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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] Abstract In this case, a 47-year-old commercial truck driver with a remote right transradial amputation presented with pain in the medial aspect of his right phantom hand.[ncbi.nlm.nih.gov] […] occlusion of the brachial artery.[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] , hands, and fingers.[ninds.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

    ) into the right upper chamber of the heart (right atrium).[mayoclinic.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] Hypoxic ASD without pulmonary hypertension are rare, and only a handful of cases have been published.[ncbi.nlm.nih.gov] 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] […] 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] As the only adult congenital heart disease program in the state and one of only a handful in the country, our expertise greatly increases the chances that symptoms will be[uabmedicine.org] The occluders were released with the help of TEE. Results The atrial septal defect closure was successfully completed in 134 cases.[ncbi.nlm.nih.gov]

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  • Subclavian Steal Syndrome

    He subsequently underwent staged left upper extremity arterial thromboembolectomy followed by definitive revascularization via carotid-subclavian bypass.[ncbi.nlm.nih.gov] Of note, he had undergone coronary bypass surgery 12 years earlier utilising the left internal mammary artery.[ncbi.nlm.nih.gov] After successful treatment with percutaneous transluminal angioplasty, the patient developed dizziness.[ncbi.nlm.nih.gov] PURPOSE: To analyze the immediate and long-term outcomes of endovascular stenting vs. extrathoracic surgical bypass for subclavian steal syndrome.[ncbi.nlm.nih.gov] , Harvard Medical School Department of Medicine, Massachusetts General Hospital, Harvard Medical School Department of Radiology, Massachusetts General Hospital, Harvard Medical[ncbi.nlm.nih.gov] […] of the proximal subclavian artery or the innominate artery.[ncbi.nlm.nih.gov] The cuff should be quickly released and any augmentation of flow should be monitored by TCD.[clicktocurecancer.info] , Haaglanden Medical Centre, The Hague, The Netherlands. 3 Department of Neurosurgery, Haaglanden Medical Centre, Lijnbaan 32, 2512 VA, The Hague, The Netherlands. 4 Department[ncbi.nlm.nih.gov] The left hand ischemia and symptoms of vertebro-basilar artery in our patient were probably related to stealing of blood by the hypervascular thyroid nodule from the subclavian[ncbi.nlm.nih.gov] Public Health, the Medical College of Wisconsin, and IM Sechenov First Moscow State Medical University has no relevant financial relationships to disclose. ) Originally released[medlink.com]

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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] He was referred for percutaneous closure.[invasivecardiology.com] 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] As the only adult congenital heart disease program in the state and one of only a handful in the country, our expertise greatly increases the chances that symptoms will be[uabmedicine.org] 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] The device is then deployed and tested by pushing and pulling on the cable to confirm stability prior to release of the device. 6, 7 Successful closure Successful closure[dovepress.com] procedures. 3 Conclusion ASD is characterized by a defect in the interatrial septum producing a left-to-right shunt and is one of the more commonly recognized congenital[uspharmacist.com]

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  • Cardiogenic Shock

    […] minimally-invasive off-pump LVAD was established by draining from the left ventricle and returning to the right axillary artery with distal arterial banding to prevent right upper[ncbi.nlm.nih.gov] […] caused by cardiac hypercontraction, a thickened left ventricular wall, and intravascular volume depletion.[ncbi.nlm.nih.gov] Despite lack of randomized controlled data, there has been a substantial increase in use of percutaneous mechanical circulatory support.[ncbi.nlm.nih.gov] METHODS: Between January 2005 and December 2014, adult patients implanted with ECMO after cardiac surgical procedures were included.[ncbi.nlm.nih.gov] Cardiogenic shock is a medical emergency.[nlm.nih.gov] Rapid breathing Severe shortness of breath Sudden, rapid heartbeat (tachycardia) Loss of consciousness Weak pulse Low blood pressure (hypotension) Sweating Pale skin Cold hands[mayoclinic.org] Coronary angiography revealed a single proximally occluded right coronary artery and an anomalous left main coronary artery (originating from the proximal right coronary artery[ncbi.nlm.nih.gov] 1006-2019, 1005-2016, 1002-2004, 1003-2007, 1006-2027 class com.aha.ucm.component.cis.TagListPageData [,docNativeURL null,docName UCM_496290,docStatus RELEASED,dOutDate null[professional.heart.org] Upper Saddle River, NJ: Prentice-Hall, 2003. Hollenberg SM, Kavinsky CJ, Parrillo JE. Cardiogenic shock. Ann Intern Med 131(1):47–59, 6 Jul 1999.[emsworld.com] It is not synonymous with blood pressure, nor do they always go hand in hand.[study.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] Pablo Gomez, MD Pediatric Urology, Pediatrics, Urology Accepting new patients More Locations 1942418991 2.4 miles away AdventHealth Medical Group Pediatric Urology at Orlando[floridacenterforpediatricurology.com] Herein, we present the first reported case in which an upper tract invasive urothelial carcinoma in a horseshoe kidney was successfully managed with a combined hand-assisted[ncbi.nlm.nih.gov] 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] 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] We describe a case of a pure laparoscopic radical heminephrectomy with hand-sewn management of the isthmus for a 11 cm tumour in a horseshoe kidney.[ncbi.nlm.nih.gov] They clean about 150 quarts of blood per day, and form between one and two quarts of urine to be released from the body.[reverehealth.com]

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  • Ventricular Septal Defect

    On follow-up, he showed a moderate residual upper ventricular septal defect and multiple apical ventricular septal defects, mild mid-right pulmonary artery stenosis, free[ncbi.nlm.nih.gov] Small aortic valve and left ventricular outflow tract at diagnosis are not risk factors to predict the need for surgical re-intervention for left ventricular outflow tract[ncbi.nlm.nih.gov] However, unlike percutaneous transcatheter access, mini-thoracotomy is still needed.[ncbi.nlm.nih.gov] Contemporary results of surgical VSD closure are excellent with no mortality and low morbidity in this series.[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 work hand in hand with our cardiac surgeons to offer the best outcomes for our patients.[childrenshospital.org] Abstract We present a case of palliative arterial switch with aortic arch reconstruction performed as the first stage of anatomical correction in a patient with congenitally[ncbi.nlm.nih.gov] March 2019 Psoriasis Guidelines on the management and treatment of psoriasis with biologics were released in February 2019 by the American Academy of Dermatology and the National[emedicine.medscape.com] On the other hand, prognosis varies in children with moderate to large VSDs, according to the severity of the case.[symptoma.com] The bands can be percutaneously released and can decrease the gradient across the VSD.[emedicine.com]

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  • Superior Mesenteric Artery Syndrome

    Unusual complication of superior mesenteric artery syndrome: spontaneous upper gastrointestinal bleeding with hypovolemic shock.[biomedsearch.com] These findings include narrowing of the aortomesenteric angle and distance, distension of the stomach and duodenum, and dilatation of the left renal vein with left-sided venous[ncbi.nlm.nih.gov] Surg Laparosc Endosc Percutan Tech. 2008 ;18(2): 213 - 215 .[doi.org] The options described are either experimental or involve complex surgical procedures performed in dedicated specialised units.[tropicalgastro.com] Medical treatment was successful in 13 patients (72.2%).[doi.org] In pediatric patients, a non-invasive SMAS diagnosis may be considered easily with abdominal ultrasound performed by experienced hands.[ncbi.nlm.nih.gov] Mesenteric Artery (SMA).[smasyndrome.org] Pressure from below the navel upward and toward the back ( Hayes maneuver ) can lift the SMA, releasing the obstruction, and cause relief of both subjective and objective[everything2.com] An upper transit study is not appropriate in this emergency situation.[em-consulte.com] It may co-exist with left renal vein dilation "nutcracker phenomena".[ncbi.nlm.nih.gov]

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  • Patent Ductus Arteriosus

    A continuous murmur at the upper left sternal border is common. Diagnosis is by echocardiography.[merckmanuals.com] DIAGNOSIS: The patient was diagnosed with PDA coexisting with left brachiocephalic artery through angiography.[ncbi.nlm.nih.gov] […] and safety of percutaneous PDA closure during infancy.[ncbi.nlm.nih.gov] Methods Continuous electrocardiogram data were sampled at a rate of 125 Hz for a total of 6 hours before and 6 hours after 30 hours of surgical closure.[ncbi.nlm.nih.gov] […] pa·tent ductus arteriosus \ ˈpāt-ᵊnt- \ Medical Definition of pa tent ductus arteriosus : an abnormal condition in which the ductus arteriosus fails to close after birth Learn[merriam-webster.com] As a result, there is extra strain on the left-hand side of the heart, which has to collect and deal with the extra blood. What causes PDA?[jpaget.nhs.uk] The mean pulmonary artery pressure was 41.5 13.5mmHg (25-62mmHg).[ncbi.nlm.nih.gov] A new type of single-rivet occluder coated with nano-film has been developed to limit the release of nickel.[ncbi.nlm.nih.gov] Chest radiography showed a prominent main pulmonary artery, aorta and haziness on left upper lung field indicating treated septic emboli.[colombiamedica.univalle.edu.co] 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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  • 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] She was hospitalized and underwent hand-assisted laparoscopic nephrectomy with ex vivo repair of the RAA and autotransplantation into the right iliac fossa.[ncbi.nlm.nih.gov] […] of diseased arteries.[ncbi.nlm.nih.gov] […] wall during gestation and may play a role in the increased risk of rupture. 3 In addition, connective tissue laxity that develops during pregnancy as a result of sustained release[ispub.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] However, surgical treatment remains to be the most effective and radical method.[ncbi.nlm.nih.gov]

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