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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.[] 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[] 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[] […] therapy alone (medical-therapy group).[] 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.[] Conversely, an atrial septal defect rarely presents late as pulmonary artery hypertension.[] 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[] A totally endoscopic robotic repair was successfully done through a right atriotomy approach in this patient. The Author 2016.[] ) into the right upper chamber of the heart (right atrium).[] […] elderly female patient with moderate-to-severe mitral regurgitation who underwent MitraClip procedure, with postprocedural course remarkable for the development of right-to-left[]

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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.[] Arteriography demonstrated occlusion of the left vertebral artery only when her head was rotated to the left.[] All venous cases were managed with transaxillary first rib resection followed by postoperative venography and percutaneous angioplasty when required.[] 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,[] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[] 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[] Patients underwent a microsurgical treatment using a supraclavicular approach followed by brachial plexus neurolysis, scalenectomy and release of the subclavian artery and[] In this study we report a totally endoscopic video-assisted thoracoscopic surgery (VATS) approach using tailored endoscopic instruments.[] 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.[] The initial treatment for TOS typically consists of physical therapy, pain relief measures including medication and occasionally blood thinning medications in case a clot[]

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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.[] […] of left atrial appendage (LAA) closure device implantation.[] Hijazi CRC Press , 20.03.2007 - 672 Seiten Percutaneous Interventions for Congenital Heart Disease is written for pediatric cardiologists specializing in interventional cardiology[] 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[] Treatments Medications Medications cannot repair atrial septal defects, but they may help relieve symptoms.[] 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.[] During her first pregnancy, she was diagnosed with an ASD (ostium secundum type) with pulmonary arterial hypertension.[] 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[] This report describes the next step in this progression-the first U.S. application of robotic technology for totally endoscopic open heart surgery.[] He was referred for percutaneous closure.[]

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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.[] 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[] CONCLUSION: Percutaneous nephrolithotomy has acceptable results in horseshoe kidney stone and is feasible with rigid nephroscope.[] 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.[] Author information 1 Department of Anatomy, Kurume University School of MedicineDepartment of Orthopedic Surgery, Kurume University Medical Center.[] Musculoskeletal Major malformations of limb occur in 5-10% of patients, including radial aplasia and other preaxial limb defects.[] 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[] METHODS: A retrospective review was performed of patients diagnosed with an HK who underwent endoscopic management from 2002 to present.[] 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[] Florida Hospital Medical Group is now AdventHealth Medical Group It's important that when you see a doctor, you feel heard and understood.[]

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  • Pancreatic Pseudocyst

    KEYWORDS: cystogastrostomy; pancreatic pseudocyst; pancreatitis; upper gastrointestinal bleeding[] The roentgenogram showed a massive left pleural effusion. Additional work-up revealed a pancreaticopleural fistula and amylase-rich pleural effusion.[] KEYWORDS: Drain; Endoscopic ultrasound; Migrated Stent; Pancreas; Percutaneous; Pseudocyst; Removal; Snaring[] It's called Axios, and it offers a myriad of patient benefits (think 20-minute non-surgical procedure versus two-hour open surgery).[] Rupture of the pseudocyst is a medical emergency.[] […] 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[] The majority of patients had bleeding from the splenic artery, the gastroduodenal artery and the anterior pacreaticoduodenal artery.[] Statements health specialty gastroenterology 0 references Commons category Pancreatic pseudocyst 0 references exact match 1 reference stated in Human Phenotype Ontology release[] CONCLUSIONS: Over the years, as technical expertise has increased and instruments for endoscopy have improved, patients who had endoscopic surgery to address the complications[] 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[]

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  • Arteriovenous Fistula

    CONCLUSIONS: We reported an extremely rare case of cerebellar pAVF presenting as bilateral upper cerebellar hemorrhage.[] 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[] 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[] There were no neurologic deficits related to the surgical procedure.[] At Lahey Hospital & Medical Center, we have extensive experience and worldwide recognition in treating these lesions.[] 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).[] Abstract Congenital renal artery aneurysm is uncommon. Moreover, renal artery aneurysm concomitant with a congenital renal arteriovenous fistula is extremely rare.[] BACKGROUND: To evaluate early and mid-term outcomes of Freeway paclitaxel-releasing balloons (Eurocor GmbH, Bonn, Germany) in hemodialysis patients with recurrent stenosis[] DIAGNOSES: Space-occupying lesions were first suspected but endoscopy did not reveal any masses.[] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[]

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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.[] […] and elongated left VA.[] RESULTS: Precise instructions for successful reproduction of percutaneous procedures in NWR were described.[] procedures, and evaluated postoperative effect after 3-month follow-up.[] CONCLUSIONS: GKRS achieves a high rate of pain relief among patients with medically refractory idiopathic TN.[] 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[] The offending artery was identified as the trigeminocerebellar artery.[] BACKGROUND: Although most surgeons are using endoscopy as an adjunct to microscopy in microvascular decompression, a full endoscopic technique is less commonly performed.[] Glutamate released from glial cells synchronizes neuronal activity in the hippocampus . J Neurosci. 2004 ;24: 6920 - 6927 . Google Scholar Crossref Medline ISI 19.[] 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[]

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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[] 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%.[] To our knowledge, a fully percutaneous approach has not yet been reported.[] This surgical approach maximized our visibility resulting in a safe dissection, resection and reinsertion of the aberrant right subclavian artery.[] Medical and Research Center,Iran University of Medical Sciences,Tehran,Iran. 4 4Department of Pediatrics,Golestan University of Medical Science,Golestan,Iran.[] 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[] KEYWORDS: Angiography; Artery; Benign; Congenital[] By releasing one side, the tension is relieved.[] […] and endoscopic ultrasound.[] 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[]

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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[] We report a case of spontaneous rupture of a left renal artery aneurysm in a patient with NF-1.[] Only a few reported cases involved percutaneous treatment.[] Indications for surgical repair of RAA remain uncertain. OBJECTIVE: Long-term outcomes of conservative therapy and surgical repair were evaluated.[] Surgery, Peking Union Medical Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.[] 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[] […] of diseased arteries.[] 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[] Arterial pseudo-aneurysm complicating endoscopic fulguration of upper urinary tract urothelial carcinoma. Urology, 58(5), November 2001, page 799.[] 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[]

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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.[] 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[] Percutaneous angioplasty and stenting have recently been shown to be effective and safe alternatives to surgical revascularization in high-risk patients with chronic mesenteric[] The Authors report on a recent case observed in emergency of splenic infarction with infectious complications that made the surgical procedure mandatory.[] Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA.[] 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[] Abstract Pseudoaneurysm represents a rare complication in chronic pancreatitis, caused by enzymatic digestion of peripancreatic arteries or the erosion of a visceral artery[] The patient subsequently required reoperation for release of an intra-abdominal compartment syndrome.[] These lesions are best demonstrated by endoscopy; infrequently, they have been detected by barium or angiographic studies.[] Then, the remainder of the spleen is released by dividing the peritoneal attachments with the ultrasonic scalpel.[]

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