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  • Aberrant Right Subclavian Artery

    It may be associated with procedures, such as tracheostomy and tracheal or esophageal intubation, and yields massive upper gastrointestinal bleeding difficult to identify[ncbi.nlm.nih.gov] This surgical approach maximized our visibility resulting in a safe dissection, resection and reinsertion of the aberrant right subclavian artery.[ncbi.nlm.nih.gov] We successfully treated the second patient by closing the PDA with a Nit-Occlud PDA occlusion device (Pfm Medical, Carlsbad, California).[ncbi.nlm.nih.gov] We present two cases of vertebral origin from the right common carotid artery in association with an aberrant right subclavian artery.[ncbi.nlm.nih.gov] Author information 1 Department of Diagnostic Radiology and Molecular Imaging, Oakland University William Beaumont School of Medicine and Health System, Royal Oak, Michigan[ncbi.nlm.nih.gov] This study makes an embryological assumption that the abnormal development of the RSA had happened first and subsequently caused NRLN and the thoracic duct drainage variation[ncbi.nlm.nih.gov] To our knowledge, a fully percutaneous approach has not yet been reported.[ncbi.nlm.nih.gov] Abstract Left subclavian artery aneurysm with an aneurysm of the aberrant right subclavian artery is a rare condition with a reported incidence of 0.13% to 1%.[ncbi.nlm.nih.gov] Medical and Research Center,Iran University of Medical Sciences,Tehran,Iran. 4 4Department of Pediatrics,Golestan University of Medical Science,Golestan,Iran.[ncbi.nlm.nih.gov] Parallel grafting can be a valuable tool to address any acute aortic pathology as it can be performed with off-the-shelf devices.[ncbi.nlm.nih.gov]

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  • Captopril

    In case 1, an upper chest and facial erythema and dryness of the mouth accompanied the swelling of the salivary glands.[ncbi.nlm.nih.gov] Surgical excision or captopril treatment led to significant decline in the mean levels of ATII.[ncbi.nlm.nih.gov] The device is based on the application of NiO/CNTs and (2-(3,4-dihydroxyphenethyl)isoindoline-1,3-dione) (DPID) to modify carbon paste electrodes.[ncbi.nlm.nih.gov] Markedly impaired right renal function (Glomerular filtration rate (GFR) values for the right kidney 14 ml/min, left kidney 79 ml/min) was detected in the initial captopril[ncbi.nlm.nih.gov] Preintervention diagnostic work-up included captopril renal scintigraphy, which was suggestive of high probability of renovascular hypertension.[ncbi.nlm.nih.gov] Two patent saccular renal artery aneurysms were demonstrated in the left kidney by renal angiogram.[ncbi.nlm.nih.gov] The presence of captopril-associated cholestasis confounded confirmation of adequate biliary drainage.[ncbi.nlm.nih.gov] Abstract Percutaneous transluminal renal angioplasty (PTRA) was performed in a patient with bilateral renal artery stenoses diagnosed noninvasively by captopril renal scintigraphy[ncbi.nlm.nih.gov] Angiography confirmed bilateral renal artery stenosis and also demonstrated contour irregularities of the abdominal aorta, and stenosis in mesenteric and subclavian arteries[ncbi.nlm.nih.gov] Many people using this medication do not have serious side effects.[webmd.com]

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  • Double Outlet Right Ventricle

    Abstract A 17-year-old unmarried girl was admitted with the complaints of breathlessness on exertion, swelling of upper and lower limbs and intermittent fever for last 21[ncbi.nlm.nih.gov] KEYWORDS: Abnormalities, multiple/diagnostic imaging; cardiac surgical procedures; double-outlet right ventricle/complications/diagnostic imaging/surgery; echocardiography[ncbi.nlm.nih.gov] The patient underwent successful transcatheter device placement followed by Rastelli operation on the following day. 2009 Wiley-Liss, Inc.[ncbi.nlm.nih.gov] Double outlet right ventricle is a congenital heart disease in which the pulmonary trunk and the aorta both arise from the right ventricle, with several anatomical variations[symptoma.com] Combined with TTE, DSCT can achieve excellent diagnostic performance in intracardiac anomalies (sensitivity, 91.30% vs. 100%).[ncbi.nlm.nih.gov] Objective To discuss the anatomical morphologies of the coronary arteries and frequencies of unusual coronary arteries in complete transposition of the great arteries and[ncbi.nlm.nih.gov] DORV, a doubly committed ventriculoseptal defect, pulmonary stenosis, persistent left superior vena cava, minor aortic arch anomalies, and total anomalous hepatic venous drainage[ncbi.nlm.nih.gov] Such arrhythmias are more frequently refractory to medical therapy, requiring percutaneous ablation.[ncbi.nlm.nih.gov] He underwent right modified Blalock-Taussig (RMBT) shunt with an expand-polytetrafluoroethylene (ePTFE) tube of 3.0 mm in diameter between the right subclavian artery and[ncbi.nlm.nih.gov] Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA.[medlineplus.gov]

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  • Corynebacterium

    Abstract Corynebacterium pseudodiphtheriticum is a common commensal flora of the upper respiratory tract in humans.[ncbi.nlm.nih.gov] CONCLUSIONS: Clinically relevant surgical site infections with Corynebacterium species in thoracic surgery are difficult to distinguish.[ncbi.nlm.nih.gov] […] infection; however, these devices require careful monitoring.[ncbi.nlm.nih.gov] He had undergone cataract surgery with intraocular lens implantation in his right eye a month ago.[ncbi.nlm.nih.gov] With state-of-art facilities and years of experience in the field of antigens and antibodies, Creative Diagnostics now can provide various Corynebacterium diphtheriae antigens[creative-diagnostics.com] Abstract We describe the first reported case of Corynebacterium striatum (C. striatum) relapsing bacteraemia in a patient with peripheral arterial disease and proven Corynebacterium[ncbi.nlm.nih.gov] Conversion to external ventricular drainage (EVD) was done and intravenous vancomycin was administered for 21 days.[ncbi.nlm.nih.gov] Medical Care For the initial office visit or emergency department treatment, see Diphtheria in the Medscape Reference Emergency Medicine section.[emedicine.medscape.com] A case of nosocomial pacemaker lead endocarditis due to a multidrug-resistant C. striatum strain is described, highlighting the role of sonication as a diagnostic tool in[ncbi.nlm.nih.gov] Before this visit, the patient had 3 similar episodes and received incision and drainage of the eyelid.[wwwnc.cdc.gov]

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  • Arterial Thrombosis

    During her hospital stay, the patient developed signs consistent with acute right upper extremity ischemia resulting from occlusion in the distal right subclavian, axillary[ncbi.nlm.nih.gov] HA reconstruction was performed using surgical loupes in 737 adults (male:female, 526:211) and 4 pediatric patients (male:female, 3:1).[ncbi.nlm.nih.gov] Any type of treatment device can result in DE.[evtoday.com] It is often overlooked, but it can cause significant disability and may limit arterial access sites to repeat diagnostic or interventional catheterisations.[ncbi.nlm.nih.gov] artery duplication has been described to date.[ncbi.nlm.nih.gov] Renal vein thrombosis The renal vein can also be obstructed by a thrombus, which can result in reduced kidney drainage.[news-medical.net] The patient survived after an additional percutaneous coronary intervention (PCI) and intra-aortic balloon pump assistance.[ncbi.nlm.nih.gov] KEYWORDS: Complications; Manubrial fracture; Stroke; Subclavian artery; Trauma[ncbi.nlm.nih.gov] Thrombosis is the medical term for clot or the presence of a clot.[nmihi.com] This report describes an index case of a patient without known renal disease who presented with spontaneous arterial thrombosis of an upper extremity as the initial manifestation[ncbi.nlm.nih.gov]

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  • Upper Gastrointestinal Hemorrhage

    Upper gastrointestinal hemorrhage is bleeding that occurs at a site proximal to the ligament of Treitz.[symptoma.com] […] is recommended and surgical reintervention should be avoided.[ncbi.nlm.nih.gov] Contact thermal devices include multipolar probes and heater probes.[healio.com] All rights reserved.[ncbi.nlm.nih.gov] AIM: We aimed to evaluate the pre-endoscopy diagnostic accuracy and the correct prediction of high-risk lesions in patients with UGIH according to the level of clinical expertise[ncbi.nlm.nih.gov] Abstract Post-traumatic hepatic artery pseudoaneurysm initially appearing as upper gastrointestinal hemorrhage secondary to rupture in the duodenum is rare.[ncbi.nlm.nih.gov] Gastric and duodenal decompression, external drainage of the duodenal repair, and caval ligation are preferred for delayed treatment of combined duodenal and infrarenal vena[ncbi.nlm.nih.gov] BACKGROUND: Upper gastrointestinal (GI) hemorrhage after percutaneous endoscopic gastrostomy (PEG) is sometimes reported as one of the serious complications.[ncbi.nlm.nih.gov] Double check the medications you have just prescribed, and any routine medications the patient is taking.[geekymedics.com] A rare cause of UGIB is submucosal arterial collaterals, which develop after splenic artery thrombosis.[ncbi.nlm.nih.gov]

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  • Arteriovenous Fistula

    CONCLUSIONS: We reported an extremely rare case of cerebellar pAVF presenting as bilateral upper cerebellar hemorrhage.[ncbi.nlm.nih.gov] There were no neurologic deficits related to the surgical procedure.[ncbi.nlm.nih.gov] PURPOSE: The AngioJet Hemolytic Thrombectomy Device "AngioJet" (Boston Scientific, Malborough, MA, USA) is a rheolytic thrombectomy device that can be used in the treatment[ncbi.nlm.nih.gov] All rights reserved.[ncbi.nlm.nih.gov] CONCLUSIONS: Both CTA and MRI/MRA have good diagnostic accuracy for detection of CVR in patients with intracranial DAVFs.[ncbi.nlm.nih.gov] Abstract Congenital renal artery aneurysm is uncommon. Moreover, renal artery aneurysm concomitant with a congenital renal arteriovenous fistula is extremely rare.[ncbi.nlm.nih.gov] We present three SEDAVF with intradural drainage treated with surgical disconnection of the intradural drainage via a single level laminectomy, followed by transarterial embolization[ncbi.nlm.nih.gov] Tech ID: 28837 / UC Case 2017-135-0 Invention Novelty This implantable medical device can be used to create an arteriovenous fistula (AVF) percutaneously, in a clinic based[techtransfer.universityofcalifornia.edu] Veins of acceptable diameter are followed into the subclavian vein to assess for stenosis or occlusion by using direct non-compressive assessment and compression techniques[radiopaedia.org] At Lahey Hospital & Medical Center, we have extensive experience and worldwide recognition in treating these lesions.[lahey.org]

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  • Coronary Artery Bypass Surgery

    Methods Here, we present a novel alternative to the traditional MICS-CABG approaches by adding a right-sided upper “half-mini-thoracotomy”, which allows for aortocoronary[cardiothoracicsurgery.biomedcentral.com] Surgical Morbidity and Mortality We observed no increase in the overall rate of surgical morbidity.[revespcardiol.org] We report the case of a successful coronary artery bypass surgery supported by the Impella Recover LP 2.5 assist device and using an alternative insertion technique for the[ncbi.nlm.nih.gov] Abstract We report an unusual case of intrapericardial diaphragmatic hernia 2 years after coronary artery bypass surgery with the right gastroepiploic artery.[ncbi.nlm.nih.gov] Abstract We report a diagnostic and therapeutic challenge involving an unusual coronary artery bypass complication.[ncbi.nlm.nih.gov] Both patients underwent CABG with use of bilateral internal thoracic artery (ITA) grafts.[ncbi.nlm.nih.gov] The patient was treated with anticoagulation and cerebrospinal fluid drainage through a lumbo-peritoneal shunt.[ncbi.nlm.nih.gov] BACKGROUND: The evidence base for coronary perforation (CP) occurring during percutaneous coronary intervention in patients with a history of coronary artery bypass surgery[ncbi.nlm.nih.gov] This report describes successful treatment of a patient with a thoracic endograft and carotid subclavian bypass to preserve the left internal mammary artery inflow.[ncbi.nlm.nih.gov] In view of scarce data from the developing world, a retrospective analysis of medication advice to patients following CABG and PCI was conducted.[ncbi.nlm.nih.gov]

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  • Salmonella Infection

    […] microL and C-reactive protein level was 230 mg/L; abdominal ultrasound and abdominal computed tomographic (CT) scan showed a splenic abscess of 11.3 x 12.9 x 13.8 cm in the upper[ncbi.nlm.nih.gov] The child responded well to surgical drainage and antibiotic therapy.[ncbi.nlm.nih.gov] Moreover, we postulate a hematogenous mechanism for device seeding in this patient.[ncbi.nlm.nih.gov] After 5 days a false aneurysm of the right common femoral artery developed.[ncbi.nlm.nih.gov] Abstract We describe a diagnostically challenging case of infection due to a species of Salmonella in a ventricular aneurysm.[ncbi.nlm.nih.gov] To our knowledge, ruptured mycotic aneurysm involving a coronary artery owing to Salmonella infection has not been described previously.[ncbi.nlm.nih.gov] Abstract Usually liver hematoma after blunt trauma is treated conservatively as long as clinically possible, in order to avoid infection via drainage.[ncbi.nlm.nih.gov] They may be given antidiarrheal medications to ease diarrhea or antiemetics to treat nausea or vomiting.[nmihi.com] College London School of Medical Education, London, UK. 2 Foundation Year 1, Queen Elizabeth Hospital, London, UK. 3 Foundation Year 2, Darent Valley Hospital, Dartford, UK. 4 Upper[ncbi.nlm.nih.gov] A combined medical and surgical approach should be aggressively pursued because patients who do not undergo an aneurysmectomy are unlikely to survive.[ncbi.nlm.nih.gov]

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  • Chylopericardium

    Abstract A 70-year-old man with T1N3M1 stage IV squamous cell carcinoma in the right upper lobe of the lung developed chylothorax and chylopericardium as rare simultaneous[ncbi.nlm.nih.gov] We report two cases of idiopathic pericardial and pleural effusions presenting cardiac tamponade resistant to conservative and surgical management.[ncbi.nlm.nih.gov] A case that had low compliance with dietary recommendations and required repeated placement of drainage devices died due to infection with enterococcal septicemia.[ncbi.nlm.nih.gov] Abstract A 69-year-old woman underwent the right upper lobectomy, a partial resection of right segment 6 (rt S6) and removal of mediastinal lymph nodes (LN) for adenocarcinoma[ncbi.nlm.nih.gov] Enhanced computed tomography combined with lymphangiography is a very reliable diagnostic tool for identifying abnormalities of the thoracic duct and its lymphatic channels[ncbi.nlm.nih.gov] Abstract We report a case of chylopericardium and chylothorax after coronary artery bypass grafting, which presented as delayed cardiac tamponade.[ncbi.nlm.nih.gov] On POD 2, drainage from retrosternal and intrapericardial tubes increased, becoming turbid and milky.[ncbi.nlm.nih.gov] Whether this could have been avoided by early (percutaneous) pericardial fenestration is unknown.[ncbi.nlm.nih.gov] The most likely cause for the chylopericardium was venous occlusion of the subclavian veins with backpressure resulting in a lymphatic leak.[ncbi.nlm.nih.gov] Medical treatment includes a low-fat diet with medium-chain triglyceride restriction, cardiac support, diuretic medications, and drainage of the pericardial effusion.[ncbi.nlm.nih.gov]

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