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Suzuki Hidenori H Department of Neurosurgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan, - - 2015
Tenascin-C (TNC), a matricellular protein, exerts diverse functions, including tissue remodeling and apoptosis, and is induced in cerebrospinal fluid (CSF) after aneurysmal subarachnoid hemorrhage (SAH). The purpose of this study was to examine the relationships among CSF TNC levels, initial brain injury, delayed cerebral ischemia (DCI), and vasospasm after SAH. ...
Rabinstein Alejandro A AA Department of Neurology, Mayo Clinic, 200 First Street SW, Mayo W8B, Rochester, MN, 55905, USA, - - 2015
Subarachnoid hemorrhage (SAH) from a ruptured aneurysm is a very complex disease. The brain can be injured from the immediate effects of the acute bleeding, but can also be threatened by secondary insults hours and days later. Early and delayed systemic complications are common and can be very serious. This ...
Kapinos Gregory G Department of Neurosurgery, North Shore-LIJ Health System, 300 Community Drive, Tower, 9th floor, Manhasset, NY, 11030, USA, - - 2015
The classic idea that arterial narrowing, called vasospasm (VSP), represents the hallmark of secondary injury after subarachnoid hemorrhage, has been challenged. The more complex and pleiotropic pathophysiological repercussions from the irruption of arterial blood into the subarachnoid layers go beyond the ascribed VSP. Putting adjectives in front of this term, ...
Cheng Chi C Department of Anesthesiology, Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou 563000, - - 2014
It has found that ischemic postconditioning (IPO) might decrease pulmonary ischemia/reperfusion (I/R) injury, which is one of the main reasons of lung injury caused by cardiopulmonary bypass (CPB). It was found that aquaporins (AQPs) play a role in the maintenance of fluid homeostasis. But it is still unclear whether IPO ...
Nakao Yaoki Y Attending Physician, Daiyukai General Hospital, Ichinomiya, - - 2014
The purpose of this case report is to describe a patient with brain infarction due to recanalization of an occluded vertebral artery (VA) following closed reduction and open fixation of cervical spinal dislocation and to discuss the management of asymptomatic VA injuries associated with spine trauma. A 41-year-old Asian man ...
Sangani Niravkumar K NK Division of Cardiovascular Surgery, Mayo Clinic, Rochester, - - 2014
Bivalirudin is an accepted alternative to heparin for anticoagulation during select cardiac procedures. Its use has not been well described during transcatheter aortic valve replacement. Herein is the report of a transcatheter valve replacement case that was complicated by catastrophe and need for emergent cardiopulmonary bypass. A successful outcome was ...
Reich Heidi J HJ Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, - - 2014
Fourteen months after thoracic endovascular aortic repair for blunt thoracic aortic injury, a 24-year-old man abruptly collapsed. His neurologic function in the lower extremities fluctuated. Subsequent computed tomography (CT) demonstrated a nearly occlusive thrombus within his aortic stent. He underwent open descending thoracic aortic replacement. This dramatic case is the ...
Koplay Mustafa M Mustafa Koplay, Mesut Sivri, Alaaddin Nayman, Department of Radiology, Medical Faculty of Selcuk University, 42031 Konya, - - 2014
Truncus arteriosus is an uncommon congenital cardiac abnormality which is characterized by a single arterial trunk origin from the heart that supplies both the systemic, pulmonary and coronary circulation. We present a preterm newborn female patient with type 2 truncusarteriosus, left superior vena cava and aberrant subclavian artery diagnosed with ...
Zembala Michal Oscar MO Department of Cardiothoracic Surgery and Transplantology, Silesian Center for Heart Diseases, Zabrze, Poland m@sccs.pl - - 2014
Despite advances in surgical techniques and postoperative medical management, the mortality rates for cardiac reoperations remain high. The risk is most commonly associated with failed resternotomy complicated by fatal injury to the myocardium or its structures. This short case report documents the first use of an endoluminal balloon occlusive device ...
Hui-Chou Helen G HG The Curtis National Hand Center, MedStar Union Memorial Hospital, 3333 North Calvert Street, #200, Baltimore, MD 21218, - - 2015
Hypothenar hammer syndrome is a rare vascular condition resulting from injury to the ulnar artery at the level of Guyon canal. The ulnar artery at the wrist is the most common site of arterial aneurysms of the upper extremity and is particularly prone to injury. Signs and symptoms include a ...
Macedo Francisco Igor B FI From the Dewitt Daughtry Family Department of Surgery, Ryder Trauma Center/Jackson Memorial Hospital and University of Miami Miller School of Medicine, Miami, Florida. Electronic address: - - 2014
Popliteal vascular trauma remains a challenging entity, and carries the greatest risk of limb loss among the lower extremity vascular injuries. Operative management of patients presenting with traumatic popliteal vascular injuries continues to evolve. We present a case of successful endovascular repair with stent grafting of an acute blunt popliteal ...
Papazoglou Konstantinos O KO 5(th) Department of Surgery, Medical School, Aristotle University of Thessaloniki, Hippocratio Hospital, Thessaloniki, - - 2014
Blunt abdominal aortic trauma is a rare occurrence in children with only a few patients having been reported in the literature. Most such cases have been described in the context of lap belt injuries. We report a 9-year-old boy who suffered lap belt trauma to the abdomen during a high ...
Korkmaz Kemal K Numune Eğitim ve Araştırma Hastanesi, Department of Cardiovascular Surgery, Ankara, - - 2014
Post-traumatic arteriovenous fistulas (AVF) are common complications of vascular penetrating trauma. Here we present a case of 59 year-old woman had a history of gunshot injury 42 years ago causing AVF between superficial femoral artery (SFA) and superficial femoral vein (SFV). SFV was resected. Ipsilateral SFA was used to restore ...
Plank Fabian F Department of Radiology, Innsbruck Medical University, Innsbruck, - - 2014
In this report, we present an extremely late clinical manifestation of Bland-White-Garland syndrome in a 53-year old woman who was ttransferred to our hospital after successful cardiopulmonary resuscitation. Coronary angiography revealed a dilated right coronary artery giving rise to multiple dominant septal collaterals to the left coronary artery (LCA) which ...
Yousuf Kamal Muhammad KM Department of Vascular Surgery, Liaquat National Hospital, National Stadium Road, Karachi, 74800, Pakistan. Electronic address: - - 2014
Due to recent war situation in neighboring country we have witnessed large number of victims with post-traumatic false (pseudo) aneurysms of head and neck in roadside bomb blast victims in Pakistan. Thus through this observational retrospective study we aim to share our experience of managing these patients. 5 years patients' ...
Xu Hongfei H Department of Cardiothoracic Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou, - - 2014
Cardiac haemangioma and coronary-pulmonary artery fistula are both rare entities. We present the case of a 45-year-old symptomatic male patient with a rare cardiac cavernous haemangioma. During assessment, coronary-pulmonary artery fistula was diagnosed by computed tomographic angiography (CTA) of the coronary artery. As far as we know, this is the ...
John Jiju J Division of Pediatric Cardiac Surgery, Department of Cardiothoracic Surgery, Hamad Medical Corporation, Doha, Qatar. Electronic address: - - 2014
The management of an infant who underwent corrective surgery for a supracardiac total anomalous pulmonary venous drainage, which was complicated by the development of pulmonary hemorrhage while separating from cardiopulmonary bypass, is presented. Initiation of high-frequency oscillatory ventilation was effective in weaning the patient off cardiopulmonary bypass.
Tanaka Koyu K Department of Thoracic and Cardiovascular Surgery, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan - - 2014
We present a case of retrograde ascending aortic dissection in a 65-year-old man 8 months after emergency thoracic endovascular repair of an atherosclerotic aneurysm. Intraoperative findings identified a retrograde ascending aortic dissection due to the barb of the stent-graft. Retrograde type A dissection is a rare but fatal complication after ...
Szostek M M MM General and Thoracic Surgery Dept. Medical University of Warsaw - - - 2014
Chronic traumatic thoracic aneurysms are results of blunt trauma of the chest during motorcar accident. Treatment of choice is endovascular procedure with stent-graft. Between 2000-2012 in General and Thoracic Surgery Dept. 30 patients with posttraumatic aneurysms were operated. In all cases aneurysm was located below left subclavian artery and in ...
Navarro-Aguilar V V Department of Radiology, Hospital Universitario y Politécnico La Fe, Bulevar sur s/n, Valencia 46026, - - 2014
Univentricular congenital heart diseases include a range of entities that result in a functionally single ventricular chamber. Although the only curative therapy is cardiac transplantation, there are several palliative surgical techniques that prevent ventricular volume overload, diverting part or all the systemic venous circulation into the pulmonary arteries. The modern ...
Tainter Christopher R CR Department of Medicine, University of California, San Diego, San Diego, - - 2014
Isolated distal deep vein thrombosis (DVT) is not traditionally viewed as a potentially life-threatening condition. There are conflicting recommendations regarding its evaluation and treatment, and wide variability in clinical practice. The presentation of this case highlights the fatal potential of this condition. This is the report of a previously healthy ...
Mishra A - - 2014
Laparoscopic mobilisation of the splenic flexure can be challenging, but necessary at times to ensure a tension-free colorectal (or indeed coloanal) anastomosis. We favour the medial to lateral approach, with high tie of the inferior mesenteric vein. Hazards encountered during this approach include potential damage to the pancreas, spleen, and ...
Cheung Hoiyin H Department of Anesthesiology, Ruijin Hospital, Shanghai JiaoTong University School of Medicine, 197 Ruijin Er Road, Shanghai, 200025, People's Republic of - - 2014
This observational study was designed to evaluate the clinical value of cardiac output (CO) obtained via bioreactance (NICOM™) as compared with values of CO obtained via thermodilution (using pulmonary artery catheter, Vigilance™) and the thoracic bioimpedance (BioZ.com™), in patients undergoing off-pump coronary artery bypass surgery. Fifty American Society of Anesthesiologists ...
Kim Yeo Hyang YH Department of Pediatrics, Kyungpook National University School of Medicine, Daegu, Republic of - - 2014
Background: Percutaneous transcatheter valvotomy of the atretic pulmonary valve (PV) carries a risk of perforation of the right ventricle (RV) and requires standby of the cardiac surgical team for potential emergent cardiac management. The objective of this study was to introduce a successful and safe transcatheter wire perforation of the ...
Ho L L Department of Anaesthesia, Austin Health, Heidelberg, - - 2014
We report a case of an infusion of intra-aortic propofol after the missed inadvertent placement of a central venous catheter into the right common carotid artery. Radiological imaging revealed bilateral ischaemic infarcts in the posterior fossa and right cerebral artery territories consistent with an embolic source. The potential causes of ...
Guerra Michael M Michael Guerra is an associate professor in the PA program at Eastern Michigan University in Ypsilanti, Mich., and practices with Family Care Associates at Detroit Medical Center in Plymouth, Mich. The author has disclosed no potential conflicts of interest, financial or - - 2014
Early surgical repair of severe mitral valve regurgitation in symptomatic and asymptomatic patients is associated with better long-term outcomes than watchful waiting. This article describes an asymptomatic, 23-year-old man whose significant cardiac murmur (later confirmed to be mitral regurgitation) was found during a routine examination for a prescription refill of ...
Nachimuthu Gurusamy G Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu, - - 2014
Hemophilic pseudotumor involving the spine is extremely uncommon and presents a challenging problem. Preoperative planning, angiography, intra and perioperative monitoring with factor VIII cover and postoperative care for hemophilic pseudotumor is vital. Recognition of the artery of Adamkiewicz in the thoracolumbar junction helps to avoid intraoperative neurological injury. We report ...
Chaddad-Neto Feres F Departamento de Neurocirurgia Vascular, Universidade Federal de São Paulo, Sao Paulo, SP, - - 2014
Objective To study the ideal patient's head positioning for the anterior circulation aneurysms microsurgery. Method We divided the study in two parts. Firstly, 10 fresh cadaveric heads were positioned and dissected in order to ideally expose the anterior circulation aneurysm sites. Afterwards, 110 patients were submitted to anterior circulation aneurysms ...
Pachowicz M M Chair and Department of Nuclear Medicine, Medical University of Lublin, Poland; Chair and Department of Human Anatomy, Medical University of Lublin, Poland. - - 2014
Coronary artery fistulae (CAF) are anomalies related to coronary artery abnormal termination. This is a very rare congenital malformation accounting for about 0.2-0.4% of congenital cardiac anomalies, but in some patients it can be haemodynamically important. Single-photon emission computed tomography or positron emission tomography myocardial perfusion imaging (MPI) using radioactive ...
Kim Tae-Hoon TH Division of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon, - - 2014
A 71-year-old woman who had suffered from pulmonary thromboembolism with deep vein thrombosis for 12 years presented the hospital with a huge thoracic aortic aneurysm. During thoracic endovascular therapy, she had a sudden coronary artery occlusion without having organized stenosis or plaque rupture even under the dual antiplatelet treatment and ...
Judge Onkar O Department of Anesthesiology and Pain Medicine, University of California, Davis, - - 2014
Because of its invasive nature, debated effect on patient outcome, and the development of alternative hemodynamic monitoring technologies, the intraoperative use of the pulmonary artery catheter (PAC) has significantly decreased. The authors conducted a survey of the members of the Society of Cardiovascular Anesthesiologists (SCA) to assess current use of ...
Jivanji Salim G M SG 1Department of Paediatric Cardiology,Royal Brompton and Harefield NHS Trust,London,United - - 2014
Major and minor coronary artery anomalies in tetralogy of Fallot is a well-described finding. The importance of determining the coronary distribution impacts upon the decision making for surgery and subsequent management. Traditionally, the coronary distribution is relied classically on echocardiography and cardiac catheterisation; however, they have well-known limitations. The use ...
Cidad P P Departamento de Bioquímica y Biología Molecular y Fisiología and Instituto de Biología y Genética Molecular (IBGM), Universidad de Valladolid and CSIC, Valladolid, - - 2014
K(+) channels are central to vascular pathophysiology. Previous results demonstrated that phenotypic modulation associates with a change in Kv1.3 to Kv1.5 expression, and that Kv1.3 blockade inhibits proliferation of VSMCs cultures. To explore whether the Kv1.3 to Kv1.5 switch could be a marker of the increased risk of intimal hyperplasia ...
Yang Hua H Department of Radiology, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, - - 2014
Spinal cord ischemia significantly threatens patient health. Cervical spinal cord ischemia is mainly caused by anterior spinal artery (ASA) or anterior radicular artery (ARA) injury. Because of the complex hemodynamics in cervical spinal cord arteries, conventional CT angiography (CTA) does not satisfactorily show the ASA and ARA. In this study, ...
Nakao Yaoki - - 2014
The frequency of vertebrobasilar ischemia in patients with cervical spine trauma had been regarded as low in many published papers. However, some case reports have described cervical spine injury associated with blunt vertebral artery injury. Many aspects of the management of vertebral artery injuries still remain controversial, including the screening ...
Lillis Anna P AP Division of Vascular and Interventional Radiology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave., Boston, MA, 02115, USA, - - 2014
Iatrogenic pseudoaneurysm formation is an uncommon but potentially serious complication of cardiac catheterization. This case report describes diagnosis and treatment of a large left external iliac artery pseudoaneurysm in a 3-month-old boy following cardiac catheterization and aortic balloon dilatation for aortic coarctation. A 4-cm pulsatile mass in the left hemipelvis ...
Fernandes P P Clinical Perfusion Services, Cardiac Care, London Health Sciences Centre, London, Ontario, - - 2014
A 30-year-old female gravida 1 (37 weeks + 5 days gestation) underwent a crash Cesarean section for evidence of fetal distress, with the presumed diagnosis of placental abruption. Immediately post-op, the patient had a complete cardiovascular collapse with pulseless electrical activity, requiring cardiopulmonary resuscitation (CPR). Two doses of thrombolytics (Tenecteplase) ...
Montenij Leonard J LJ From the Department of Anaesthesiology (LJM, SADJ, JHH, ECDW), Department of Vascular Surgery (JAVH), Julius Centre for Biostatistics, University Medical Centre Utrecht, Utrecht (CLK), and Department of Anaesthesia and Pain Therapy, Maastricht University Medical Centre, Maastricht, The Netherlands - - 2014
Arterial pressure waveform analysis enables continuous, minimally invasive measurement of cardiac output. Haemodynamic instability compromises the reliability of the technique and a means of maintaining accurate measurement in this circumstance would be useful. To investigate the accuracy, precision and trending ability of arterial pressure waveform cardiac output obtained with FloTrac/Vigileo, ...
Pumberger Matthias M Spine Department, Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Berlin, - - 2014
: In any cervical spine trauma involving dislocation of the facet joints or transverse foramen, a concomitant injury of the vertebral arteries must be excluded. Early diagnosis of an arterial occlusion is important because therapeutic intervention can prevent further complications, such as irreversible vertebrobasilar ischemia. Conservative and surgical treatment strategies ...
Reshmi Liza Jose LJ Department of Anesthesia, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, - - 2014
Pulmonary atresia with restrictive ventricular septal defect is a rare congenital cardiac anomaly. A Blalock-Taussig shunt and surgical perforation of the atretic pulmonary valve is often performed as the initial palliation. We present our experience of utilizing both transesophageal and epicardial echocardiography during surgical pulmonary valvuloplasty in a 22-day-old neonate ...
Takazawa Ippei I Department of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 3290498, - - 2014
A congenital left coronary artery anomaly originating from the right aortic sinus is a rare congenital defect associated with the risk of sudden death in young individuals. In most cases, the proximal portion of the anomalous left coronary artery exists between the ascending aorta and pulmonary trunk, and it has ...
Gailloud Philippe P Division of Interventional Neuroradiology, The Johns Hopkins Hospital, Baltimore, Maryland, - - 2014
The existence of spinal cord watershed territories was suggested in the 1950s. Segmental infarcts within the junctional territories of adjacent radiculomedullary contributors and isolated spinal gray matter ischemia constitute two well-recognized types of watershed injury. This report describes the existence of another watershed territory related to the particular configuration of ...
Brinster Derek R DR Divisions of Cardiothoracic and Vascular Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia. Electronic address: - - 2014
Hemodynamic instability during transcatheter aortic valve replacement procedures may require transient cardiopulmonary bypass for support. In patients with severe atherosclerosis, peripheral cannulation may not be possible. This method of direct left ventricle cannulation during transapical TAVR is a facile means to provide arterial inflow.
Lin Ting-Tse - - 2014
Sinus of Valsalva aneurysm (SVA) is an uncommon cardiac defect accounting for only 1% of congenital cardiac anomalies and the most common complication is ruptured into the atrium or ventricle. Very late recurrence of ruptured SVA after patch repair is extremely rare. We present a case of 57-year-old man had ...
Demir Tolga T Department of Cardiovascular Surgery, Beylikduzu Kolan - - 2014
A 70-year-old male patient with myasthenia gravis required coronary artery bypass grafting due to triple-vessel disease. The anesthetic management was performed with general anesthesia using reduced doses of muscle relaxants. He was extubated four hours after surgery and the postoperative course was uneventful. Coronary artery bypass surgery in myasthenic patients ...
Rodriguez-Roisin Roberto R Hospital Clinic-IDIBAPS-CIBERES, Universitat de Barcelona, Respiratory Medicine, Barcelona, - - 2014
There are several determinants governing arterial and mixed venous blood PO2 and PCO2. Ventilation-perfusion imbalance, increased intrapulmonary shunt, and diffusion limitation to oxygen encompass the pulmonary factors. Alternatively, inspired oxygen concentration, overall ventilation, cardiac output, and oxygen consumption (uptake) are contemplated as the four most influential nonpulmonary determinants. All three ...
Pilkington S A SA Department of Anaesthesia, The Queen Elizabeth Hospital NHS Foundation Trust, King's Lynn, - - 2014
Pulmonary hypertension is a complex disorder of the pulmonary vasculature that leads to increased peri-operative morbidity and mortality. Non-cardiac surgery constitutes a significant risk in patients with pulmonary hypertension. The management of right ventricular failure is inherently challenging and fraught with life-threatening consequences. A thorough understanding of the pathophysiology, the ...
Lee Kun-Ze KZ National Sun Yat-sen University - - 2014
Persistent impairment of pulmonary defense reflexes is a critical factor contributing to pulmonary complications in patients with spinal cord injuries. The pulmonary chemoreflex evoked by activation of bronchopulmonary C-fibers has been reported to be abolished in animals with acute cervical hemisection (C2Hx). The present study examined whether the pulmonary chemoreflex ...
Dua Anahita A Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA Center for Translational Injury Research (CeTIR), Department of Surgery, University of Texas-Houston, Houston, TX, USA - - 2014
The aim of this study was to characterize national characteristics of patients who have a total knee replacement complicated by popliteal artery injury by incidence and patient demographics. All patients with ICD-9 confirmed total knee replacement who had an iatrogenic popliteal artery injury were included from the national in-patient sample ...
Miller Jeffrey W JW 1Department of Anesthesiology,Cincinnati Children's Hospital,Cincinnati,OhioUnited States of - - 2014
Oesophageal perforation is a rarely reported complication of transoesophageal echocardiography in infants. This case involves a 3.1-kg neonate with Trisomy 21, atrioventricular septal defect, and hypoplastic aortic arch undergoing aortic arch advancement and pulmonary artery banding. A paediatric transoesophageal echocardiography probe was placed intraoperatively causing a contained false passage from ...
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