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Liu Xingrong X Department of Cardiac Surgery, Peking Union Medical College Hospital, Beijing, China - - 2014
Blunt traumatic innominate pseudoaneurysm is rare, and coexisting airway distress is even rarer. We describe a case of innominate pseudoaneurysm that subtotally compressed the trachea in a 45-year-old man. The patient also had bovine-type arch anatomy. He experienced exacerbated respiratory distress on anesthesia induction. A cardiopulmonary bypass (CPB) circuit was ...
Gupta Kamal K Mid America Cardiology, University of Kansas Hospital, 3901 Rainbow Blvd, Kansas City, KS 66160 USA. - - 2014
Carotid artery stenting (CAS) and endarterectomy (CEA) are considered competing rather than complementary carotid artery revascularization (CAR) strategies. However, patient characteristics that increase procedural risk are quite different for CAS or CEA. We hypothesized that selecting a CAR strategy based on individual patient characteristics using a multispecialty consensus based (MSCB) ...
Ishizuka Shuichi S Division of Cardiovascular Medicine, Toyohashi Heart Center, 21-1 Gobudori, Oyama-cho, Toyohashi, 441- 8530, Japan. - - 2014
A 70-year-old female was admitted to our hospital due to claudication of the left leg. The patient was diagnosed with peripheral artery disease and received endovascular therapy (EVT) with a stent implanted in the right common iliac artery (CIA) at another hospital 3 months earlier. The left CIA was jailed ...
Halezeroğlu Semih S Thoracic Surgery Department, Acıbadem University, Faculty of Medicine, Istanbul, - - 2014
Haemoptysis is not an unusual finding in patients with old or active pulmonary tuberculosis. Because of bronchial artery or a branch of pulmonary artery erosion due to cavitary infiltration, bronchiectasis, fungus ball, broncholithiasis or destroyed lung, the bleeding can sometimes be a life-threatening situation. Assessment of the patient and finding ...
Abuagla Elnasri M EM Department of Radiology, Faculty of Medicine, University of Gezira, Madni, - - 2014
Renal artery stenosis (RAS) is one of the main correctable causes of secondary systemic arterial hypertension. Color Doppler ultrasound (DUS), a non-invasive imaging modality, has been used to diagnose RAS in hypertensive patients. This study was conducted in the period between June 2008 and March 2010 to compare the sensitivity, ...
Heilmaier Christina C Department of Radiology, Stadtspital Triemli, Zürich, - - 2014
Background: Multi-detector computed tomography (MDCT) is more and more used for evaluation and quantification of coronary artery calcification, but correlation between the degree of calcification and occurrence of clinical events is also known for other vascular beds such as the aorta. Purpose: To assess possible differences in amount and pattern ...
Willemink Martin J MJ From the Departments of *Radiology, †Cardiology, and ‡Vascular Surgery, University Medical Center Utrecht, Utrecht, The - - 2014
The objective of this study was to evaluate coronary image quality, stenosis grade, and diagnostic confidence in patients undergoing electrocardiogram-gated thoracoabdominal multidetector computed tomographic angiography (CTA) for aortic evaluation. Seventy-five consecutive patients underwent retrospectively electrocardiogram-gated thoracoabdominal CTA reconstructed at each 12.5% of the R wave to R wave (R-R) interval. ...
Belcaro Gianni G Circulation Science, Irvine3 Labs, CH-PE University, Pescara, - - 2014
This study evaluated the stretching and dilatation of venous segments ex vivo in subjects with primary varicose veins in comparison with comparable segments from subjects that used the supplement Pycnogenol (150 mg/d) for 3 months before surgery. Subjects with varicose veins and chronic venous insufficiency voluntarily used Pycnogenol for a ...
Gürsu Alper Hazım AH Department of Paediatric Cardiology, Başkent University Faculty of Medicine, Ankara, Turkey. - - 2014
We report a baby with intralobar pulmonary sequestration who was successfully treated with a new embolization agent, Onyx. A 1.5-month-old female infant was admitted to our hospital with sweating and fatigue. Telecardiography showed cardiomegaly, dextrocardia, and increased pulmonary vascular markings. In thoracic computerized tomography, pulmonary sequestration, right pulmonary hypoplasia, and ...
Saygı Murat M Department of Pediatric Cardiology, Mehmet Akif Ersoy Cardiovascular Training and Research Hospital, İstanbul, Turkey. - - 2014
In this report, we present a five-month-old female patient with a diagnosis of idiopathic pulmonary arterial hypertension (IPAH). This patient was accepted by our clinic after a sudden deterioration in her clinical condition. We performed echocardiography and observed a 17 mm pericardial fluid near the left ventricle posterior wall, which ...
Demir Serdar S Department of Cardiology, Kartal Koşuyolu Heart Training and Research Hospital, İstanbul, - - 2014
An 11-year-old girl was admitted to our hospital with a history of fatigue, effort dyspnea, and chest pain. On transthoracic echocardiography, the parasternal short-axis and apical four-chamber color Doppler flow imaging showed a structure matching the level of the coronary sinus and pouring into the right ventricle. On multi-slice computed ...
Bertocchini Arianna A Hepato-biliary and Transplant Surgery Unit, Department of Surgery and Transplantation Centre, Bambino Gesù Childrens Hospital, Roma, Italy. Electronic address: - - 2014
Portal vein aneurysms (PVAs) are usually located at the vein trunk or at its bifurcation, rarely intra-hepatic, or at the umbilical portion. Etiology remains unclear. Three children with PVA were identified over a 5-year period. PVA anatomy was assessed by Doppler Ultrasound, Angio CT/MRI, and trans-jugular retrograde portography. Three children ...
Lee M-C MC School of Medicine, Tzu Chi University, Hualien, Taiwan; Department of Surgery, Buddhist Tzu Chi General Hospital, Hualien, - - 2014
Leptin is a protein predominantly produced by adipocytes that plays a pathophysiologic role in the pathogenesis of hypertension and cardiovascular diseases. The aim of this study was to evaluate the relationship between fasting serum leptin levels and peripheral arterial stiffness among kidney transplant (KT) patients. Fasting blood samples were obtained ...
Yuksel Isa Oner IO Antalya Education and Research Hospital, Antalya, - - 2014
Anomalous origin of coronary arteries is generally asymptomatic and a rare disease. However, some cases can cause severe life-threatening events such as myocardial ischemia, arrhythmia, and acute myocardial infarction. We describe a case of a single coronary artery arising from the right sinus of Valsalva in a 48-year-old female patient ...
Madesis Athanasios A 1 Cardiothoracic Department, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 2 Cardiothoracic Surgery Department, "Saint Luke" Private Hospital, Thessaloniki, Panorama, Greece ; 3 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 4 Surgery Department (NHS), University General Hospital of Alexandroupolis, Alexandroupolis, Greece ; 5 Medical Oncology, "Saint Luke" Private Hospital, Thessaloniki, Panorama, Greece ; 6 Internal Medicine Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 7 Cardiology Department, "Saint Luke" Private Hospital, Thessaloniki, Panorama, Greece ; 8 Anesthesiology Department, "Saint Luke" Private Hospital, Thessaloniki, Panorama, - - 2014
Mitral valve (MV) dysfunction is the second-most common clinically significant form of valvular defect in adults. MV regurgitation occurs with the increasing frequency of degenerative changes of the aging process. Moreover, other causes of clinically significant MV regurgitation include cardiac ischemia, infective endocarditis and rhematic disease more frequently in less ...
Roh Jae-Hyung JH Heart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South - - 2014
Many studies have reported comparable risk of hard end points between percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) for unprotected left main coronary artery (ULMCA) stenosis. However, there are limited data regarding the morbidity associated with ULMCA revascularization. This study sought to compare the cause and risk ...
Maragkoudakis Spyridon S Cardiology Department, Heraklion University Hospital, Crete, - - 2014
We describe the case of a 45-year-old female patient with coronary fistulas arising from both the left and right coronary artery system and emptying in the left ventricle. Only sporadically do coronary artery fistulas drain into the left ventricle. In our patient, the most likely explanation of the fistulous communications ...
Baldi Cesare - - 2014
Transradial approach in cardiac catheterization is increasing. In daily practice, coronary angiography via radial artery is usually performed by using catheters designed for femoral approach. The aim of this study was to evaluate advantages in the use of a workbench reshaped AR1 mod catheter, in terms of procedural duration time, ...
Prapas Sotirios N SN 1 Cardiac Surgery Department, Director of "Henry Dunant" Hospital, Athens, Greece ; 2 Cardiothoracic Surgery Department, "Saint" Luke Private Hospital, Thessaloniki, Panorama, Greece ; 3 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 4 Surgery Department (NHS), University General Hospital of Alexandroupolis, Alexandroupolis, Greece ; 5 Internal Medicine Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 6 Pathology Department, "G. Papanikolaou" General Hospital, Thessaloniki, - - 2014
The primary issues must be discussed regarding the decision making of treating a patient with chronic coronary artery disease (CAD), are the appropriateness of revascularization and the method which will be applied. The criteria will be the symptoms, the evidence of ischemia and the anatomical complexity of the coronary bed. ...
Saez Barraquero Felipe F Servicio de Urologia, Medicina Familiar, Urgencias y Radiolofia. Hospital Clinico Virgen de la Victoria.Malaga. - - 2014
We report the case of a 73 year old man with past medical history of endoprosthesis for an aortic thoracoabdominal aneurysm in 2005, pulmonary embolism in 2007 and a pacemaker for complete AV block. He was on anticoagulation treatment with coumadin. He presented to the Emergency Department with abdominal pain ...
Prezioso Domenico D Department of Urology, University Federico II of Naples. - - 2014
Objective: A precise characterization of erectile dysfunction (ED) of vascular origin has not yet been achieved, although cavernous peak systolic velocity (PSV) is generally considered a major parameter. Nevertheless the penile dynamic color Doppler is invasive and linked to several complications. The intima-media thicknesses (IMT) of cavernosal artery would add ...
Kim Min Gyu MG Division of Infectious Diseases, Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, - - 2014
Mycotic aneurysms are uncommon, but are fatal without appropriate management. Previous reports have shown that anaerobes and gram-negative organisms are less common but more dangerous than other causative agents of mycotic aneurysm. We report the case of a 60-year-old man with poorly controlled diabetes mellitus and atherosclerosis in the aorta, ...
Kim Eun Young EY Department of Radiology, Chonbuk National University Medical School and Hospital, Research Institute of Clinical Medicine, Jeonju 561-712, Korea. ; Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul 138-736, - - 2014
To assess perfusion patterns on a dual-energy pulmonary CT angiography (DECTA) of pulmonary hypertension (PHT) with variable causes and to assess whether the extent of perfusion defect can be used in the severity assessment of PHT. Between March 2007 and February 2011, DECTA scans of 62 consecutive patients (24 men, ...
Hong Hye Ri HR Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. ; Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center, Seoul, - - 2014
Vulvar hematomas are uncommon outside of the obstetric population and may be the result of trauma to the perineum. Vulvar hematomas most often present with low abdominal pain and urologic and neurologic symptoms. The vulva has rich vascularization that is supplied by the pudendal artery, a branch of the anterior ...
Sonomura Tetsuo T Department of Radiology, Wakayama Medical University, Wakayama 641-8510, - - 2014
We present a case of a patient with rapid deterioration of esophageal varices caused by portal hypertension accompanied by a large arterioportal shunt that developed after radiofrequency ablation of hepatocellular carcinoma. We used n-butyl cyanoacrylate (NBCA) as an embolic material to achieve pinpoint embolization of the shunt, because the microcatheter ...
Tang Jianjin J Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China; ; Division of Cardiology, The Affiliated Jiangyin Hospital of Southeast University Medical College, Wuxi, Jiangsu 214400, - - 2014
We report a case of a 49-year-old man who was admitted with a 3-hour history of sudden onset of substernal chest pain. Coronary angiography revealed that the left circumflex artery (LCX) was acutely and totally occluded at the mid-portion. In addition, the proximal and mid-portion of the right coronary artery ...
Barrett John P - - 2014
Severe pulmonary hypertension in pregnancy is known to carry a 40% risk of death for the mother. The most common cause of death in cases of pulmonary hypertension is heart failure. We present a case of maternal death due to dissection of the pulmonary artery resulting in cardiac tamponade. The ...
Gunn Tyler M - - 2014
Recent advances in hybrid techniques of aortic arch debranching allow for the repair of thoracic aortic arch aneurysm without requiring cardiopulmonary bypass or hypothermic circulatory arrest. We describe the repair of a ruptured proximal descending thoracic aortic aneurysm, using off-pump aortic arch debranching and antegrade transaortic deployment of a thoracic ...
Ko Ji Kyung - - 2014
The transobturator tape (TOT) procedure was devised to reduce morbidity, but nevertheless, it may cause significant complications. We treated a patient by pelvic arterial embolization due to severe arterial bleeding following the TOT procedure. The patient presented with vaginal bleeding and hematoma after the TOT procedure. She demonstrated bleeding from ...
Kim Hye-Jin HJ Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, - - 2014
The risk of dying from a pulmonary embolism (PE) is estimated to be about 30% if inotropic support is required and no cardiopulmonary arrest occurs. Fibrinolysis in massive PE is regarded as a life-saving intervention, unless there is a high risk of bleeding following the use of the fibrinolytic therapy. ...
Alpaidze M M DEKA University Clinic, Tbilisi; S. Khechinashvili University Clinic, Tbilisi, - - 2014
Posterior circulation disorders (PCD) include a) vertebrobasilar insufficiency (VBI), which has a wide clinical manifestation such as vestibulocerebellar syndrome, cephalalgia, cochlear syndrome, vegetovascular dystonia, visual disturbances, "syndrome of vertebral artery compression" etc, b) vertebrobasilar TIA and c) stroke. All of them are caused by blood flow disturbances in vertebral (VA), ...
Min Daniel D Department of Internal Medicine, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, - - 2014
Pulmonary artery sarcoma (PAS) is a rare, poorly differentiated malignancy arising from the intimal layer of the pulmonary artery. Contrast-enhanced chest computed tomography (CT) is a good diagnostic modality that shows a low-attenuation filling defect of the pulmonary artery in PAS patients. An 18-year-old man was referred to our hospital ...
Molnar A - - 2014
Abdominal aortic aneurysms represent a common pathologiccondition, with an increasing incidence in the last decades.Unfortunately, the mortality rate in ruptured abdominal aorticaneurysms has also increased. The aim of this retrospectivestudy was to determine the risk factors that could interferewith the surgical outcome of these patients, especially with theperioperative morbidity and ...
Lesanu G - - 2014
Malformations of the inferior vena cava (IVC) are rarepresentations, exceptional in children, and are usually asymptomatic.They are caused by disturbances in the embryologicalformation of the venous system or can develop as a result ofperinatal venous thrombosis with secondary impairment of thevenous development. We report the case of a 14 year ...
Kharwar Rajiv Bharat - - 2014
Ruptured aneurysm of the anterior mitral leaflet is a rare but a devastating complication secondary to aortic valve infective endocarditis. We report a case of 30-year-old male with native aortic valve endocarditis who was referred to us for evaluation of worsening of heart failure after an initial period of responsiveness ...
Korkmaz Levent L Department of Cardiology, Ahi Evren Thorasic And Cardiovascular Surgery Training And Research Hospital, Trabzon 61100, - - 2014
In this case report, we present the occlusion of multiple coronary artery fistulae originating from proximal left anterior descending (LAD) and right sinus valsavla and empting to the pulmonary artery at the same place. We occluded LAD fistulae by using thrombus aspiration catheter as a delivery guide. To the best ...
Sohn Jihyun J Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, - - 2014
We present a case of 48-year-old male who presented with coronary artery fistula draining into left ventricle. Transthoracic echocardiography showed abnormal blood flow draining into left ventricle, with enlarged coronary arteries and multiple vascular structures around ventricular myocardium. Coronary computed tomography revealed dilatation of entire left coronary artery which was ...
Rashad Sherif S Department of Neurosurgery, Alexandria University School of Medicine, Alexandria, - - 2014
Giant intracranial aneurysms are rare disorders that represent only 5 % of all intracranial aneurysms; they have a wide variety of presentations including rupture, embolic effects, and mass effect symptoms that can mislead the diagnosis to tumors rather than aneurysms. Their treatment is difficult and carries higher morbidity and mortality than ...
Verdoia Monica M 1Division of Cardiology, Azienda Ospedaliera-Universitaria "Maggiore della Carità", Eastern Piedmont University, Novara, - - 2014
Glycoprotein IIb/IIIa (GP IIb/IIIa) is a key receptor for platelet aggregation and adhesion. We investigated whether a single-nucleotide polymorphism of GP IIIa subunit (Leu33Pro-PlA(1)/PlA(2) allele) is associated with the extent of coronary artery disease (CAD) in a consecutive cohort of 1518 patients undergoing coronary angiography. Significant CAD was defined as ...
Su Tsung-Ming TM Departments of Neurosurgery - - 2014
A 7-month-old baby presented with a 4-day history of drowsiness and vomiting after a falling accident. Magnetic resonance imaging demonstrated diffuse subarachnoid hemorrhage, intraventricular hemorrhage, and variable stages of subdural hematoma in bilateral occipital and left temporal subdural spaces. A partially thrombosed aneurysm was noted in the right craniocervical junction. ...
Yokosawa Michiko M Department of Neurosurgery, Miyagi Children's - - 2014
Moyamoya disease can be associated with a rapidly progressive course in young patients. This report describes a patient with moyamoya disease who experienced rapid disease progression, resulting in cerebral infarction and a wide area of diminished cerebral perfusion. Double superficial temporal artery (STA)-middle cerebral artery (MCA) anastomoses were utilized to ...
Kamohara Keiji K Department of Thoracic and Cardiovascular Surgery, Saga Medical School, Saga, Saga, - - 2014
Background: In thoracoabdominal aneurysm (TAAA) repair, our technical modification of visceral reconstruction using longer cut pre-sewn side branches has provided good surgical outcomes. Here, we assessed the long-term durability and patency of revascularized branches using computed tomography (CT) to confirm the validity of our approach.Methods: Early and late CT evaluations ...
Vidal V V Department of Radiology, Hôpital de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France. Electronic address: - - 2014
Elective transanal Doppler-guided hemorrhoidal artery ligation (DG-HAL) has recently been shown to be effective in hemorrhoidal disease. It consists of ligating the terminal branches of the superior rectal artery under Doppler guidance, in order to reduce the hemorrhoidal arterial blood flow and improve the symptoms. By analogy, we propose performing ...
Lee Yong Hee YH Department of Sport Science, University of Seoul, 130-743 Seoul, - - 2014
Objective: To determine whether arterial stiffness is associated with cognitive function after adjustment for physical fitness in patients with chronic stroke. Methods: Cross-sectional analyses were conducted in 102 patients with chronic stroke who participated in an exercise rehabilitation programme. Carotid femoral pulse wave velocity and augmentation index were measured as ...
Tan Lee A LA Department of Neurosurgery, Rush University Medical Center, Chicago, IL 60612, - - 2014
The "Spot Sign" is a well-recognized radiographic predictor for hematoma expansion in patients with intracerebral hemorrhages. Although the exact underlying pathophysiology is unknown, it is generally assumed to be the site of blood vessel rupture and contrast extravasation. We report a case of an 81-year-old man who presented with right ...
Tian Jinwei J Cardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Department of Cardiology, The second Affiliated Hospital of Harbin Medical University, The Key Laboratory of Myocardial Ischemia, Chinese Ministry of Education, Harbin, - - 2014
To identify specific morphological characteristics of ruptured culprit plaques (RCP) responsible for acute events, and compare them with ruptured non-culprit plaques (RNCP) and non-ruptured thin-cap fibroatheroma (TCFA) in patients presenting with acute coronary syndromes (ACS). Non-ruptured TCFA and multiple ruptured plaques are detected in the same patients with ACS. It ...
Taqui Ather A Cerebrovascular Center, Cleveland Clinic, Cleveland, OH, - - 2014
Cerebrovascular complications of bacterial meningitis may include vasculitis, vasospasm or vasoconstriction, delayed cerebral infarction, venous and arterial thrombosis, intracranial aneurysm formation. The role of invasive endovascular therapies has not been well studied for infectious vasospasm, which can lead to dire neurologic consequences. We present 2 patients who were diagnosed with ...
Ertl L L From the Department of Neuroradiology (L.E., M.P., H.B., G.F.), Institute of Clinical Radiology, Grosshadern Campus, University of Munich, Munich, Germany; and Center for Diagnostic Radiology (M.H.), Department of Neuroradiology, Rigshospitalet, University of Copenhagen, Copenhagen, - - 2014
Fusiform vertebrobasilar giant aneurysms are a rare (<1% of all intracranial aneurysms) but challenging aneurysm subtype. Little data are available on the natural history of this aneurysm subtype and the impact of the use of flow-diverting stents on the long-term clinical and imaging follow-up. In this article, we present our ...
Park Jin Joo JJ From the Cardiovascular Center, Seoul National University Bundang Hospital, 82 Gumiro-173-gil, Bundang, Seongnam, Gyeonggi, 463-707, South Korea (J.J.P., E.J.C., Y.S.C., I.Y.O., C.H.Y., J.W.S., S.I.C., T.J.Y., I.H.C., D.J.C.); and Cardiovascular Center, Seoul National University Hospital, Seoul, South Korea - - 2014
Purpose To identify potential predictors of side-branch occlusion after main-vessel (artery) stent implantation in bifurcation lesions by using coronary computed tomography (CT) angiography. Materials and Methods This retrospective study was approved by the institutional review board; informed consent was waived. Sixty-five patients with de novo bifurcation lesions underwent coronary CT ...
Puri Ajit S AS Division of Neuroimaging and Intervention, Department of Radiology and New England Center for Stroke Research, University of Massachusetts, Worcester, Massachusetts, - - 2014
Tandem vascular occlusions are an important cause of acute ischemic stroke (AIS) and present unique treatment challenges. We report our experience of managing a subset of AIS patients with extracranial vascular stenting/angioplasty and intracranial revascularization. Consecutive patients who presented at three centers with AIS from tandem vascular occlusions confirmed by ...
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