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  • Atrial Septal Defect

    A sinus venosus defect is the least common type of ASD and is located in the upper portion of the atrial septum.[web.archive.org] OBJECTIVES: The closure of atrial septal defect (ASD) results in normalized left ventricular (LV) and right ventricular (RV) geometry, and can increase LV stroke volume (LVSV[ncbi.nlm.nih.gov] Abstract Background Percutaneous device closure of an ostium secundum atrial septal defect is associated with excellent outcomes and cosmetic results but at the cost of occasional[ncbi.nlm.nih.gov] […] therapy alone (medical-therapy group).[doi.org] Holt-Oram syndrome, first described in 1960, is characterized by varying degrees of radial aplasia and abnormal cardiac septation, most classically an ostium secundum ASD.[clinicaladvisor.com] Conversely, an atrial septal defect rarely presents late as pulmonary artery hypertension.[ncbi.nlm.nih.gov] We carried out percutaneous femoral vein puncture, used a specialized delivery sheath during operation, and closed the ASD by releasing an occluder.All 20 patients experienced[ncbi.nlm.nih.gov] A totally endoscopic robotic repair was successfully done through a right atriotomy approach in this patient. The Author 2016.[ncbi.nlm.nih.gov] ) into the right upper chamber of the heart (right atrium).[mayoclinic.org] […] elderly female patient with moderate-to-severe mitral regurgitation who underwent MitraClip procedure, with postprocedural course remarkable for the development of right-to-left[ncbi.nlm.nih.gov]

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  • Thoracic Outlet Syndrome

    This is a unique case of an anomalous artery and its accompanying vein causing direct compression to the upper brachial plexus causing TOS.[ncbi.nlm.nih.gov] Arteriography demonstrated occlusion of the left vertebral artery only when her head was rotated to the left.[ncbi.nlm.nih.gov] All venous cases were managed with transaxillary first rib resection followed by postoperative venography and percutaneous angioplasty when required.[ncbi.nlm.nih.gov] This systematic review and meta-analysis summarizes and compares the outcomes and major complications of the surgical procedures for the 3 types of TOS: arterial, venous,[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[nlm.nih.gov] We report the case of a 12-year-old girl whose presenting symptoms--an absent radial pulse and Raynaud's phenomenon of the right hand--could be easily mistaken for a vasculitis[ncbi.nlm.nih.gov] Patients underwent a microsurgical treatment using a supraclavicular approach followed by brachial plexus neurolysis, scalenectomy and release of the subclavian artery and[ncbi.nlm.nih.gov] In this study we report a totally endoscopic video-assisted thoracoscopic surgery (VATS) approach using tailored endoscopic instruments.[ncbi.nlm.nih.gov] CASE PRESENTATION: In the present study, we report about a 32-year-old male caucasian patient with weakness in radial deviation of his left hand.[ncbi.nlm.nih.gov] The initial treatment for TOS typically consists of physical therapy, pain relief measures including medication and occasionally blood thinning medications in case a clot[uncmedicalcenter.org]

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  • Atrial Septal Defect 9

    Typically, an atrial septal defect results in blood going from the left upper chamber of the heart to the right upper chamber known as shunting of blood.[myheart.net] […] of left atrial appendage (LAA) closure device implantation.[interventions.onlinejacc.org] Hijazi CRC Press , 20.03.2007 - 672 Seiten Percutaneous Interventions for Congenital Heart Disease is written for pediatric cardiologists specializing in interventional cardiology[books.google.de] Antibiotics are used during the post-operative period before any routine dental work or any surgical procedures are performed, in order to prevent infections of the inner[agileglobalhealth.com] Treatments Medications Medications cannot repair atrial septal defects, but they may help relieve symptoms.[wexnermedical.osu.edu] Holt-Oram syndrome, first described in 1960, is characterized by varying degrees of radial aplasia and abnormal cardiac septation, most classically an ostium secundum ASD.[clinicaladvisor.com] During her first pregnancy, she was diagnosed with an ASD (ostium secundum type) with pulmonary arterial hypertension.[link.springer.com] N Engl J Med 340:839–846 PubMed CrossRef Google Scholar Gohra H, Fujimura Y, Ito H et al. (1998) Granulocyte elastase release and pulmonary hemodynamics in patients with atrial[link.springer.com] This report describes the next step in this progression-the first U.S. application of robotic technology for totally endoscopic open heart surgery.[ncbi.nlm.nih.gov] He was referred for percutaneous closure.[invasivecardiology.com]

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  • Horseshoe Kidney

    Its right and left upper poles were at the middle region of the first and second lumbar vertebrae, respectively. The kidney was supplied by eight arteries.[ncbi.nlm.nih.gov] A computed tomography (CT) scan clearly revealed the presence of normally positioned small right and left renal arteries, and a large aberrant renal artery originating from[ncbi.nlm.nih.gov] CONCLUSION: Percutaneous nephrolithotomy has acceptable results in horseshoe kidney stone and is feasible with rigid nephroscope.[ncbi.nlm.nih.gov] Surgical anatomy of the horseshoe kidney is complex, due to variability in location, orientation and blood supply. Both arterial and venous anatomy is highly variable.[ncbi.nlm.nih.gov] Author information 1 Department of Anatomy, Kurume University School of MedicineDepartment of Orthopedic Surgery, Kurume University Medical Center.[ncbi.nlm.nih.gov] Musculoskeletal Major malformations of limb occur in 5-10% of patients, including radial aplasia and other preaxial limb defects.[doi.org] Article / Publication Details First-Page Preview Received: December 16, 2006 Accepted: May 15, 2007 Published online: April 22, 2008 Issue release date: December 2007 Number[doi.org] METHODS: A retrospective review was performed of patients diagnosed with an HK who underwent endoscopic management from 2002 to present.[ncbi.nlm.nih.gov] The search was done by combining the medical subject heading term (MeSH): “Minimally Invasive Surgical Procedures” and the free-text words “horseshoe” and “kidney” and “pyeloplasty[doi.org] Florida Hospital Medical Group is now AdventHealth Medical Group It's important that when you see a doctor, you feel heard and understood.[floridacenterforpediatricurology.com]

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  • Pancreatic Pseudocyst

    KEYWORDS: cystogastrostomy; pancreatic pseudocyst; pancreatitis; upper gastrointestinal bleeding[ncbi.nlm.nih.gov] The roentgenogram showed a massive left pleural effusion. Additional work-up revealed a pancreaticopleural fistula and amylase-rich pleural effusion.[ncbi.nlm.nih.gov] KEYWORDS: Drain; Endoscopic ultrasound; Migrated Stent; Pancreas; Percutaneous; Pseudocyst; Removal; Snaring[ncbi.nlm.nih.gov] It's called Axios, and it offers a myriad of patient benefits (think 20-minute non-surgical procedure versus two-hour open surgery).[trihealth.com] Rupture of the pseudocyst is a medical emergency.[medlineplus.gov] […] entered into with an electrocautery-assisted cystotome and a lumen-opposing metal stent was deployed under fluoroscopic vision followed by dilatation with a 10 mm controlled radial[ncbi.nlm.nih.gov] The majority of patients had bleeding from the splenic artery, the gastroduodenal artery and the anterior pacreaticoduodenal artery.[ncbi.nlm.nih.gov] Statements health specialty gastroenterology 0 references Commons category Pancreatic pseudocyst 0 references exact match 1 reference stated in Human Phenotype Ontology release[wikidata.org] CONCLUSIONS: Over the years, as technical expertise has increased and instruments for endoscopy have improved, patients who had endoscopic surgery to address the complications[ncbi.nlm.nih.gov] Pseudoaneurysm originating from the branch of left gastric artery The decision was made to drain the pseudocyst, but the left gastric artery pseudoaneurysm first had to be[academic.oup.com]

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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] The patient developed intractable hiccough and left-sided facial pain on the second post-procedural day, and MRI showed focal diffusion restriction in the left dorso-lateral[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] There were no neurologic deficits related to the surgical procedure.[ncbi.nlm.nih.gov] At Lahey Hospital & Medical Center, we have extensive experience and worldwide recognition in treating these lesions.[lahey.org] There was a dilated superficial vein at the level of the distal right radial artery, with a palpable thrill at the access site (figure 1A).[heartasia.bmj.com] 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] BACKGROUND: To evaluate early and mid-term outcomes of Freeway paclitaxel-releasing balloons (Eurocor GmbH, Bonn, Germany) in hemodialysis patients with recurrent stenosis[ncbi.nlm.nih.gov] DIAGNOSES: Space-occupying lesions were first suspected but endoscopy did not reveal any masses.[ncbi.nlm.nih.gov] 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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  • Trigeminal Neuralgia

    CONCLUSIONS: The pulsatile flow at the posteromedial part of the cavernous sinus might have compressed the upper aspect of the Gasserian ganglion, causing TN.[ncbi.nlm.nih.gov] […] and elongated left VA.[ncbi.nlm.nih.gov] RESULTS: Precise instructions for successful reproduction of percutaneous procedures in NWR were described.[ncbi.nlm.nih.gov] procedures, and evaluated postoperative effect after 3-month follow-up.[ncbi.nlm.nih.gov] CONCLUSIONS: GKRS achieves a high rate of pain relief among patients with medically refractory idiopathic TN.[ncbi.nlm.nih.gov] In 31 TN patients and 16 healthy controls, multi-tensor tractography was used to extract DTI-derived metrics-axial (AD), radial (RD), mean diffusivity (MD), and fractional[ncbi.nlm.nih.gov] The offending artery was identified as the trigeminocerebellar artery.[ncbi.nlm.nih.gov] BACKGROUND: Although most surgeons are using endoscopy as an adjunct to microscopy in microvascular decompression, a full endoscopic technique is less commonly performed.[ncbi.nlm.nih.gov] Glutamate released from glial cells synchronizes neuronal activity in the hippocampus . J Neurosci. 2004 ;24: 6920 - 6927 . Google Scholar Crossref Medline ISI 19.[doi.org] CASE PRESENTATION: Two patients with drug-resistant symptomatic epilepsy treated with chronic VNS experienced stimulation-related pain in the lower and upper jaw and teeth[ncbi.nlm.nih.gov]

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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] To our knowledge, a fully percutaneous approach has not yet been reported.[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] 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] It was noticed because of the presence of the right radial artery catheter, else it would have passed unnoticed. [Indexed for MEDLINE] Free full text[ncbi.nlm.nih.gov] KEYWORDS: Angiography; Artery; Benign; Congenital[ncbi.nlm.nih.gov] By releasing one side, the tension is relieved.[vascsurg.me] […] and endoscopic ultrasound.[intechopen.com] 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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  • Renal Artery Aneurysm

    We present a case of a patient with two visceral mycotic aneurysms due to bacterial endocarditis, one located in right upper pole renal artery and the second in the splenic[ncbi.nlm.nih.gov] We report a case of spontaneous rupture of a left renal artery aneurysm in a patient with NF-1.[ncbi.nlm.nih.gov] Only a few reported cases involved percutaneous treatment.[ncbi.nlm.nih.gov] Indications for surgical repair of RAA remain uncertain. OBJECTIVE: Long-term outcomes of conservative therapy and surgical repair were evaluated.[ncbi.nlm.nih.gov] Surgery, Peking Union Medical Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.[ncbi.nlm.nih.gov] Moreover, the lower radial force makes self-expandable stents less appropriate to treat tight and calcified lesions like the severe stenosis distal to the aneurysm in the[vasculardiseasemanagement.com] […] of diseased arteries.[ncbi.nlm.nih.gov] The use of balloon expandable stent works as support for the release of microcoils within the aneurysmal sac after selective catheterization with 4 F diagnostic catheters[rbci.org.br] Arterial pseudo-aneurysm complicating endoscopic fulguration of upper urinary tract urothelial carcinoma. Urology, 58(5), November 2001, page 799.[link.springer.com] We report here a case of eccentric RAA involving the left upper pole renal artery and its three bifurcations, which was treated by stent plus coil embolization; the patient[ncbi.nlm.nih.gov]

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  • Splenic Infarction

    Abstract A 43-year-old diabetic woman on peritoneal dialysis, developed left upper abdominal pain and culture-negative cloudy peritoneal dialysate.[ncbi.nlm.nih.gov] Only half the subjects complained of localized left-sided abdominal pain, 36% had left-sided abdominal tenderness; 31% had no signs or symptoms localized to the splenic area[ncbi.nlm.nih.gov] Percutaneous angioplasty and stenting have recently been shown to be effective and safe alternatives to surgical revascularization in high-risk patients with chronic mesenteric[doi.org] The Authors report on a recent case observed in emergency of splenic infarction with infectious complications that made the surgical procedure mandatory.[ncbi.nlm.nih.gov] Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA.[nlm.nih.gov] Our case highlights the importance of using a right brachial or radial approach in an individual with significant atherosclerotic vascular disease and with an abdominal aortic[ncbi.nlm.nih.gov] Abstract Pseudoaneurysm represents a rare complication in chronic pancreatitis, caused by enzymatic digestion of peripancreatic arteries or the erosion of a visceral artery[ncbi.nlm.nih.gov] The patient subsequently required reoperation for release of an intra-abdominal compartment syndrome.[emedicine.medscape.com] These lesions are best demonstrated by endoscopy; infrequently, they have been detected by barium or angiographic studies.[consultant360.com] Then, the remainder of the spleen is released by dividing the peritoneal attachments with the ultrasonic scalpel.[emedicine.medscape.com]

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