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Results 451 - 500 of 529
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Goethals M - - 1984
A case of dobutamine overdose is presented. Due to a prescription mistake a patient with recent myocardial necrosis and acute arterial occlusion received up to 70 mcg/kg/min of dobutamine IV. This resulted in arterial hypotension, diminished vascular resistance, oliguria and signs of cutaneous and mucosal hyperemia. Interruption of the dobutamine ...
Stang J M - - 1983
The most recent patient in a 13-year experience with 14 patients suffering massive pulmonary thromboembolism requiring pulmonary thromboembolectomy is the focus of this report. This 40-year-old woman not only survived life-threatening acute hypoxemia and right heart failure, but was also found to have developed a unique transudative 700 cc pericardial ...
Ellis D A - - 1983
Major pulmonary embolism occurring insidiously over several weeks (subacute massive pulmonary embolism) has a high mortality and may not respond well to standard anticoagulant or thrombolytic treatment. A priming dose of plasminogen was used to enhance thrombolysis produced by a streptokinase infusion in five consecutive patients with subacute massive pulmonary ...
Katz D A - - 1983
A patient with an eight-year history of systemic lupus erythematosus (SLE) and recent onset of recurrent psychosis died after acute deterioration of cardiopulmonary status and level of consciousness. Autopsy disclosed massive pulmonary hemorrhage and unsuspected fat emboli in the lungs, kidney, and brain. This article discusses the significance of systemic ...
Asmat P - - 1983
Successful control of massive hemobilia by combined peripheral and proximal transcatheter embolization of the liver is described. Our patient had adenocarcinoma of the gallbladder with extension to the liver and invasion of intrahepatic and extrahepatic bile ducts. This caused hemobilia which became uncontrollable after percutaneous exchange of biliary drainage catheter ...
Garrido E - - 1983
A patient with transient ischemic attacks and an occluded right common carotid artery underwent a left superficial temporal artery to right middle cerebral artery vein graft (bonnet bypass). One week after operation, minor trauma to the scalp caused avulsion of the anastomosis and a massive fatal acute subdural hematoma. The ...
Vujic I - - 1983
Three patients with massive pulmonary embolism were treated with low-dose streptokinase (delivered topically via the pulmonary artery) and simultaneous full-dose heparin. In two patients with acute emboli, rapid but incomplete lysis was observed over 15-30 hours. In one patient with recurrent embolization over three weeks, the major embolus shrank considerably. ...
Hecker B R - - 1983
Massive pulmonary embolism associated with total cardiovascular collapse occurred during the surgical repair of a ruptured abdominal aortic aneurysm with an aortocaval fistula. Pulmonary artery pressure monitoring permitted immediate diagnosis whereas central venous pressures did not reflect the obstruction to right ventricular outflow. Pulmonary embolectomy without cardiopulmonary bypass was performed ...
Todo S - - 1983
Two cases of angiographic embolization for the management of massive hemobilia due to hepatico-jejunostomy and percutaneous transhepatic biliary drainage are presented. The clinical features are described together with a short review of the literature. In addition to defining the bleeding source, angiography provides an effective and safe alternative to surgery ...
Okada R D - - 1983
Two patients had noninvasive and invasive findings consistent with massive pulmonary emboli. Both patients had an acquired nonprecordial peripheral pulmonary murmur on physical examination. One patient also demonstrated a wide, fixed-split second heart sound in addition to the acquired murmur. Both of these physical findings have rarely been reported; however, ...
Cervenko F W - - 1983
Massive endobronchial hemorrhage due to balloon-tipped catheter rupture of a branch of the pulmonary artery in a fully heparinized patient undergoing cardiopulmonary bypass is potentially lethal. Death occurs due to asphyxiation. Endobronchial intubation (double-lumen endotracheal tube) appears to be a simple and effective method for control of the airway and ...
Renie W A - - 1982
A patient presented to the hospital with mild hemoptysis of 1 day's duration and an infiltrate on chest roentgenogram. Shortly after admission, she developed shock, massive hemoptysis, and a bloody pleural effusion that yielded Streptococcus viridans. Pulmonary arteriography revealed a peripheral pulmonary artery aneurysm, which was embolized with a detachable ...
Hoeffler H B - - 1982
Long-term follow-up of the pulmonary lesions of severe exposure to ammonia in humans has seldom been documented, and development of bronchiectasis continues to be of concern. We studied a previously healthy 30-year-old woman whose lungs at time of necropsy, three years after massive exposure to ammonia fumes, had extensive cylindrical ...
Starkey I R - - 1982
In a patient with clinical features of massive pulmonary embolism, two-dimensional echocardiography demonstrated an echo-dense mass moving freely across the tricuspid valve between the right atrium and right ventricle. This mass was also visualized at angiography, which in addition confirmed extensive pulmonary embolism. At autopsy, the mass was found to ...
Daya H - - 1982
A very unusual case of ascariasis is reported. There was massive migration of worms from the small bowel to the liver, and probably thence to the heart and lungs, where adult worms were demonstrated. The cause of death was pulmonary embolism, adult worms blocking the main pulmonary arteries with superimposed ...
Smith L J - - 1982
Massive pulmonary hemorrhage is an uncommon complication of leukemia and is generally attributed to thrombocytopenia. However, a platelet deficiency cannot be the entire explanation, since most patients with thrombocytopenia never experience this complication. To better define the reason for intra-alveolar bleeding, we studied the clinical and pathologic findings in three ...
McIvor J - - 1982
Therapeutic embolisation is now recognised as having a role in the management of bladder haemorrhage and is particularly valuable in severe cases where the patient's life is at risk. This paper describes the procedures which were used to manage two patients with massive haematuria, from a tumour in one case ...
Tauber J W - - 1982
Eight patients had major hemorrhage from esophageal varices; in seven, one or two embolizations of the coronary and short gastric veins resulted in cessation of hemorrhage. This procedure can be used in patients with massive ascites, severe coagulopathy, or profound liver failure, as the access route through the dilated umbilical ...
Vardan S - - 1982
The proper place of thrombolytic agents in the management of pulmonary embolism is not yet well defined. A number of survivors of acute massive pulmonary thromboembolism remain in a delicate balance of hemodynamic compensation and where recurrent emboli could frequently be fatal. Successful response to urokinase therapy in such a ...
Sasaguri Y - - 1982
The pathology of five aneurysms resected from four patients with Kawasaki disease was examined to elucidate the mechanisms of regression. (1) Marked intimal thickening was present in all five aneurysms. (2) Two patients treated with aspirin early in their course showed well-regenerated endothelium and marked thickening of the intima without ...
Tomatis L - - 1981
We present the case of a patient who had rupture of a pulsatile assist device (PAD) accompanied by massive air embolism, and the treatment that brought it to a successful outcome. After rupture of the skin of the PAD balloon, a massive amount of air was injected into the ascending ...
Winzelberg G G - - 1981
Pulmonary hemorrhage, whether in the form of hemoptysis or bleeding into the pleural space, may be a life threatening problem. While fiberoptic bronchoscopy and selective bronchial and intercostal angiography are the major diagnostic modalities, these techniques are not without risks. Two patients are described-one with massive hemoptysis from a bronchogenic ...
Grenier P - - 1981
The radiologic appearance of pulmonary involvement in six cases of Behcet disease is described. Chest radiographs in five patients showed infiltrates and/or rounded opacities followed by excavation in two cases and by pleural rupture in one. Repeat chest films on four of these five patients 3 weeks to 9 months ...
Godfrey P J - - 1981
One hundred consecutive male patients undergoing elective inguinal herniorrhaphy were randomized to receive general, epidural or local anaesthesia, and the patterns of ventilation were studied before and after operation. General anaesthesia caused more depression of FEV1 and FVC than the other two methods, but no important arterial hypoxia or clinical ...
Fer M F - - 1981
A 46-year-old man with a primary sarcoma of the pulmonary artery is presented. The tumor was responsive to radiotherapy, and the patient is the longest reported survivor of this rare disease. The tumor spread distally in the pulmonary vasculature, with probable embolization to the central nervous system, and he died ...
Fireman Z - - 1981
A patient with drug-induced thrombocytopenia who died because of massive pulmonary hemorrhage is described. The patient had a clinical picture of acute respiratory distress resembling pulmonary edema, but there was no hemoptysis. Chest x-ray films showed granular density in the pulmonary fields, and the electrocardiograms revealed a pattern of acute ...
Merland J J - - 1981
This report summarizes the extraordinary development of the neuroradiological entrance into the treatment of massive vascular malformations of the head and spine, also highly vascularized tumors, by embolization accomplished with the appropriate type of catheter and highly refined technique, in collaboration with the surgeons of neurology, ophthalmology, otolaryngology, and of ...
Varela-Duran J - - 1980
The case of a 37-year-old Italian man with cardiac involvement by echinococcus granulosus is presented. The patient showed symptoms of severe cardiac failure and died suddenly on cardiorespiratory arrest. Autopsy revealed a ruptured parent hydatid cyst attached to the right ventricular wall and massive embolism, by daughter cysts, of the ...
Vujic I - - 1980
The embolization of intercostal arteries for the control of massive hemoptysis is described in two patients with bronchopleural fistulas and in one patient with sarcoidosis. Hemoptysis was controlled by embolization in all three cases, but spinal cord infarction occurred in one patient as a result of the procedure. This complication ...
González A - - 1980
A 12 year old boy had a massive pulmonary embolism associated with a right ventricular myxoma. This caused complete occlusion of the main trunk of the left pulmonary artery and of a branch of the right pulmonary artery supplying the basal area of the lower lobe of the right lung. ...
Fairfax A J - - 1980
A detailed post-mortem study is reported on an adult with cystic fibrosis who died in respiratory failure three weeks after selective bronchial artery embolization with gelatin sponge to treat severe haemoptysis. Bronchial arteriography during the procedure showed complete occlusion of the vessel supplying the righ upper lobe and following this ...
Kobayashi T - - 1980
Massive bladder hemorrhage was sucessfully treated by selective embolization of the unilateral vesical artery in two patients with vesical neoplasms. In one patient, complete hemostasis was obtained by partial occlusion of the unilateral vesical artery, although the lesion had another feeding vessel from the contralateral artery. This method is simple ...
Churg A - - 1980
A patient with systemic lupus erythematosus (LE) was admitted with an acute illness characterized by dyspnea, hemoptysis, fever, and diffuse infiltrates revealed by chest roentgenograms. An open-lung biopsy specimen showed massive intrapulmonary hemorrhage, and immunofluorescence and electron microscopic examinations showed granular deposits of IgG within the alveolar walls and pulmonary ...
Ellis D A - - 1980
Following a review of 13 cases of epistaxis treated by internal maxillary artery with anterior ethmoidal artery ligation over a three year period at the Toronto General Hospital certain indications for ligation have evolved. These are: 1) hospital stay longer than five days, 2) total number of nasal packs more ...
Breathnach S M - - 1980
A patient with established myelomatosis and an IgG paraproteinaemia presented with intermittent claudication. Indurated cord-like structures were noted on the dorsum of the right hand and the buccal surface of the lower lip, and biopsy of the hand lesion revealed massive amyloid deposition within the wall of an artery. Cord-like ...
Palomar J M - - 1980
Lymphatic neovascularization after transseptal and ipsilateral orchiopexy was studied in dogs. After the former, massive scrotal and inguinal lymphatic neovasculature developed on the side of the subcutaneous pouch; the lymphatic vessels drained into both right and left superficial inguinal, iliac, and paraaortic lymph nodes. After ipsilateral orchiopexy, neovascularization was confined ...
Boccon-Gibod L - - 1980
Out of 190 staghorn calculi submitted to conservative surgical treatment, 20 were selected for deliberate nephrolithotomy on the basis of previous stone surgery, shape of stone or of kidney pelvis. Stone clearance was achieved in 80% of the cases. 1 patient died of pulmonary embolus; a massive secondary hemorrhage was ...
Tisnado J - - 1980
Massive perineal bleeding due to trauma was successfully controlled by superselective embolization of the internal pudendal artery with a stainless steel mini coil. While in the standard selective procedure the internal iliac artery is embolized, the superselective technique allows preservation of the blood supply from the uninjured branches of the ...
Webb D W - - 1979
Three drug addicts with tricuspid valve endocarditis and pulmonary cavitation secondary to septic pulmonary infarcts developed massive hemoptysis. Two patients died of asphyxia and one survived. Both who died were improving clinically and had negative blood cultures when the fatal hemoptysis occurred. Therefore, however slight it may be, hemoptysis occurring ...
Jardin F - - 1979
Arterial hypoxemia is a common finding in acute pulmonary embolism, and its severity is generally assumed to be proportional to the extent of pulmonary artery obstruction. We studied blood gases (during room air breathing and 100% oxygen breathing) and hemodynamic data is seven patients with massive pulmonary embolism and circulatory ...
Aspelin P - - 1979
A case report is presented of a 50-year-old man with severe haemoptysis. The exact source of the bleeding was not known and medical treatment had no effect. Selective angiography of the bronchial arteries showed extravasation of the contrast medium into a bronchus. Embolisation of the bleeding bronchial artery caused the ...
Moore D - - 1979
The syndrome of massive and sometimes fatal epistaxis from an aneurysm of the internal carotid artery is reviewed. Two cases are reported in which exsanguination occurred with anterior and posterior gauze packing in place. The use of standard methods for controlling severe epistaxis in this syndrome was a futile exercise. ...
Arola M K - - 1979
Tracheo-arterial erosion occurred in 5 cases out of 816 tracheostomized patients, i.e. an incidence of 0.6%. The complication is serious and is nearly always fatal. In one case, treatment was successful, but the other four patients died as a result of massive haemorrhage. On the basis of these cases the ...
Kamijo A - - 1979
A 46-year-old man had a granuloma in the neck that was caused by extravasation of thorium dioxide (Thorotrast) by an angiographic procedure performed about 30 years previously. His chief complaints were dysphagia and dyspnea with mild hoarseness. Parital resection of the tumor was performed, but his symptoms were not ameliorated. ...
Tornvall G - - 1979
A case of left atrial myxoma with massive embolization in a 20-year-old woman is described. The initial clinical picture was confusing, but repeated examinations, including enzyme determinations and arteriographies, disclosed the presence of multiple arterial emboli. At embolectomy, histological investigation of embolic masses showed a picture indicating cardiac myxoma. This ...
Feloney J P - - 1978
Endobronchial tamponade with a balloon-tipped catheter (Fogarty catheter) is used to control massive hemoptysis. This case documents that recurrent massive hemoptysis can be successfully controlled with repeated use of this procedure and that the simultaneous placement of more than one catheter can be safe and effective therapy that is well ...
Carsen G M - - 1978
Five patients with Mallory-Weiss tears of the esophagus and massive uncontrolled upper gastrointestinal bleeding were treated by Gelfoam embolization of the left gastric artery. Four of the five required no further therapy. In one case permanent hemostasis was not achieved due to extension of the tear to branches of the ...
Susmano A - - 1978
The findings in two patients with angiographically proven massive pulmonary embolism and with clinical and phonocardiographic evidence of abnormal respiratory movement of the pulmonic sound are reported. One patient with complete right bundle-branch block and another with normal conduction had a wide and fixed split second sound with a loud ...
Matuchansky C - - 1978
Two young patients with massive intestinal bleeding resulting from a solitary submucosal arterial abnormality of the jejunum are reported. In one case, the bleeding lesion was localized only by emergency abdominal angiography, while a previous exploratory laparotomy proved negative. The vascular lesion encountered in both patients consisted of a wide ...
Bredin C P - - 1978
Massive, life-threatening hemoptysis occurred in a patient with left upper lobe bronchiectasis secondary to old tuberculosis. Selective left bronchial arteriography showed extravasation of contrast medium in the bronchiectatic area. A marked decrease in hemoptysis occurred after selective left bronchial arterial embolization. Complete cessation of bleeding followed the inflation of a ...
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