
Myeloperoxidase (MPO) has an important role in the both processes of inflammation and oxidative stress. It plays proatherogenic role via low-density lipoprotein oxidation, functional inactivation of the high-density lipoprotein and endothelial dysfunction, and seems to be involved in the atherogenesis of coronary arteries. This study designed to evaluate the association ...
Janić Miodrag M Department of Vascular Diseases, University of Ljubljana Medical Centre, Zaloška 7, SI 1000 Ljubljana, - - 2014
The world population is aging and the number of old people is continuously increasing. Arterial structure and function change with age, progressively leading to arterial stiffening. Arterial stiffness is best characterized by measurement of pulse wave velocity (PWV), which is its surrogate marker. It has been shown that PWV could ...
Fanari Zaher Z Section of Cardiology, Christiana Care Health System, Newark, DE 19718, - - 2014
Patients with multivessel coronary artery disease are more likely to have extensive atherosclerosis that involves other major arteries. Critical subclavian artery (SCA) stenosis can result in coronary subclavian steal syndrome that may present as recurrent ischemia and even myocardial infarction in patients with coronary artery bypass graft (CABG). In patients ...
Miller Charles Philip CP Department of Cardiology, Buckinghamshire Trust, High Wycombe, Buckinghamshire, - - 2014
Chronic cough has a wide differential, of which thoracic aortic aneurysm is a rare but potentially devastating cause. We present a patient with previous aortic valve replacement for a bicuspid valve who had been suffering from a chronic cough for 8 months and who developed subsequent voice hoarseness. This had been ...
Buczkowski P P Department of Cardiac Surgery and Transplantology, University of Medical Sciences Poznan, - - 2014
We present a case of the native valve used to complete closure of a ruptured aneurysm of the sinus of Valsalva. Aneurysm of the sinus of Valsalva is rare and a non-coronary artery is affected in only 20% of cases. To close the rupture, we decided to use a non-coronary ...
Donzé Jacques D JD Division of General Internal Medicine, Bern University Hospital, 3010 Bern, Switzerland Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, 02120 Boston, Massachusetts, USA Harvard Medical School, 02115 Boston, Massachusetts, USA - - 2014
To evaluate the impact of preoperative sepsis on risk of postoperative arterial and venous thromboses. Prospective cohort study using the National Surgical Quality Improvement Program database of the American College of Surgeons (ACS-NSQIP). Inpatient and outpatient procedures in 374 hospitals of all types across the United States, 2005-12. 2 305 380 adults ...
Zhang Jing-Xia JX Department of Cardiology, Tianjin Chest Hospital, Tianjin 300051, - - 2014
Tissue factor (TF) is the initiation factor of the extrinsic coagulation pathway, and plays a critical role in the process of thrombosis. This study aimed to investigate the expression of TF and to explore their clinical effect on the pulmonary artery after acute pulmonary thromboembolism. Thirty-four Japanese white rabbits (Level ...
Georgescu Stefan S Department of Surgery, "Gr. T. Popa" University of Medicine and Pharmacy Iaşi, University Hospital "St. Spiridon" Iaşi, 1 Bulevardul Independentei, 700111 Iaşi, - - 2014
Background. Pancreaticoduodenectomy is the potentially curative treatment for malignant and several benign conditions of the pancreatic head and periampullary region. While performing pancreaticoduodenectomy, early neck division may be impossible or inadequate in case of hepatic artery anatomic variants, suspected involvement of the superior mesenteric vessels, intraductal papillary mucinous neoplasm, and ...
Singh Vasvi V Department of Internal Medicine, Unity Health System, Rochester, New York, - - 2014
A 50-year-old man presenting with chest pain had positive stress echocardiography; and angiogram showed single artery coronary stenosis, presumed to be atherosclerotic. He was started on optimal medical therapy with good compliance. Four months later, he had a myocardial infarction (MI) and cardiac catheterisation surprisingly showed interval development of severe ...
Davidovic L - - 2014
Rupture is the most serious and lethal complication of the abdominal aortic aneurysm. Despite all improvements during the past 50 years, ruptured abdominal aortic aneurysms are still associated with very high mortality. Namely, including patients who die before reaching the hospital, the mortality rate due to abdominal aortic aneurysm rupture ...
Demircelik Bora - - 2014
Saphenous vein graft disease (SVGD), defined as an occlusion of 50% or more of the SVG excluding distal anastomotic occlusion, is an important predictor of morbidity after coronary artery bypass grafting (CABG). Late graft occlusion is a serious complication that often limits the use of the saphenous vein as a ...
Tanaka Keizo K Department of Cardiovascular Surgery, Hamamatsu Medical Center, Hamamatsu, Shizuoka, - - 2014
A 50-year-old man presented with an acute type A aortic dissection with an aberrant right subclavian artery. Emergent total arch replacement with an elephant trunk was performed. Intraoperatively, the origin of the aberrant right subclavian artery could not be resected because it was located too far from the distal arch. ...
Onohara Takeshi T Division of Organ Regeneration Surgery, Faculty of Medicine, Tottori University, Yonago, Tottori, - - 2014
Hybrid TEVAR was performed in 2 patients with right aortic arch accompanied by Kommerell's diverticulum and aortic aneurysm. In patient 1, total debranch + TEVAR was performed with 1-stage median sternotomy. In patient 2, total arch replacement and insertion of a peripheral elephant trunk were performed first, followed by TEVAR. ...
Diab Khalil K Division of Pulmonary, Allergy, Critical Care, and Occupational Medicine, Indiana University School of Medicine, Indianapolis, Indiana, - - 2014
Pulmonary arteriovenous malformations are uncommon communications between the pulmonary arteries and veins, most commonly associated with hereditary haemorrhagic telangiectasia. They can also be associated with a variety of other conditions, and can be single or multiple. We present a case of a female patient with a history of coronary artery ...
Sabol F - - 2014
Aortic coarctation in adults is sometimes associated with concomitant cardiovascular pathologies which require intervention. The optimal operative approach for such patients remains unsettled. An extra-anatomic aortic bypass from the ascending aorta to the descending aorta via median sternotomy allows simultaneous performance of repair of complex aortic coarctation and concomitant cardiac ...
Garcia Nelson A Telles NA Internal Medicine Resident PGY-3, The University of Iowa - Des Moines Internal Medicine Residency Program, IA, - - 2014
Spontaneous coronary artery dissection (SCAD) is a rare and often lethal cause of acute coronary syndrome, which typically affects young women and otherwise healthy individuals. SCAD can be diagnosed in patients undergoing coronary angiography and can be underestimated. Special techniques such as optical coherence tomography (OCT) and intravascular ultrasound should ...
Munk Marion R MR Department of Ophthalmology, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA. - - 2014
Retinal artery occlusion can be the first indicator of a significant cardiovascular disorder and the need for treatment. We present the case of a 69-year-old man with a cilioretinal artery occlusion and retinal ischemia. Retinal imaging, in particular fundus autofluorescence, highlighted an intraluminal hyperautofluorescent lesion which led to the diagnosis ...
Tarbiat Masoud M Ekbatan Cardiovascular Surgery Center, Department of Anesthesiology, Hamedan University of Medical Sciences, Hamedan, - - 2014
Percutaneous subclavian vein catheterization is one of the most common invasive procedures performed in cardiac surgery. The aim of this study was to compare left and right subclavian vein catheter placement via the infraclavicular approach in patients who undergo coronary artery bypass graft (CABG) surgery. This prospective, randomized clinical trial ...
Chevli Parag P Department of Internal Medicine, Jersey City Medical Center, Jersey City, NJ, - - 2014
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction that is more common in younger patients (under age 50) and in women. Although the etiology is not known, some predisposing conditions to SCAD are well known and include Marfan syndrome, pregnancy and peripartum state, drug abuse, ...
Bashar Khalid K Department of Vascular Surgery, University Hospital Limerick (UHL), Limerick, County Limerick, - - 2014
Radiation arteritis following neck irradiation as a treatment for head and neck malignancy has been well documented. The long-term sequelae of radiation exposure of the carotid arteries may take years to manifest clinically, and extra-cranial carotid artery (ECCA) stenosis is a well-recognised vascular complication. These carotid lesions should not be ...
Iwataki Mai M Second Department of Internal Medicine , University of Occupational and Environmental Health, School of Medicine , Kitakyushu , - - 2014
Mitral annular/leaflet calcification (MALC) is frequently observed in patients with degenerative aortic stenosis (AS). However, the impact of MALC on mitral valve function has not been established. We aimed to investigate whether MALC reduces mitral annular area and restricts leaflet opening, resulting in non-rheumatic mitral stenosis. Real-time three-dimensional transoesophageal images ...
Orion Kristine C KC Division of Vascular Surgery and Endovascular Therapy, The Johns Hopkins Hospital, Halsted 668, 600 N. Wolfe Street, Baltimore, MD - - 2013
Renal artery aneurysm (RAA) is an uncommon disease and is typically an incidental finding on imaging performed for other medical ailments. Sequelae of RAA include rupture and difficult to control hypertension. Repair of RAA is considered in suitable surgical candidates when a maximum diameter of 2 cm is reached or ...
Jain Amit A Division of Vascular and Endovascular Surgery, University of Virginia Health System, PO Box 800679, Charlottesville, VA - - 2013
Renal malperfusion associated with renal artery dissection can present as either an isolated disease process or in the setting of branch vessel stenosis complicating aortic dissection. Isolated renal artery dissection is a rare disorder, the clinical presentation of which often presents both diagnostic and therapeutic challenges. The true incidence and ...
Pozgain Zrinka - - 2013
Dirofilaria immitis is a parasite transmitted by mosquito bites, where the most common primary hosts are dogs, cats and some wild animals. Humans become accidental hosts after being bitten by an infected mosquito and the number of such infections has rapidly increased during the last decade. We present a patient ...
Wang David S DS Division of Interventional Radiology, Department of Radiology, Stanford University Medical Center, 300 Pasteur Drive, H3630, Stanford, CA 94305-5642, USA. - - 2013
Cutaneous complications can result from nontarget deposition during transcatheter arterial chemoembolization or radioembolization. Liver tumors may receive blood supply from parasitized extrahepatic arteries (EHAs) that also perfuse skin or from hepatic arteries located near the origin of the falciform artery (FA), which perfuses the anterior abdominal wall. To vasoconstrict cutaneous ...
Carretón E - - 2013
Dirofilaria immitis adult worms lodged in the pulmonary arteries are the causative agent of heartworm disease, characterized by endarteritis and obstruction of the blood flow. Dying worms form embolic fragments which trigger thrombosis. Thus, pulmonary thromboembolism is an inevitable consequence of successful adulticide therapy. Clinical signs of pulmonary thromboembolisms are ...
Bagga Veejay V Department of Intensive Care Medicine, Birmingham Heartlands Hospital, . Apartment 31, Queens View, 88 Park Grange Road, Sheffield, S2 3RY, Birmingham B9 5SS, - - 2013
We report a case of a 64-year-old woman who was admitted to intensive care unit with multiorgan failure secondary to Plasmodium falciparum malaria. Haemodynamic monitoring using the transpulmonary thermodilution with pulse contour analysis system (PiCCO) was achieved via the left brachial artery. Two days later, a flexion deformity of the ...
Mirsadraee Majid M Department of Pulmonary Medicine, Islamic Azad University, Mashhad - - 2013
Pulmonary artery hypertension (PAH) is difficult to diagnose because of its nonspecific symptoms. Although echocardiography can reliably and rapidly recognize the presence of pulmonary hypertension, chest X ray (CXR) is more widely used because of its availability. The objective of this study was to find a parameter, which, by changing ...
Sazak Hilal Günal HG Department of Anesthesiology and Reanimation, Atatürk Chest Disease and Thoracic Surgery Education and Research Hospital, Ankara, - - 2012
As a rare procedure, massive bronchoalveolar lavage (MBAL) is a large-volume lavage which necessitates general anesthesia and one-lung ventilation (OLV). During MBAL isotonic saline is instilled into one lung and drained through one lumen of a double-lumen tube. MBAL is the most effective treatment for symptomatic pulmonary alveolar proteinosis (PAP). ...
Sharif-Kashani Babak - - 2012
Pulmonary embolism is major cause of hospital death. Clinical prediction rules such as Wells' prediction rules can help in selection of at-risk patients who need further testing for pulmonary embolism. We evaluated the usefulness of such criteria for detection of patients with diagnosed pulmonary embolism. Patients enrolled in National Research ...
Bayaroğullari Hanifi - - 2013
Hydatid disease (HD) is a worldwide parasitic disease. Echinococcosis may involve many organs but affect most commonly liver and lungs. The location of echinococcal cysts inside pulmonary artery is extremely rare. Radiologic findings range from purely cystic lesions to a completely solid appearance. Hydatid cysts (HC) can be solitary or ...
Firth Amy L - - 2012
Pulmonary Hypertension is a terminology encompassing a range of etiologically different pulmonary vascular diseases. The most common is that termed pulmonary arterial hypertension or PAH; a rare but often fatal disease characterized by a mean pulmonary arterial pressure of >25mmHg. PAH is associated with a complex etiology highlighted by core ...
Vuran Can C Department of Cardiovascular Surgery, İstanbul Medical Application and Research Center, Başkent University, İstanbul, - - 2012
The aim of this study was to analyze the midterm clinical results of aortic valve replacement with cryopreserved homografts. Aortic valve replacement was performed in 40 patients with cryopreserved homograft. The indications were aortic valve endocarditis in 20 patients (50%), truncus arteriosus in 6 patients (15%), and re-stenosis or regurtitation ...
Pankey Edward A - - 2012
Responses to a selective azaindole-based Rho kinase (ROCK) inhibitor (azaindole-1) were investigated in the rat. Intravenous injections of azaindole-1 (10-300 µg/kg), produced small decreases in pulmonary arterial pressure and larger decreases in systemic arterial pressure without changing cardiac output. Responses to azaindole-1 were slow in onset and long in duration. When ...
Giannakopoulos T G - - 2012
OBJECTIVES/DESIGN: The aim of the study was to investigate debris captured in filter embolic protection devices (EPDs) during carotid artery stenting (CAS) and its possible correlation with plaque echogenicity and other risk factors. MATERIALS/METHODS: Between June 2010 and March 2011, 51 consecutive CAS patients (11 females, mean age 71.2 ± 7, 10 ...
Antoniu Sabina Antonela - - 2012
Pulmonary arterial hypertension (PAH) is a rare disease with a complex pathogenesis. It is often associated with an increased vascular resistance, whilst in the more advanced stages there is a remodelling of the vascular walls. PAH has an intricate involvement of various signaling pathways, including the ras homolog family member ...
Waldkirch Eginhard S - - 2012
Introduction.  Rho kinases (ROKs) cause calcium-independent modulation of smooth muscle contraction. A significant role for the RhoA/ROK pathway in mediating the contraction of the penile erectile tissue has been suggested. Moreover, it has been postulated that ROK activity might represent a key factor in the pathophysiology of erectile dysfunction. Up ...
Margaritis Marios M Department of Cardiovascular Medicine, University of Oxford, West Wing Level 6, John Radcliffe Hospital, Headley way, Oxford OX3 9DU, - - 2012
Saphenous vein grafts used in coronary artery bypass graft surgery suffer from lower patency rates compared to left internal mammary artery. A number of clinical trials and observational studies have demonstrated a significant benefit of statin treatment on vein graft patency. Aside from their well-known lipid-lowering capacities, statins exert pleiotropic ...
Cross J - - 2012
BACKGROUND: Endovascular technology has advanced rapidly in the development of fenestrated endovascular aneurysm repair (FEVAR). Current evidence for endovascular aneurysm repair is limited to infra-renal aortic aneurysms. With increased costs and complexity of FEVAR, its current role is unclear. A national multicentre, cross-disciplinary consensus model was developed to propose indications ...
Kung David K - - 2012
Background. Coil and stent migration is a potentially catastrophic complication in endovascular neurosurgery, which may lead to cerebral thromboembolism. Techniques for removing migrated coil and stent are not well established. Methods and Results. We present three cases in which coil or stent migration occurred during endovascular embolization of a cerebral ...
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