Search Results
Results 451 - 500 of 612
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Ramakantan R - - 1989
We report a case of fatal rupture of a false aneurysm of the ascending aorta during aortographic injection. The aneurysm had formed at the site of aortic cannulation done for a cardiac bypass at an earlier date. The rupture manifested as hemoptysis as the false aneurysm had burrowed and ruptured ...
Cohen J R - - 1989
We have previously reported that aortic tissue elastase increases with operative trauma unrelated to direct aortic injury in rabbits and that increased tissue elastase may be responsible for abdominal aortic aneurysm (AAA) rupture in humans. In the current study we studied the levels of human neutrophil and serum proteolytic activity ...
Arajärvi E - - 1989
Several investigations have indicated that rupture of the thoracic aorta is one of the leading causes of immediate death in victims of road traffic accidents. In Finland in 1983, 92% of front-seat passengers were seat belt wearers on highways and 82% in build-up areas. The mechanisms of rupture of the ...
Okada Y - - 1989
A case is described of sudden death occurring after the use of a noradrenaline-containing local anaesthetic. Autopsy revealed a massive subarachnoid haemorrhage following a ruptured cerebral aneurysm. The noradrenaline in the local anaesthetic is thought to be an important factor in the cause of the rupture. It is recommended that ...
Jayakumar P N - - 1989
A case of intra-angiography rupture of an aneurysm, a rarity, is reported. It was confirmed by CT Scan and autopsy. The aneurysm ruptured despite taking all precautions recommended in the literature. This complication may be reduced by the use of non-ionic contrast media and slow flow rate injections.
Johnson J M - - 1989
In our preliminary experience with transabdominal chorionic villus sampling, we encountered a patient with a uterus bicornis bicollis and anterior fundal placenta, which posed particular technical difficulties for the transcervical approach, but in whom sampling was easily accomplished by the transabdominal route. A description of this case, as well as ...
Johnston S D - - 1989
Complete diphallia was detected in a six-month-old Poodle cross dog. Duplication of the urinary bladder, right renal hypoplasia, bifurcation of the descending colon and bilateral cryptorchidism were also present. The left urethra was patent, and emptied the left urinary bladder; the right urethra ended blindly at a point 2.5 cm ...
Milo S - - 1989
Emergency cardiac surgery in children can be successfully carried out even when cardiopulmonary bypass is either not feasible or not available quickly enough. Hypothermia induced with ice-water bags, complete circulatory arrest, near-total body exsanguination, and rewarming with a heating blanket and heating lamps, were used twice successfully in the repair ...
Collins M P - - 1989
Traumatic rupture of the main pulmonary artery in a surviving patient is very rare. The case history of a 37-year-old man who sustained blunt chest trauma in a motor vehicle accident is presented. A persistent, bloody right pleural effusion led to the diagnosis of a ruptured right main pulmonary artery, ...
Stephenson G - - 1989
Spontaneous arterial subdural haematoma is arguably a rare condition. We report on three patients who presented with progressive neurological deficit or coma and who had been initially diagnosed as strokes. Explanations for the development of this condition are reviewed and it is suggested that it is not as rare as ...
von Oppell U O UO Department of Cardiothoracic Surgery, University of Cape - - 1988
A patient with a ruptured heart as a result of severe blunt trauma is described. There was also a false angiographic appearance of a ruptured aorta due to a ductal diverticulum. The association of aortic and cardiac rupture is discussed.
Mann J M - - 1988
Clinical and necropsy findings in 138 patients (69 men and 69 women) with rupture of the left ventricular (LV) free wall during acute myocardial infarction (AMI) (rupture group) were compared with 50 patients who died during their first AMI without rupture (nonrupture group). The frequency of systemic hypertension (55 vs ...
Weir I H - - 1988
Computed tomography in a patient with unsuspected rupture of the left mainstem bronchus revealed shift of the trachea to the right, with the remainder of the mediastinum being shifted to the left. The left mainstem bronchus was visualized only in its most proximal course. The combination of deviation of the ...
Young C P - - 1988
A man with a crush injury of his upper abdomen developed bilateral pulmonary empyema after repair of tears of the oesophagus and liver. Attempts to withdraw chest drains led to recurrent septicaemia, treated by reinsertion of the drains plus administration of antibiotics. The communication of the empyema space with both ...
Oshinsky A E - - 1988
Classical teaching suggests that placement of a tracheostomy tube through the second or third tracheal rings will safeguard the innominate artery in the majority of patients. A tracheotomy was performed on ten fresh, adult cadavers through a vertical incision in the second and third tracheal rings. A series of measurements ...
Hodes J E - - 1988
Aneurysms of the intracavernous portion of the internal carotid artery may become very large, but they very rarely rupture. A case is described in which rupture of such a lesion resulted in a lethal massive subdural hematoma with transtentorial herniation. This is the second reported case of substantiated intracranial rupture ...
Boglioli L R - - 1988
Superior pancreaticoduodenal artery aneurysms are rare; their rupture often leads to sudden death. We report a case of a 59-year-old hypertensive man who died of a massive retroperitoneal hemorrhage following rupture of an aneurysm of the superior pancreaticoduodenal artery. We also discuss this unusual vascular lesion and review the pertinent ...
Odland R - - 1988
A previously unreported association of pneumothorax and the use of a tracheoesophageal voice prosthesis is presented. A review of 44 cases revealed that two patients developed a pneumothorax requiring chest tube placement. Pulmonary barotrauma is believed to be the cause of the injury. In those patients in whom the tracheoesophageal ...
Heystraten F M - - 1988
Of 123 patients who had suffered blunt trauma to the chest traumatic aortic rupture was eventually confirmed in 61 and absent in 62 patients. The chest radiographs of these patients were examined for 15 signs reported in the literature as being associated with traumatic aortic rupture. Although many individual signs ...
Ohtomo K - - 1988
Transcatheter arterial embolization (TAE) was performed in 20 patients with ruptured hepatocellular carcinoma (HCC). Bleeding was improved in all patients, but only four survived for over three months. Rerupture occurred in seven patients (35%) and the prognosis was extremely poor. TAE should be considered the treatment of choice for ruptured ...
Sadow S H - - 1988
A 14-year-old male pedestrian was hit by a truck and admitted with respiratory distress and subcutaneous emphysema. Aortography revealed disruption of the ascending aorta. Bronchoscopy revealed rupture of the left main bronchus at the carina. Both lesions were repaired using a median sternotomy, cardiopulmonary bypass, and a transpericardial approach for ...
Costantino P D - - 1988
Carotid artery exposure and rupture is one of the most feared complications of head and neck surgery. The ideal method for preventing rupture of an exposed artery should be easy to perform, safe, effective and should spare local and regional flaps for later use in reconstruction. Isobutyl-2-cyanoacrylate (Bucrylate) is a ...
Morse S S - - 1988
The interpretations of 314 thoracic aortograms obtained over a 4 1/2-year period for possible traumatic rupture were reviewed to determine the frequency and causes of false-positive examinations. The radiographs and clinical records of all patients whose aortograms were abnormal or equivocal were examined. Two hundred consecutive thoracic aortograms that had ...
Gadhvi N P - - 1988
Using Sushruta's lateral perineal approach, 54 prostatectomies were carried out between August 1985 and March 1986. This approach to the prostate is short, safe, simple and direct. The same approach has been used in 6 patients with ruptured posterior urethras and found to provide a simple access to the urethra.
Jensen B T - - 1988
Untreated traumatic rupture of the aorta generally results in sudden death. A case with 14 years' survival after an unrecognized traumatic rupture of the aorta is presented. Chronic traumatic aneurysm of the aorta should be kept in mind in a patient who develops sudden symptoms of arteriosclerotic heart disease months ...
Van Orman C B - - 1988
We describe a child with Brown-Sequard syndrome beginning at C8-T1, immediately following Harrington rod instrumentation for idiopathic scoliosis. We believe this is most likely related to either a common variation of the branches of the anterior spinal artery to one side or due to rupture of the ipsilateral spinal vein. ...
Summers B N - - 1988
Twenty Adult traumatic paraplegics with neurologically complete lesions between C8 and T12 have ambulated using a ParaWalker (adult hip guidance orthosis), for a minimum of 6 months at home. At follow up, on average 20 months from the date of issue of the orthosis, 17 patients (85%) were still regularly ...
Bonmarchand G - - 1988
Intrapulmonary haematomas occurred during mechanical ventilation of two patients with advanced chronic obstructive pulmonary disease and bullous dystrophy. In both cases, the haematomas were revealed by blood-stained aspirates, a fall in haemoglobin level, and the appearance of radiological opacities. Haematoma occurrence in the area of a bulla which recently has ...
Pizov R - - 1987
An 8-yr-old child suffered traumatic bilateral pneumothoraces and a ruptured right main bronchus. Surgical repair of the bronchus was postponed for 18 h after a definite diagnosis was established due to severe hypoxemia and hypercarbia. Only left endobronchial high-frequency ventilation with muscle relaxation corrected this pulmonary dysfunction sufficiently to enable ...
Huang P - - 1987
We reviewed initial chest radiographs of 21 patients with, and 26 without, aortic rupture, and examined the presence or absence of individual signs previously cited to be associated with aortic rupture. Using stepwise logistic regression, the three most significant signs associated with rupture were loss of aortic contour, tracheal deviation, ...
Donovan P J - - 1987
A young otherwise healthy man presented with bilateral spontaneous pneumothorax that resulted in near respiratory failure and severe cardiac dysrhythmia. The magnitude of the patient's clinical manifestations resulted from his severely compromised pulmonary function with its attendant cardiovascular compromise. Prompt bilateral tube thoracostomy relieved his cardiopulmonary distress. This rare clinical ...
Makos M M - - 1987
Glycogen deposition in vascular smooth muscle has been demonstrated previously in alpha-glucosidase deficiency but has not been clinically significant. Three sons of healthy, nonconsanguineous parents developed progressive proximal muscular weakness secondary to alpha-glucosidase deficiency. Each patient developed a fusiform basilar artery aneurysm, which was complicated by fatal rupture in two ...
Van Nooten G - - 1987
Spontaneous rupture of the esophagus (Boerhaave's syndrome) is a very rare but the most lethal perforation of the gastro-intestinal tract. A 62-year old male was successfully treated for this condition developing on the second post-operative day after coronary artery bypass. Two hours after extubation respiratory insufficiency and circulatory collapse necessitated ...
Phillips S - - 1987
Following the repair of a ruptured anterior communicating artery aneurysm, a patient had a severe anterograde amnesia with sparing of other intellectual functions, apathy and loss of volition, altered arousal, and partial diabetes insipidus. Postmortem examination of the brain revealed bilateral destruction of the septal gray, nucleus accumbens, and nucleus ...
Kieffer E - - 1987
We report a case of traumatic rupture of the thoracoabdominal aorta that was successfully repaired 3 days following the accident. Associated lesions included rupture of the left renal and celiac arteries. This rare lesion should be suspected in the victims of violent hyperextension of the body with or without a ...
Bogaert A M - - 1987
A syncope was the first symptom of aortic rupture in a patient with chronic arterial hypertension. This syncope was the consequence of an acute haemopericardium which resulted in a sudden drop of the cardiac output. Urgent echocardiographic examination in the emergency room made early diagnosis and life-saving pericardiocentesis possible.
Cohen J R - - 1987
Rupture of renal artery aneurysms during pregnancy has been associated with an extremely high mortality rate for both mother and fetus. With this report, 18 cases have been reported in the English language literature, of which only eight mothers (44%) and four fetuses (22%) have survived. Sixteen of the 18 ...
Nora J D - - 1987
A contained rupture of the aorta is a rare event; however, this has been recognized with increased frequency in the abdominal aorta. There have previously been two reports of the containment of rupture of the suprarenal aorta. We report two additional cases of contained rupture of the suprarenal aorta, one ...
Rollins R J - - 1987
Early diagnosis and repair of tracheal rupture are necessary to prevent acute tension pneumothorax, airway obstruction, and chronic tracheal stenosis. Few reliable radiographic signs of tracheal rupture have been proposed. We diagnosed seven cases of tracheal rupture, two related to blunt trauma and five resulting from tracheal intubation. Early radiographic ...
Panicek D M - - 1987
The chest radiograph of a 79-year-old man with acute thoracic aortic rupture demonstrated enlarged, ill-defined bronchovascular markings. Examination of the lungs at autopsy revealed extensive dissection of blood from the mediastinum along the bronchovascular sheaths. Recognition that enlarged bronchovascular markings may represent hemorrhage rather than edema in the setting of ...
Pásztor E - - 1987
Subarachnoid haemorrhage caused by aneurysmal rupture constitutes a great impact on the brain and on the intracranial content as a whole, with emphasis on the subarachnoid spaces and arteries. The rupture is followed by a wide range of pathological alterations in the neural function and an outcome varying from neglected ...
Mitchell G M - - 1986
To determine the end point of histopathologic damage in avulsed arteries, the forearm arteries of five monkeys being sacrificed were avulsed longitudinally and samples of proximal and distal arteries prepared for light microscopy and transmission and scanning electron microscopy. A severe and consistent circumferential skip lesion was found on the ...
Amagasa M - - 1986
Although many patients with aneurysm rupture have undergone re-rupture during angiography, this event seldom occurs in the early period after the original hemorrhage. The authors review 197 cases of ruptured cerebral aneurysms that had received cerebral angiography within 1 week of rupture. With the exception of one case of re-rupture ...
Day J W - - 1986
Many patients with a ruptured berry aneurysm report an intense sentinel headache of sudden onset in the weeks before rupture. Such headaches have been attributed to a leak of blood, which implies that partial rupture has occurred. A case is reported of a patient who had severe headaches which seemed ...
Piser J A - - 1986
We report a case of spontaneous intraperitoneal rupture of the bladder in an elderly man with severe atherosclerotic vascular disease who had widespread systemic evidence of an arterial embolic phenomenon after elective abdominal aortic aneurysm repair. Atherosclerotic plaques were identified in the vesical arteries and were believed to be the ...
Kashtan H - - 1986
A 58-year-old man with recurrent spontaneous perforations of the colon is reported. The first two events were of the sigmoid colon, and a sigmoidectomy was performed after the second perforation. The third spontaneous perforation had occurred in the transverse colon, however, although a patent sigmoid colostomy was present. Neither primary ...
Batjer H - - 1986
Intraoperative rupture of an intracranial arterial aneurysm can dramatically interrupt a deliberate microsurgical procedure and jeopardize the patient's chances for a favorable outcome. Intraoperative rupture occurred in 58 of 307 (19%) consecutive aneurysm procedures done at The University of Texas Health Science Center. Rupture occurred during three specific periods: early ...
Deck J H - - 1986
Massive fatal subarachnoid hemorrhage maximal in the posterior fossa following minor trauma to the head and neck was first attributed to rupture of a vertebral artery (VA) in 1971. Typically, a young, healthy, but intoxicated man receives a minor blow and immediately collapses and dies within minutes. Early reports suggested ...
Dolman C L - - 1986
Two cases of isolated traumatic subarachnoid hemorrhage from the posterior inferior cerebellar artery are described. The rupture was caused in one instance by a fist blow to the face and in the other by a kick to the head. One patient survived for three days, the other patient for three ...
Jendrisak M D - - 1986
Spontaneous retroperitoneal hemorrhage is an uncommon event. A case of delayed postoperative aortic rupture from erosion by a spinal fixation device, heretofore not previously described, is presented to call attention to this potential catastrophe. Appropriate management includes aggressive patient resuscitation and early surgical intervention with initial proximal and distal control ...
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