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Yokoyama Shinya S Department of Cardiovascular Surgery, Kinki University NARA hospital, NARA, Japan - - 2014
We report the multidisciplinary consideration in a case of right superior vena cava draining into the left atrial roof. A 12-year-old boy was diagnosed with a sinus venosus-type atrial septal defect associated with anomalous right upper pulmonary venous return. However, intraoperative inspection showed the right superior vena cava draining into ...
Rief Matthias M Department of Radiology, Charité, Medical School, Humboldt-University and Free University, Charitéplatz 1, 10117, Berlin, Germany, - - 2014
To evaluate computer-aided stenosis detection for computed tomography coronary angiography (CTA) in comparison with human reading and conventional coronary angiography (CCA) as the reference standard. 50 patients underwent CTA and CCA and out of these 44 were evaluable for computer-aided stenosis detection. The diagnostic performance of the software and of ...
Momeni Arash A Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, 770 Welch Road, Suite 400, Palo Alto, CA - - 2014
Ear amputation is a devastating injury characterized by a conspicuous deformity that is not easily concealed and can result in tremendous psychological trauma in addition to the physical insult. While numerous different approaches have been proposed, microvascular replantation is widely considered to deliver the best esthetic outcome. In this article, ...
Kawashima Sadayuki S Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi, Higashiyama-ku, Kyoto, 605-0981, - - 2014
A 74-year-old man with single coronary artery and history of previous coronary artery bypass graft (CABG) was admitted to our hospital with worsening angina. Because of high risk of redo-CABG, we performed transradial percutaneous coronary intervention against the just proximal left anterior descending coronary artery (LAD) stenosis coexisting with short ...
Saleme Suzana S 1Department of Interventional Neuroradiology, 2Department of Diagnostic Neuroradiology, 3Department of Neurosurgery, "Dupuytren" University Hospital, Limoges, - - 2014
Although initially considered safe when covering bifurcation sites, flow-diverting stents may provoke thrombosis of side branches that are covered during aneurysm treatment. To understand the occurrence and clinical expression of side-branch remodeling in distal intracranial arterial sites after flow diverter (FD) deployment by means of correlation of imaging and clinical ...
Alfonso Fernando F Cardiac Department, Hospital Universitario de La - - 2014
Spontaneous coronary artery dissection (SCAD) is a rare but challenging clinical entity of unknown etiology. From a pathophysiological standpoint, SCAD may occur in patients with a coronary intimal tear (presenting with the classic angiographic "flap" and multiple lumens), but also in patients without an intimal rupture (presenting as an intramural ...
García-Criado Angeles A Department of Radiology, Hospital Clinic of Barcelona, Villarroel 170, 08036, Barcelona, Spain, - - 2014
To assess the value of contrast-enhanced ultrasound (CEUS) in the absence of hepatic artery signal on Doppler ultrasound (DUS) in the immediate postoperative period after liver transplant. This prospective study included 675 consecutive liver transplants. Patients without hepatic artery signal by DUS within 8 days post-transplant were studied with CEUS. If ...
Duijsens Hanneke M HM Department of Radiology, Haga Teaching Hospital, The Hague, The - - 2014
Intra-arterial treatment is gaining importance in acute ischemic stroke, but its role in patients with apparent occlusion of the extracranial internal carotid artery (ICA) on computed tomographic angiography (CTA) is inconclusive. To review retrospectively the results of intra-arterial treatment in patients with stroke and apparent extracranial ICA occlusion. In more ...
Spiotta Alejandro M AM Division of Neurosurgery, Department of Neurosciences, Medical University of South Carolina, Charleston, South Carolina, - - 2014
Conventional Onyx embolization of cerebral arteriovenous malformations (AVMs) requires lengthy procedure and fluoroscopy times to form an adequate 'proximal plug' which allows forward nidal penetration while preventing reflux and non-targeted embolization. We review our experience with balloon-augmented Onyx embolization of cerebral AVMs using a dual-lumen balloon catheter technique designed to ...
Wewel Joshua J Rush Professional Office Building, 1725 W. Harrison Street, Suite 855, Chicago, IL 60612, USA. Electronic address: - - 2014
Iatrogenic traumatic intracranial aneurysms are rare, but their clinical impact is significant secondary to their risk of intracranial hemorrhage and in their frequent complexity in management. We report an adult patient with a history of chronic sinusitis who, while undergoing elective endoscopic polypectomy, suffered an iatrogenic injury to an A2 ...
Ong H S HS Oral and Maxillofacial-Head & Neck Oncology Department, Ninth People's Hospital, Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Head and Neck Cancer Centre, Shanghai, - - 2014
The surgical resection of a large unfavourable Shamblin type III carotid body tumour (CBT) can be very challenging technically, with many potential significant complications. Preoperative embolization aids in shrinking the lesion, reducing intraoperative blood loss, and improving visualization of the surgical field. Preoperative internal carotid artery (ICA) stenting aids in ...
Chakraborty Santanu S Division of Neuro-imaging, Department of Medical Imaging, University of Ottawa, The Ottawa Hospital, Ottawa, Ontario, Canada. Electronic address: - - 2014
Neurologic determination of death or brain death is primarily a clinical diagnosis. This must respect all guarantees required by law and should be determined early to avoid unnecessary treatment and allow organ harvesting for transplantation. Ancillary testing is used in situations in which clinical assessment is impossible or confounded by ...
Sivakanthan Sananthan S Department of Neurosurgery, University of South Florida, Tampa, Florida, United - - 2014
Background Aneurysms arising from basilar perforator arteries are very rare. A primary goal of surgery is always preservation of perforator flow. However, in most surgically managed cases in the literature, sacrifice of the perforator was reported. It is important for the literature to demonstrate that patency of the perforator is an ...
Hartlage Gregory R GR Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, - - 2014
Supracristal ventricular septal defect (SCVSD), a defect of the infundibular portion of the interventricular septum just below the right aortic cusp, occurs more frequently in Eastern Asian populations. SCVSD may be complicated by right sinus of Valsalva aneurysm (SoVA). We present the case of a 26-year-old male of Korean descent ...
Kojima Takuro T International Medical Center, Saitama Medical - - 2014
Background:This study tested the hypothesis that aortic stiffness is increased more in patients with single ventricular (SiV) circulation and dilated aorta than in those without aortic dilatation, and that aortic stiffness is an independent determinant of aortic dilatation in this type of patient.Methods and Results:Pulse wave velocity (PWV) and aortic size were ...
Boudjemaa Sabah S Department of Pathology, Hopital Armand Trousseau, PARIS, - - 2014
Idiopathic pulmonary arterial hypertension is a rare disease in children. We report a case of a 2-year old boy admitted to the intensive care unit of our hospital for severe dyspnea and epistaxis. Laboratory investigations showed hemolytic anemia with schizocytes and severe thrombocytopenia. Cardiac investigations diagnosed supra-systemic pulmonary arterial hypertension, ...
Ha Vu N - - 2014
We report a rare case of fulminant congestive heart failure with fatal outcome in a 21-year-old girl with systemic lupus erythematosus (SLE). A young woman was admitted in the intensive care unit for pericardial tamponade associated with disseminated coagulopathy and refractory shock secondary to multiple coronary aneurysms. Post-mortem examination revealed ...
Asouhidou I I Department of Cardiothoracic Anesthesiology 'G.Papanikolaou' General Hospital , Thessaloniki , - - 2014
Iatrogenic perforation of coronary artery is rare during percutaneous coronary intervention (PCI); however the complications are life-threatening. Patients in this clinical setting may be treated either by stent placement, closure of the perforation with fibrin glue or coils, or with emergency bypass surgery. Onyx, a new material that has been ...
Soylu Erdinc E Department of Surgery and Cancer, Imperial College London, London, - - 2014
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether open coronary endarterectomy (CE) and coronary artery bypass grafting (CABG) compares favourably with closed endarterectomy and CABG in the myocardial revascularization of patients presenting with diffuse coronary artery disease (DCAD). One ...
van Rossum Peter S N PS From the Department of Surgery (P.S.N.v.R., L.H., R.v.H., J.P.R.), Department of Radiotherapy (P.S.N.v.R.), Imaging Division (H.M.V.), and Department of Radiology (M.S.v.L.), University Medical Centre Utrecht, Heidelberglaan 100, 3584CX Utrecht, the - - 2014
Purpose To evaluate the association between the amount and location of calcifications of the supplying arteries of the gastric tube, as determined with a vascular calcification scoring system, and the occurrence of anastomotic leakage after esophagectomy with gastric tube reconstruction in patients with esophageal cancer. Materials and Methods Institutional review ...
Catlow Jamie J Elderly Medicine, North Tyneside General Hospital, Rake Lane North Shields, Tyne and Wear NE29 8NH, - - 2014
We describe the case of an 83-year-old lady with a known aneurysmal thoracic aorta, developing acute breathlessness and hypoxia, with no pain and unremarkable cardiovascular examination. As d-dimers were raised, she was treated with low-molecular-weight heparin (LMWH) for suspected pulmonary embolism. CT pulmonary angiography showed acutely dissecting, Type-A, thoracic aortic ...
Akkaya Emre E Department of Cardiology, Mehmet Akif Ersoy Thorasic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey. Electronic address: - - 2014
Proximal cerebral protection devices have been developed as an alternative to filter protection devices for reducing neurological complications during carotid artery stenting (CAS). The aim of the present study was to evaluate the frequency of silent cerebral embolism after CAS using different cerebral embolic protection devices and the impact of ...
Salgado Maria A M MA National Institute of Cardiology, Ministry of - - 2014
To evaluate the effectiveness of single-point laser Doppler perfusion monitoring (LDPM) in the assessment of microvascular reactivity in the skin during cardiopulmonary bypass (CPB). Cross-sectional observational study. Government-affiliated teaching hospital. Twenty male patients aged 60±2 years who underwent coronary artery bypass grafting under CPB. The authors assessed the endothelium-dependent vasodilation ...
Hattori Yorito Y Department of Regenerative Medicine and Tissue Engineering, National Cerebral and Cardiovascular Center; 5-7-1 Fujishiro-dai, Suita, Osaka 565-8565 - - 2014
We have recently established a novel mouse model of bilateral common carotid artery gradual occlusion. This model serves as a mimic of severe carotid artery disease with multiple cerebral infarctions induced by cerebrovascular insufficiency. In this study, we examined whether locomotor and cognitive impairment was induced in these mice using ...
Khosla S S Vascular Biology Unit, Queensland Research Centre for Peripheral Vascular Disease, School of Medicine and Dentistry, James Cook University, - - 2014
Abdominal aortic aneurysm (AAA) is an important cause of sudden death; however, there are currently incomplete means to predict the risk of AAA rupture. AAA peak wall stress (PWS) can be estimated using finite element analysis (FEA) methods from computed tomography (CT) scans. The question is whether AAA PWS can ...
Suzuki Kazuo K Department of Epidemiology, Research Institute for Brain and Blood Vessels, Akita, - - 2014
The purpose of this study is to find out new knowledge about stroke among huge Japanese stroke registry involving complete brain images. The first stroke events from 1995 to 2004 in the Akita stroke registry (28,781 cases) were included in this study. According to brain images, we classified them into ...
Senol Sefa S Department of Cardiovascular Surgery, Educational and Research Hospital, Elazig, Turkey - - 2014
In this study, we aimed to evaluate the relationship of serum serotonin levels, which are supposed to affect vascular function, to peripheral arterial disease. This prospective study was performed in 70 patients (57 males, 13 females; mean age 67 ± 13 years) with peripheral arterial disease scheduled for surgery and 70 controls ...
Clark Richard A RA Cardiology Service, San Antonio Military Medical Center, San Antonio, TX, - - 2014
Anomalous origination of a coronary artery from an opposite sinus of Valsalva (ACAOS) is a rare finding that is typically found on autopsy in a person with sudden cardiac death or during routine cardiovascular testing. The true prevalence is unknown for this reason. There is also question to the specific ...
Nakamura Akihiro A Department of Cardiology, Iwate Prefectural Central Hospital, 1-4-1 Ueda, Morioka, Iwate, 020-0096, Japan, - - 2014
A 65-year-old man with occlusion of the left superficial femoral artery (SFA) underwent the endovascular therapy (EVT). A successful EVT was performed with three paclitaxel-eluting peripheral stents (Zilver PTX(®)) implanted in the left SFA. Angiography 1 year later showed an exudation of contrast outside the stent struts, and intravascular ultrasound, and ...
Min Kyung-Jun KJ Department of Radiology, Kangdong Seong-Sim Hospital, Hallym University College of Medicine, 150, Seongan-ro, Gangdong-Gu, Seoul, 134-701, South - - 2014
Infundibular dilation (ID) and aneurysm at the internal carotid artery (ICA)-posterior communicating artery (PComA) junction can be difficult to distinguish but may differ in clinical significance. The aim of this study was to evaluate the utility of CT angiography (CTA) in differentially diagnosing IDs and small unruptured aneurysms at the ...
Walsh Katie A KA Department of Cardiology, Cork University Hospital, Cork, - - 2014
Left main coronary artery (LMCA) damage is a rare but catastrophic complication of cardiac ablation procedures. We describe the anatomic relationships of the LMCA to its adjacent structures using analysis of computed tomographic coronary angiograms (CTCA). We studied 100 patients (55 males, age 51 ± 10 years) who were investigated ...
Shen Chen-Tian CT Department of Nuclear Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Road, Shanghai, 200233, People's Republic of - - 2014
Ventilation-perfusion (V/Q) lung scintigraphy has been a popular diagnostic test for evaluation of pulmonary thromboembolism (PE) for almost 40 years. Despite the validation of V/Q scintigraphy, it is important to remember that there are causes of unmatched perfusion defects that are not due to PE. Here, we describe a very rare ...
Araz Omer O Department of Pulmonary Diseases, Ataturk University School of Medicine, 25240 Erzurum, - - 2014
The diagnostic utility of novel biomarkers in patients with suspected pulmonary embolism (PE) is still under investigation. While many studies emphasize that high serum levels of high sensitive C-reactive protein (Hs-CRP) has a moderate relation with PE, few studies show that Hs-CRP can be used to predict the outcome of ...
Lee Jin Hwa JH Ewha Womans University School of Medicine, Department of Internal Medicine, Seoul, Korea, Republic of, Brigham and Women's Hospital, Channing Division of Network Medicine, United States ; - - 2014
Pulmonary hypertension (PH) is associated with advanced chronic obstructive pulmonary disease (COPD) though pulmonary vascular changes occur early in the course of the disease. Pulmonary artery enlargement (PAE) measured by computed tomography (CT) correlates with PH and COPD exacerbation frequency. Genome-wide association studies (GWASs) of PAE in COPD subjects have ...
Nezic Dusko G DG Department of Cardiac Surgery, "Dedinje" Cardiovascular Institute, Belgrade, - - 2014
In order to expand the revascularization of the left anterior descending coronary artery, we have applied the inverted left internal thoracic artery (left internal thoracic artery [LITA] transected near its origin, thus supplied by retrograde flow from superior epigastric and musculophrenic arteries) in carefully selected cases (four patients). The 64-slice ...
Maoz-Metzl Daniel D Division of Cardiothoracic Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, - - 2014
A central coaptation stitch (Park's stitch) is a simple surgical option in the management of aortic insufficiency in patients with left ventricular assist devices. We describe a 66-year-old male with aortic insufficiency and a bicuspid aortic valve undergoing left ventricular assist device implantation. His aortic insufficiency was successfully addressed with ...
Hisatomi Kazuki K Department of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan, - - 2014
A free-floating thrombus in the left atrium without attachment to either the atrial wall or the mitral valve is extremely rare. We describe a case in a 79-year-old woman with chronic atrial fibrillation and a recent stroke who had undergone mitral valve replacement 25 years previously and coronary artery bypass grafting ...
Biller José - - 2014
Cervical artery dissections (CDs) are among the most common causes of stroke in young and middle-aged adults. The aim of this scientific statement is to review the current state of evidence on the diagnosis and management of CDs and their statistical association with cervical manipulative therapy (CMT). In some forms ...
Acosta Stefan S Stefan Acosta, Vascular Centre, Malmö, Skåne University Hospital, S205 02 Malmö, - - 2014
Diagnosis of acute arterial mesenteric ischemia in the early stages is now possible using modern computed tomography with intravenous contrast enhancement and imaging in the arterial and/or portal phase. Most patients have acute superior mesenteric artery (SMA) occlusion, and a large proportion of these patients will develop peritonitis prior to ...
Alawami Mohammed M aCardiology Department, Green Lane Cardiovascular Service bFaculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand cFaculty of Medicine, University of Malaya, Lembah Pantai, Kuala Lumpur, - - 2014
We report a case of a 79-year-old man with hemolytic anemia caused by a small paravalvular leak after aortic valve replacement with mechanical prosthesis. The defect was successfully treated with a vascular plug.
Kim Seung-Seob SS Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, 120-752, South - - 2014
The purpose of this study was to prospectively evaluate the diagnostic capability of single-phase dual-energy CT (DECT) angiography to differentiate acute and chronic pulmonary thromboembolism (APTE, CPTE). We prospectively enrolled 26 patients (M:F = 9:17; mean age, 61 years old) with a filling defect in the pulmonary artery on DECT angiography. They were ...
Schmidt Eric E College of Medicine, University of Kentucky, Lexington, Kentucky, - - 2014
Moyamoya disease is characterized by progressive narrowing of the internal carotid artery (ICA). Symptomatic patients typically undergo cerebrovascular intervention via extracranial-intracranial (EC-IC) bypass, most often with the use of the superficial temporal artery. This case of Moyamoya disease is of particular interest as the patient presented with a unilateral atherosclerotic ...
Komar Monika - - 2014
The study aimed to assess the level of plasma Endothelin-1 (ET-1) in patients before and after transcatheter closure of atrial septal defect (ASD) and to evaluate the usefulness of measuring ET-1 levels for the diagnosis and selection of candidates for ASD closure. 80 patients (55 F, 25 M), mean age ...
O'Donnell Mark E ME Divisions of Vascular and Endovascular - - 2014
Complications attributed to central venous stenosis and subsequent thrombosis are increasing in frequency and are most commonly associated with neointimal fibroplasia as well as neoplastic, fibrotic, and traumatic pathologies. We present the successful venous bypass and thoracic wall reconstruction of a fifty-eight year old female with chronic atypical symptoms secondary ...
Mei Fei F Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China; Department of General Surgery, Yichang Central People's Hospital, the First College of Clinical Medical Science, China Three Gorges University, Yi Chang, 443003, - - 2014
This study presented a rare case of fast-growing multiple aneurysms. A male patient rapidly developed multiple aneurysms involving the aortic arch and the carotid, internal iliac, right femoral, and left popliteal arteries over a period of 2 months, accompanied by fever, hyperfibrinogenemia, thrombocythemia, and folliculitis-like skin lesions. He underwent aneurysmectomy ...
Patel Sanjay D - - 2014
Cystic adventitial disease (CAD) is a recognised cause of chronic lower limb ischaemia. We present a case of CAD presenting as acute lower limb ischaemia. A 54 year old lady presented with a 48hr history of sudden onset right leg and foot pain associated with parasthesia and weakness. Duplex ultrasound ...
Francesco Mongelli M Vascular and Endovascular Surgery Unit, University Hospital IRCCS San Martino-IST, University of Genoa, - - 2014
Open thoracoadbominal aortic aneurysm (TAAA) treatment presents an high complications rate such as spinal cord ischemia. Surgical technique includes the temporary occlusion of intercostal arteries with a balloon. In rare cases the arterial injury can lead to development of an intercostal artery aneurysms (ICAA), probably due to a thin artery ...
Ayad Micheal M Division of Vascular and Endovascular Surgery, Thomas Jefferson University Hospital, 111 S. 10th St, Suite 6270, Philadelphia, PA 19107. Electronic address: - - 2014
Thoracic endovascular aortic repair (TEVAR) has emerged as a safe and effective alternative to open surgery for treatment of thoracic aortic aneurysms. It has recently been reported that stent graft coverage of the celiac artery (CA) during TEVAR is associated with a low risk of acute mesenteric ischemia. However, the ...
Paludetto Gustavo G Division of Vascular and Endovascular Surgery, Institute of Cardiology of Federal District - ICDF, Brasília, DF, Brazil. Electronic address: - - 2014
The successful use of customized branched or fenestrated devices to treat elective thoracoabdominal aneurysm (TAAA) has already been described. However the device customization is a lengthy process that necessitates a delay in treatment of more than a month. This case reports an emergency treatment of TAAA, in a 80 years ...
Almeida Inês I Serviço de Cardiologia do Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal. Electronic address: - - 2014
The authors report the case of a 53-year-old man, with a long-standing history of mild mitral stenosis, admitted for worsening fatigue. Transthoracic echocardiography (limited by poor image quality) showed mitral annular calcification, leaflets that were difficult to visualize and an estimated mitral valve area of 1.8 cm(2) by the pressure ...
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