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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] 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] This surgical approach maximized our visibility resulting in a safe dissection, resection and reinsertion of the aberrant right subclavian artery.[ncbi.nlm.nih.gov] Through a left thoracotomy, the aorta was excised and the orifice of the ARSA was exposed. There was no sign of infection in the operative field.[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] 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] KEYWORDS: Angiography; Artery; Benign; Congenital[ncbi.nlm.nih.gov] To our knowledge, a fully percutaneous approach has not yet been reported.[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] Abstract We describe a rare case of an arteriosclerotic aneurysm in the right-sided descending thoracic aorta with a left-sided aortic arch and concomitant aberrant right[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] Two patent saccular renal artery aneurysms were demonstrated in the left kidney by renal angiogram.[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] Preintervention diagnostic work-up included captopril renal scintigraphy, which was suggestive of high probability of renovascular hypertension.[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] Since prior ultrasonographic examinations have shown bilateral normal kidney parenchyma, branch stenosis of the right upper pole was suspected.[ncbi.nlm.nih.gov] BACKGROUND: With the development of left ventricular assist device (LVAD), the long-term support has been paid more attention by various researchers.[ncbi.nlm.nih.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] Transesophageal echocardiography (TEE) revealed that the left atrium was filled with a 2.7 cm 2.6 cm mass.[ncbi.nlm.nih.gov] CONCLUSIONS: Clinically relevant surgical site infections with Corynebacterium species in thoracic surgery are difficult to distinguish.[ncbi.nlm.nih.gov] Application of molecular methods using surgically excised valve tissue was a cornerstone for the establishment of the microbiological diagnosis, which is crucial for targeted[ncbi.nlm.nih.gov] […] infection; however, these devices require careful monitoring.[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] 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] Clinical presentation included pseudomembranes in the upper respiratory tract and lung involvement. C. ulcerans was recovered from the nose of the patient's dog.[ncbi.nlm.nih.gov]

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  • Central Retinal Artery Occlusion

    […] presented with profound visual loss in his right eye because of a central retinal artery occlusion, accompanied by a stroke in the ipsilateral middle cerebral artery with left upper[ncbi.nlm.nih.gov] Abstract A 65-year-old woman was admitted to our clinic with complaints of sudden, painless, decrease in vision, and sectoral visual field defect in the left eye and later[ncbi.nlm.nih.gov] The surgical time was approximately 2.5 h, with an estimated blood loss of 200 ml.[surgicalneurologyint.com] However as the disease progresses, surgical excision becomes necessary and several anaesthetic methods may be used to assist this.[ncbi.nlm.nih.gov] Thrombotic risk varies according to closure device and Dacron-covered nitinol Amplatzer devices carry a 0-0.3% rate of thrombus formation; but central retinal artery occlusion[ncbi.nlm.nih.gov] […] arterio-arterial embolization were spot sign-positive compared with 20% from cardiac source (P CONCLUSIONS: Transbulbar ultrasound is valuable for initial diagnosis and diagnostic[ncbi.nlm.nih.gov] KEYWORDS: Ophthalmic artery aneurysm; Retinal artery occlusion[ncbi.nlm.nih.gov] Fifty-two (67%) patients had cardiovascular risk factors in their medical history, and comprehensive phenotyping identified at least 1 new risk factor in 60 patients (78%;[ncbi.nlm.nih.gov] Error bars denote upper or lower bound of 95% confidence intervals. *Statistical significance ( P 0.05).[iovs.arvojournals.org] This report demonstrates the difficulty of diagnosing GP, particularly when initial diagnostic assays (including both serology and biopsy) were negative for GP.[ncbi.nlm.nih.gov]

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  • Arterial Puncture

    He died 14 h after the mishap due to severe upper airway obstruction. The nature of the vascular laceration was still obscure.[ncbi.nlm.nih.gov] Calibration of the pressure wire with the pressure of the fluid-filled catheter was possible and accurate in the left ventricle and aorta.[ncbi.nlm.nih.gov] MATERIAL AND METHODS: 255 consecutive adult and pediatric cardiac surgical patients were included.[ncbi.nlm.nih.gov] The patient developed a recurrence of the tumor at the excision site a few weeks later and required a wide excision, also under local anesthesia.[ncbi.nlm.nih.gov] BACKGROUND: Arterial puncture closure devices (APCD) are frequently used after cardiac catheterization.[ncbi.nlm.nih.gov] The time to hemostasis was 4.0 /-1.5, 6.9 /-4.2, and 5.8 /-1.2 min for diagnostic, interventional, and abciximab patients, respectively.[ncbi.nlm.nih.gov] BACKGROUND: Percutaneous arterial closure devices have increasingly entered clinical practice to assist in achieving femoral arterial access site hemostasis.[ncbi.nlm.nih.gov] Borja AR (1972) Current status of infraclavicular subclavian vein catheterization. Ann Thorac Surg 13:615–624 PubMed CrossRef Google Scholar 5.[link.springer.com] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[nlm.nih.gov] This assumption leads clinicians to falsely interpret a PaCO 2 and pH near the upper limit of normal as a chronic respiratory acidosis corrected by an acute respiratory alkalosis[ncbi.nlm.nih.gov]

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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] BACKGROUND: The relative efficacy and safety of CABG versus PCI with DES for left main or multivessel CAD remain controversial.[ncbi.nlm.nih.gov] Surgical Morbidity and Mortality We observed no increase in the overall rate of surgical morbidity.[revespcardiol.org] In the course of coronary artery bypass graft (CABG) surgery, a fragment of aortic tissue is excised to make a bypass root.[ncbi.nlm.nih.gov] 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 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] 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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  • Anterior Spinal Artery Syndrome

    Anterior spinal artery syndrome Brainstem Medulla (CN 8, 9, 10, 12) Lateral medullary syndrome/Wallenberg PICA Medial medullary syndrome/Dejerine ASA Pons (CN 5, 6, 7, 8) Upper[en.wikipedia.org] Saphenous vein graft was used in obtuse marginal and left internal mammary artery to left anterior descending artery properly.[ncbi.nlm.nih.gov] Therefore, thorough planning of the intervention and considerable surgical experience is needed.[ncbi.nlm.nih.gov] Direct laryngoscopy under general anesthesia revealed a posterior glottic adhesion and scarring, which were treated by excision of the scar and local steroid injection.[ncbi.nlm.nih.gov] Within 3 weeks, she was ambulating with assisted devices, and at the 10-month follow-up, the patient had nearly complete neurological improvement.[ncbi.nlm.nih.gov] The lack of exhaustive diagnostic investigative tools as well as surgical intervention in the management of this patient in a developing country was highlighted as was possible[ncbi.nlm.nih.gov] Angiography showed occlusion of the right vertebral artery and severe stenosis of the left vertebral artery.[ncbi.nlm.nih.gov] A percutaneous vertebroplasty of T8 and L1 level was performed.[ncbi.nlm.nih.gov] METHODS: A 40-year-old man with a history of hypertension underwent surgical bypass of the left subclavian artery to descending thoracic aorta to treat coarctation of the[ncbi.nlm.nih.gov] He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of Lifeinthefastlane.com, the RAGE podcast, the Resuscitology course,[lifeinthefastlane.com]

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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] We present the case of a full-term infant noted to have marked left arm swelling at birth.[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] Surgical procedures may be required for excision of thrombotic lesions. Patients with thromboses are treated with anticoagulant therapy (heparin, wafarin).[orpha.net] 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] 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]

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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] On the third postoperative day, following resumption of full oral intake he developed a high output left-sided chylothorax.[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] Emergency surgery was performed whereby a pericardial window was created, followed by excision of the lymphangioma.[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] 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] 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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  • Pulmonary Artery Stenosis

    RESULTS: Pulmonary angiograms showed severe stenosis of the proximal upper right and lower left pulmonary artery.[ncbi.nlm.nih.gov] At follow-up the patient developed a fistula between the descending thoracic aorta and the left pulmonary artery at the site of the stent.[ncbi.nlm.nih.gov] We have pioneered an entirely surgical approach for the reconstruction of PPAS.[ncbi.nlm.nih.gov] A thickened, immobile, dysplastc pulmonary valve is best treated by complete excision.[rjmatthewsmd.com] The recommendations for the safe use of these devices must be adhered to by all operators. (c) 2007 Wiley-Liss, Inc.[ncbi.nlm.nih.gov] When hemoptysis develops, erosion of an aneurysm into an adjacent bronchus should be considered and aggressive diagnostic evaluation undertaken.[ncbi.nlm.nih.gov] […] in the peripheral branches of the pulmonary arteries.[symptoma.com] With the advantages of limited invasiveness and absent need for prolonged drug therapy, percutaneous stent deployment to relieve pulmonary artery obstruction represents a[ncbi.nlm.nih.gov] […] artery Aberrant subclavian artery Umbilical artery Single umbilical artery Great veins Superior / inferior vena cava Congenital stenosis of vena cava Persistent left superior[en.wikipedia.org] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[medlineplus.gov]

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