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Roselli E E - - 2011
In recent years transcatheter approaches to treat heart valve disease have played an increasingly important role. This has been especially true for aortic stenosis, with two valves commercially available in Europe and several others under investigation in man. These least invasive therapies have expanded treatment options for the highest surgical ...
Headley Carol M - - 2011
Nephrology nurses are often faced with the responsibility of triage. Shortness of breath in a patient receiving chronic dialysis is a frequently heard complaint. Clinicians, at first glance, will consider volume expansion as the probable cause for the shortness of breath, and most often, they are correct. However, for some, ...
Menon Ashvini - - 2011
Aneurysmal dissection of the ascending aorta and arch may be associated with polycystic kidney disease. We report a case of massive polycystic kidneys leading to respiratory and gastrointestinal embarrassment in combination with aneurysmal dilatation of a chronic arch dissection managed by simultaneous bilateral nephrectomy and arch replacement.
Lemaire Scott A - - 2011
Aortic arch replacement remains among the most technically challenging cardiovascular operations, incurring considerable risk for perioperative death and stroke. The trifurcated graft technique, in which a double Y-graft is used to connect brachiocephalic branches to the main aortic graft, was recently developed to simplify arch reconstruction, reduce embolization, and minimize ...
Borsari Thomas E - - 2011
Patients who have had an esophagectomy with gastric pull-up are at a higher risk for perioperative pulmonary aspiration due to loss of the esophageal sphincter. Altered neck anatomy following esophagectomy may render the conventional cricoid pressure maneuver unreliable in preventing pulmonary aspiration during induction of general anesthesia. Two patients who ...
Spiliotopoulos Konstantinos - - 2011
A 22-year-old woman suffering from Behcet's disease and severe angina was diagnosed with a left anterior descending coronary artery giant pseudoaneurysm. Preoperative investigations, surgical management, and its principles, as well as specific postoperative follow-up considerations are described.
Rodríguez-Palomares José F - - 2011
INTRODUCTION AND OBJECTIVES: Multislice computed tomography is an excellent technique for the detection of significant coronary artery lesions. Our purpose was to assess whether computed tomography could replace routine invasive coronariography before valvular surgery. METHODS: We studied 106 consecutive patients (mean age: 67 [10]): 76% aortic valvular disease (62% stenosis, ...
Zweig Bryan M - - 2011
This study sought to determine the association of abdominal aortic calcium (AAC) with coronary artery calcium (CAC) and obstructive coronary artery disease (CAD). We included 58 patients (mean age 54.4 years, 40% males) without known CAD who underwent a non-contrast abdominal computed tomography (CT) scan and 64-slice coronary computed tomography angiography ...
Gaudelli C - - 2011
A case of pulmonary embolus after elective hip arthroscopy is reported. The incidence of thromboembolic events after such procedures is currently unknown, and the decision regarding whether to provide prophylaxis rests on anecdotal evidence. Level of evi,dence IV.
Fedullo Peter - - 2011
Over the past 4 decades, chronic thromboembolic pulmonary hypertension has evolved from an autopsy curiosity to a potentially correctable form of pulmonary hypertension. Advances in surgical techniques along with the introduction of pulmonary hypertension disease-modifying therapies provide a therapeutic option for the majority of patients afflicted with the disease. Approximately ...
Darwazah Ahmad K - - 2011
Abstract  Intrathoracic kidney is a rare congenital anomaly. It appears as a posterior mediastinal mass on chest X-ray. Most cases are asymptomatic and are discovered accidentally. We present a 48-year-old male patient with intrathoracic kidney discovered during routine investigation for coronary artery bypass surgery. (J Card Surg 2011;**:***-***).
Dell'amore Andrea - - 2011
A 59 year-old man with a right-sided aortic arch who had a T4 right lung cancer invading the proximal superior pulmonary vein underwent an intrapericardial-pneumonectomy with partial left atrium resection and a radical lymphadenectomy. The presence of a right-sided aortic arch required particular attention during dissection of the lymph nodes. ...
Vastel-Amzallag Carine - - 2011
OBJECTIVES: A detailed preoperative evaluation of coronary anatomy is mandatory before surgical intervention for tetralogy of Fallot. In pediatric patients, the preoperative evaluation of coronary anatomy has relied classically on conventional angiographic analysis and, more recently, on echocardiographic analysis, which have well-known limitations and complications. Recent technological improvements allow the ...
Xue Hui - - 2011
Pulmonary artery sarcoma originating from the pulmonary artery is a rare disease and its prognosis is extremely poor. Most patients are initially thought to have pulmonary embolism. Five patients (3 males and 2 females, mean age was (42.0 ± 8.5) years) of primary pulmonary artery sarcomas underwent surgical procedures. Sarcoma ...
Chen S F - - 2011
The aim of this study was to present our experience with retrograde suction decompression in clipping of large and giant cerebral aneurysms and analyze its advantages and pitfalls. A retrospective analysis of 27 patients with large and giant intracranial aneurysms treated by suction decompression assisted clipping between November 2005 and ...
Kleine Peter - - 2011
Tracheal and esophageal stenosis caused by double aortic arch and Kommerell diverticulum is a rare but important pathologic entity in adult patients. Clinical symptoms are caused by esophageal or tracheal stenosis, or both. The present article describes a surgical method of complete repair with division of the rudimentary left arch, ...
Kim Myung Up - - 2011
In donor nephrectomy, it is important to understand the exact anatomy of the blood vessels during minimally invasive surgery. We prospectively analyzed the accuracy of the vessel structures obtained by use of 64-row multi-detector computed tomography (MDCT) angiography compared with the actual vessel structure observed during surgery. We analyzed 238 ...
Tyner Danielle - - 2011
Computed tomographic angiography (CTA) is a useful diagnostic modality that is becoming more widely available in veterinary medicine. Its three-dimensional imaging capabilities allow a template for planning surgical procedures, accurate lesion measurements, and it is considerably less expensive than other comparable modalities. Selective CTA is described here, in a case ...
Schlösser Felix J V - - 2011
A 79-year-old woman presented with a ruptured saccular thoracoabdominal aortic aneurysm involving the celiac and mesenteric artery. The patient was unfit for open surgical repair. A "chimney" procedure was performed, which involved placement of stents in the aortic side branches alongside the endograft. The patient underwent another chimney procedure 2 ...
Sivrikoz Muammer Cumhur - - 2011
PURPOSE: Anatomical investigation is important for safer surgical procedures and to focus on aims. Pulmonary artery anatomy is very important point for thoracic surgery, especially in lobectomy procedure. METHOD: Between January 2005 and December 2008 at Eskişehir Osmangazi University Faculty of Medicine, Department of Thoracic Surgery, 85 right or left, ...
Pigna Giovanni - - 2011
OBJECTIVE: Quantify the whole-body atherosclerotic disease in asymptomatic subjects with and without metabolic syndrome (MetS) and to assess the contribution of the syndrome and its components to the atherosclerotic burden. METHODS: Sixty-five subjects with and 51 without ATPIII-defined MetS underwent a 64-slice computed tomography angiography (CTA). Plaques causing >0% stenosis ...
Halpern Ethan J - - 2011
RATIONALE AND OBJECTIVES: To compare computer-generated interpretation of coronary computed tomography angiography (cCTA) by commercially available COR Analyzer software with expert human interpretation. MATERIALS AND METHODS: This retrospective Health Insurance Portability and Accountability Act‑compliant study was approved by the institutional review board. Among 225 consecutive cCTA examinations, 207 were of ...
Jibawi Abdullah - - 2011
Background. The coexistence of neoplasm and abdominal aortic aneurysm (AAA) presents a real management challenge. This paper reviews the literature on the prevalence, diagnosis, and management dilemmas of concurrent visceral malignancy and abdominal aortic aneurysm. Method. The MEDLINE and HIGHWIRE databases (1966-present) were searched. Papers detailing relevant data were assessed ...
Kaya Bülent - - 2011
Inguinal hernia repair is commonly performed operation in surgical practice. Thirty-five years old female patient was operated with the diagnosis of inguinal hernia. The inguinal defect was misdiagnosed as femoral vein aneurysm in surgical exploration. The postoperative diagnostic imaging revealed that the inguinal defect had been confused as femoral vein ...
Roshani S - - 2011
Background. The effect of cardiovascular risk factors (CVRs) and thrombophilic defects on the risk of arterial cardiovascular complications in patients with prior venous thromboembolism (VTE) is unclear. Objective. We investigated whether the risk of arterial cardiovascular complications is increased after VTE and whether CVRs and thrombophilic defects influence this risk. ...
Wani Abdul Majid - - 2011
Chiari in 1891 described a constellation of anomalies at the base of the brain inherited congenitally, the characteristic of which are (1) extension of a tongue of cerebellar tissue posterior to the medulla and cord that extends into the cervical spinal canal; (2) caudal displacement of the medulla and the ...
Mori Kentaro - - 2011
Posterior circulation revascularization is a challenging technique because microanastomosis must be performed in deep locations. A reproducible simulation model is proposed for training. The prototype three-dimensional skull model with artificial brain was used. The mesencephalic segment of superior cerebellar artery (SCA) and the caudal loop of the posterior inferior cerebellar ...
Pesenti-Rossi David - - 2011
Conventional quantitative coronary angiography approaches are limited to quantify complex aorto-ostial stenosis. Multislice CT was able to detect and classify coronary plaques, compared with intravascular ultrasound (IVUS). The aim of the present study was to determine the accuracy of multislice computed tomography (CT) in addition to conventional angiography to identify ...
Rodríguez-Granillo Gastón A - - 2011
Guidance of percutaneous coronary interventions (PCI) by intravascular ultrasound (IVUS) provides more precise information in terms of quantitative measurement and qualitative assessment of coronary artery disease (CAD) than does conventional angiography. Several studies have tested the efficacy of IVUS to guide stent implantation. However, the conflicting results have left behind ...
Lal Chitra - - 2011
Unilateral pulmonary artery aplasia is a rare anomaly. Case reports of this condition in pregnant patients are even more uncommon and the best approach to management of such patients is still unclear. We report a patient who presented with a history of dyspnea, chest pain, and hemoptysis. Imaging established the ...
Razeghinejad Mohammad-Reza - - 2011
To report a case of spontaneous direct carotid-cavernous fistula causing abrupt loss of vision. A 50-year-old woman with systemic hypertension but no history of ocular disease developed sudden proptosis, frozen eye, subconjunctival hemorrhage and loss of vision in her left eye over 2 hours. Imaging studies revealed a direct carotid-cavernous ...
Nunes Sara S - - 2011
Proper arterial and venous specification is a hallmark of functional vascular networks. While arterial-venous identity is genetically pre-determined during embryo development, it is unknown whether an analogous pre-specification occurs in adult neovascularization. Our goal is to determine whether vessel arterial-venous specification in adult neovascularization is pre-determined by the identity of ...
Mocan Lucian - - 2011
The process of laser-mediated ablation of cancer cells marked with biofunctionalized carbon nanotubes is frequently called "nanophotothermolysis". We herein present a method of selective nanophotothermolisys of pancreatic cancer (PC) using multiwalled carbon nanotubes (MWCNTs) functionalized with human serum albumin (HSA). With the purpose of testing the therapeutic value of these ...
Yuan Shi-Min - - 2011
The biological functions of transforming growth factor-β signaling that involves Smad proteins have not been previously investigated with respect to coronary artery bypass grafts. The aim of the present study was to observe the immunostaining of proteins that are related to this signaling pathway. Fifteen remnants of coronary artery bypass ...
Khalid Umair - - 2011
Hughes-Stovin Syndrome (HSS) is a very rare clinical disorder characterized by thrombophlebitis and multiple pulmonary and/or bronchial aneurysms. Less than 40 published cases of HSS have been described in English medical literature so far. The exact etiology and pathogenesis of HSS is unknown; possible causes include infections and angiodysplasia. HSS ...
Kokotsakis John - - 2011
We report a case of treating complex aortic pathology with the use of the Frozen Elephant Trunk technique in a patient with chronic type B aortic dissecting aneurysm associated with arch and ascending aorta dilatation, proximal aortic disease and coronary disease. The case was further complicated due to the involvement ...
Alvarez Jose Rubio - - 2011
The ideal surgical approach is unclear in adult patients with coarctation of the aorta that is associated with other cardiovascular pathologies that require intervention. Standard median sternotomy allows simultaneous, coronary revascularization surgery, valve replacement and repair of aortic coarctation. However the collateral circulation and the anatomy of the mammary arteries ...
Morcillo Serra Cèsar - - 2010
OBJECTIVES: Multislice computerized tomographic scan can identify coronary artery disease (CAD) with quantification of coronary artery calcium (CAC) and computed tomographic coronary angiography (CTA). The utility of CAC in comparison with CTA in asymptomatic patients has not been assessed. METHODS: Patients with risk factors for CAD, who were referred for ...
Javalkar Vijayakumar - - 2011
Paraclinoid aneurysms originate from the internal carotid artery between the distal dural ring and the posterior communicating artery. Giant, multiple and bilateral aneurysms are more frequent in this group of aneurysms. Surgical clipping of these aneurysms is technically challenging due to the adjacent bony anatomy and neurovascular structures. Operative mortality ...
Mehta Manish - - 2010
Improvements in endovascular technology and techniques have allowed us to treat patients in ways we never thought possible. Today endovascular treatment of ruptured abdominal aortic aneurysms is associated with markedly decreased morbidity and mortality when compared to the open surgical approach, yet there are several fundamental obstacles in our ability ...
Tendulkar Amod - - 2010
Coronary dissection during diagnostic catheterization presents a therapeutic challenge. Medical management or percutaneous intervention may be an option in a stable patient. Unstable patients should promptly undergo surgical revascularization. We report on a patient in whom dissection of the left main coronary artery, the left anterior descending artery, and a ...
Easo Jerry - - 2010
Abstract Purpose: To describe the use of a hybrid frozen elephant trunk technique to treat a patient suffering from a multisegmentally diseased, dextropositioned aortic arch and right descending aorta. Technique: The technique is illustrated in a 58-year-old woman who was diagnosed with chronic type A aortic dissection in a right ...
Hunter Kendall S - - 2010
The hemodynamic state of the pulmonary arteries is challenging to routinely measure in children due to the vascular circuit's position in the lungs. The resulting relative scarcity of quantitative clinical diagnostic and prognostic information impairs management of diseases such as pulmonary hypertension, or high blood pressure of the pulmonary circuit, ...
Ramsey Jennifer - - 2010
This review focuses on vasculitides with prominent pulmonary manifestations and discusses key contributions from the recent literature. Pulmonary vasculitis should be considered when clinical findings include alveolar hemorrhage, nodular and cavitary lung disease, airway stenosis, pulmonary artery aneurysms, or pulmonary artery stenosis. The differential diagnostic considerations for common clinical presentations ...
Sun Zhonghua - - 2010
To present our experience of using 3D virtual intravascular endoscopy (VIE) to characterize and evaluate the intraluminal appearances of aortic dissection. Ten patients with known aortic dissection underwent dual-source computed tomography angiography and were included in the study. In addition to 2D axial and multiplanar reformatted images as well as ...
Shinozaki Masaru - - 2010
Abstract Portal vein thrombosis is a rare and potentially lethal complication of laparoscopic colectomy. In this paper, we present a case of portal vein thrombosis and pulmonary artery thromboembolism on the 11(th) day after laparoscopic colectomy without an evident congenital thrombotic disorder. Laparoscopic surgeons and their patients should be aware ...
Hsu Shao-Jung - - 2011
Life-threatening hemoptysis due to bronchiectasis is an emergency and needs immediate bronchial angiographic embolization or surgical intervention. Most of the bleeding events arise from the bronchial artery. We report a very rare case of a patient who had bronchiectasis, but with bleeding from the left phrenic artery to pulmonary artery ...
Gabrielli Roberto - - 2011
The association of a retroaortic left renal vein and an abdominal aortic aneurysm (AAA) fistula is an infrequent event. We present two cases of AAA rupture into the retroaortic left renal vein. Preoperative computed tomography (CT) assessment showed retroperitoneal bleeding due to a large AAA rupture with an associated unusual ...
Sellmann Timur - - 2010
We report on a 27-year-old female patient who developed a progressive neurological disorder (anisocoria, dysarthria and facial nerve paresis) after participating in a marathon race. She was admitted to a maximum care level hospital after endotracheal intubation with a provisional diagnosis of intracranial bleeding. Imaging studies (computed tomography and computed ...
Mehta Sanjay - - 2010
Pulmonary embolism is a common condition. Some patients subsequently develop chronic thromboembolic pulmonary hypertension (CTEPH). Many care gaps exist in the diagnosis and management of CTEPH patients including lack of awareness, incomplete diagnostic assessment, and inconsistent use of surgical and medical therapies. A representative interdisciplinary panel of medical experts undertook ...
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