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https://www.readbyqxmd.com/read/28820011/unusual-complication-of-the-nuss-procedure-fistulization-of-the-internal-thoracic-artery-to-the-pulmonary-artery
#1
Michael C Mongé, David Wax, Katherine Barsness
Although minimally invasive repair of pectus excavatum has been shown to have a low complication rate in large series, several case reports have documented life-threatening complications, including bleeding and cardiac perforation. We present a rare case of an arteriovenous malformation from the internal thoracic artery to the pulmonary artery caused by occlusion of the internal thoracic artery by the Nuss bar followed by an unidentified angiogenic process. The patient became symptomatic and required transcatheter coil embolization...
January 1, 2017: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/28804760/autopsy-case-of-the-c12orf65-mutation-in-a-patient-with-signs-of-mitochondrial-dysfunction
#2
Hideaki Nishihara, Masatoshi Omoto, Masaki Takao, Yujiro Higuchi, Michiaki Koga, Motoharu Kawai, Hiroo Kawano, Eiji Ikeda, Hiroshi Takashima, Takashi Kanda
OBJECTIVE: To describe the autopsy case of a patient with a homozygous 2-base deletion, c171_172delGA (p.N58fs), in the C12orf65 gene. METHODS: We described the clinical history, neuroimaging data, neuropathology, and genetic analysis of the patients with C12orf65 mutations. RESULTS: The patient was a Japanese woman with a history of delayed psychomotor development, primary amenorrhea, and gait disturbance in her 20s. She was hospitalized because of respiratory failure at the age of 60...
August 2017: Neurology. Genetics
https://www.readbyqxmd.com/read/28777004/whole-exome-sequencing-identify-the-6q12-q16-linkage-region-and-a-candidate-gene-ttk-for-pulmonary-nontuberculous-mycobacterial-disease
#3
Fei Chen, Eva P Szymanski, Kenneth N Olivier, Xinyue Liu, Hervé Tettelin, Steven M Holland, Priya Duggal
RATIONALE: Pulmonary nontuberculous mycobacterial (PNTM) disease often affects white postmenopausal women, with a tall and lean body habitus and higher rates of scoliosis, pectus excavatum, mitral valve prolapse, and mutations in the CFTR gene. These clinical features and the familial clustering of the disease suggest an underlying genetic mechanism. OBJECTIVES: To map the genes associated with PNTM, whole-exome sequencing (WES) was conducted in 12 PNTM families and 57 sporadic cases recruited at the NIH Clinical Center during 2001-2013...
August 4, 2017: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/28774473/hyperinflation-of-the-left-anterior-basal-segment-a-new-sign-of-pectus-excavatum-severity-on-ct
#4
S Singh, S B Greenberg
AIM: To describe a new finding in patients with pectus excavatum - left lower lobe anterior basal segment hyperinflation [LABSH]. A secondary objective is to determine the frequency of the new finding and association with pectus excavatum severity. MATERIAL AND METHODS: The study population included 52 children who underwent preoperative computed tomography (CT) for the evaluation of pectus excavatum. A control group of 50 children was obtained after evaluating 137 CT examinations performed for other reasons...
July 31, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28759900/advantages-of-cardiac-magnetic-resonance-imaging-for-severe-pectus-excavatum-assessment-in-children
#5
Mariela Dore, Paloma Triana Junco, Monserrat Bret, Manuel Gómez Cervantes, Martha Muñoz Romo, Javier Jiménez Gómez, Ana Pérez Vigara, Manuel Parrón Pajares, José Luis Encinas, Francisco Hernandez, Leopoldo Martinez, Manuel López Santamaría, Carlos De La Torre
No abstract text is available yet for this article.
July 31, 2017: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28757834/anesthesia-for-minimally-invasive-chest-wall-reconstructive-surgeries-our-experience-and-review-of-literature
#6
REVIEW
Shagun Bhatia Shah, Uma Hariharan, Ajay Kumar Bhargava, Laleng M Darlong
Minimal access procedures have revolutionized the field of surgery and opened newer challenges for the anesthesiologists. Pectus carinatum or pigeon chest is an uncommon chest wall deformity characterized by a protruding breast bone (sternum) and ribs caused by an overgrowth of the costal cartilages. It can cause a multitude of problems, including severe pain from an intercostal neuropathy, respiratory dysfunction, and psychologic issues from the cosmetic disfigurement. Pulmonary function indices, namely, forced expiratory volume over 1 s, forced vital capacity, vital capacity, and total lung capacity are markedly compromised in pectus excavatum...
July 2017: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/28747942/complex-corrective-procedure-in-surgical-treatment-of-asymmetrical-pectus-excavatum
#7
Krystian Pawlak, Łuksasz Gąsiorowski, Wojciech Dyszkiewicz
AIM: In this study we analysed the early and late results of surgical treatment of asymmetrical pectus excavatum using complex surgery combining the Ravitch procedure and the Nuss procedure in the same general anaesthesia. MATERIAL AND METHODS: Eighty out of 938 patients with pectus excavatum operated on between 2002 and 2013, 67 males and 13 females aged 11 to 49 years (mean: 19.2), underwent a complex surgical procedure. During surgery the Nuss procedure was usually performed first (one corrective bar was implanted in 35 patients and two bars were inserted in 45 patients)...
June 2017: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
https://www.readbyqxmd.com/read/28745702/-differential-approach-for-chest-wall-reconstruction-for-pectus-excavatum-in-adults
#8
A A Pechetov, Yu S Esakov, G F Gubaydullina, M A Makov, T N Khlan
AIM: To perform the prospective non-randomized single-center trial of pectus excavatum correction in adults. MATERIAL AND METHODS: For the period March 2012 - March 2016 64 patients aged 18-44 years were treated. Median age was 23 years. Male/female ratio was 41/23. All patients were included into standard survey protocol: chest MDCT, MRI of thoracic spine, pulmonary function test, echocardiography. Quality of life and complications rate after the Nuss procedure (n=50, 78...
2017: Khirurgiia
https://www.readbyqxmd.com/read/28738822/cardiac-arrest-without-physical-cardiac-injury-during-nuss-repair-of-pectus-excavatum
#9
Jianyong Zou, Canqiao Luo, Zhenguo Liu, Chao Cheng
BACKGROUND: Cardiac arrest is a lethal complication of Nuss repair of pectus excavatum which is strongly related to heart or big vessels injury. A rare case developed cardiac arrest without direct cardiac injury during Nuss procedure is presented in this article. CASE PRESENTATION: In July 2015, a previously healthy 18-year-old man undergoing Nuss repair for pectus excavatum developed cardiac arrest while the Nuss bar was being inserted into the chest. After successful resuscitation and exclusion of direct cardiac injury, the Nuss procedure was continued...
July 24, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28717323/epidemiological-study-of-tick-infestation-in-buffalo-of-various-regions-of-district-khairpur-pakistan
#10
Farzana Abbasi, Imtiaz Hussain Raja Abbasi, Tahmeena Fakhur Nissa, Zohaib Ahmed Bhutto, Muhammed Asif Arain, Rab Nawaz Soomro, Farman Ali Siyal, Sarfraz Ali Fazlani
AIM: The aim of this study was to determine the epidemiological infestation and identification of Ixodidae and Argasidae ticks species in buffalo of different parts of district Khairpur, Pakistan. MATERIALS AND METHODS: A total of 720 Water buffaloes from three tehsils (subdivisions) were selected randomly and examined from organized and unorganized dairy farms for tick infestation in district Khairpur, Pakistan. This epidemiological survey was conducted during April to September 2015...
June 2017: Veterinary World
https://www.readbyqxmd.com/read/28714634/-pectus-excavatumn-and-carinatum-in-children-and-adolescents-what-to-say-what-to-do
#11
Pierre Lascombes, Isabelle Ruchonnet-Métrailler, Maurice Beghetti, Armand Bottani, James Wilde
In children presenting with a pectus excavatum (PE) or pectus carinatum (PC) an underlying syndrome including Marfan's syndrome needs to be excluded. In adolescents, severe chest wall deformities may cause cardiac or respiratory problems but most commonly they have a psychological impact. The conservative treatment is a Vacuum Bell for PE, and a Dynamic Compression System for PC ; they play an increasing role in young patients. These devices need to be worn multiple hours per day for several months for an optimal result...
February 15, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28710265/francisella-like-endosymbionts-and-rickettsia-species-in-local-and-imported-hyalomma-ticks
#12
Tal Azagi, Eyal Klement, Gidon Perlman, Yaniv Lustig, Kosta Y Mumcuoglu, Dmitry Apanaskevich, Yuval Gottlieb
Hyalomma ticks (Acari: Ixodidae) are hosts for Francisella like endosymbionts (FLE) and may serve as vectors of zoonotic disease agents. This study was aimed to provide initial characterization of the interaction between Hyalomma and FLE and to determine the prevalence of pathogenic Rickettsia in these ticks. Hyalomma marginatum, H. rufipes, H. dromedarii, H. aegyptium and H. excavatum ticks, identified morphologically and molecularly, were collected from different hosts and locations, representing the genus distribution in Israel, as well as from migratory birds...
July 14, 2017: Applied and Environmental Microbiology
https://www.readbyqxmd.com/read/28695668/a-nitrile-glucoside-and-biflavones-from-the-leaves-of-campylospermum-excavatum-ochnaceae
#13
Gaétan Bayiha Ba Njock, Raphaël Grougnet, Antonia Efstathiou, Despina Smirlis, Grégory Genta-Jouve, Sylvie Michel, Joséphine Ngo Mbing, Marina Kritsanida
The study of the MeOH extract of the leaves of Campylospermum excavatum led to the isolation of a nitrile glucoside, named campyloside C (1) and an original derivative of ochnaflavone, 7-O-methylochnaflavone (2) along with three known biflavonoids, amentoflavone, sequoiaflavone, and sotetsuflavone (3-5). The linkage site of the sub-units of 2 was confirmed by chemical correlation, after semi-synthesis of a trimethoxylated derivative of ochnaflavone (2a). The structure of these compounds as well as their relative and absolute configurations were assigned by 1D and 2D NMR experiments, HRESIMS and Electronic Circular Dichroism (ECD) calculations...
July 11, 2017: Chemistry & Biodiversity
https://www.readbyqxmd.com/read/28693911/-technique-of-complex-mammary-irradiation-mono-isocentric-3d-conformational-radiotherapy-and-helical-tomotherapy
#14
B Vandendorpe, P Guilbert, C Champagne, T Antoni, T D Nguyen, N Gaillot-Petit, S Servagi Vernat
PURPOSE: To evaluate the dosimetric contribution of helical tomotherapy for breast cancers compared with conformal radiotherapy in mono-isocentric technique. PATIENTS AND METHOD: For 23 patients, the dosimetric results in mono-isocentric 3D conformational radiotherapy did not satisfy the constraints either of target volumes nor organs at risk. A prospective dosimetric comparison between mono-isocentric 3D conformational radiotherapy and helical tomotherapy was therefore carried out...
July 7, 2017: Cancer Radiothérapie: Journal de la Société Française de Radiothérapie Oncologique
https://www.readbyqxmd.com/read/28690798/differential-impacts-of-shared-parasites-on-fitness-components-among-competing-hosts
#15
Olwyn C Friesen, Robert Poulin, Clément Lagrue
Effects of parasites on individual hosts can eventually translate to impacts on host communities. In particular, parasitism can differentially affect host fitness among sympatric and interacting host species. We examined whether the impact of shared parasites varied among host species within the same community. Specifically, we looked at the impacts of the acanthocephalan Acanthocephalus galaxii, the trematodes Coitocaecum parvum and Maritrema poulini, and the nematode Hedruris spinigera, on three host species: the amphipods, Paracalliope fluviatilis and Paracorophium excavatum, and the isopod, Austridotea annectens...
July 2017: Ecology and Evolution
https://www.readbyqxmd.com/read/28662867/thoracic-outlet-syndrome-after-the-nuss-procedure-for-pectus-excavatum-is-it-a-rare-complication
#16
Tomohisa Nagasao, Tadaaki Morotomi, Motone Kuriyama, Tetsukuni Kogure, Hirro Kudo, Yusuke Hamamoto, Motoki Tamai
OBJECTIVE: The present study aims to elucidate the frequency of thoracic outlet syndrome after the Nuss procedure for pectus excavatum and the conditions in which thoracic outlet syndrome is likely to develop. METHODS: A retrospective study including 85 pectus excavatum patients (58 males and 27 females) was conducted. Thoracic outlet syndrome was defined as a condition in which the patient has numbness, lassitude, or pain of the upper limbs at rest or during motion of the upper limbs...
June 3, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28652678/pectus-excavatum-right-ventricular-compromise-with-orthostatic-syndrome-and-brugada-phenocopy
#17
Eftychios Siniorakis, Spyridon Arvanitakis, Panagiotis Tzevelekos, Stamatia Panta, Apostolos Balanis, Fotini Aivalioti, Sotiria Limberi
Pectus excavatum (PEXT) consists of an overgrowth of the chondral region with posterior displacement of the inferior part of the sternum, resulting in a concave chest deformity. Characteristic clinical and imaging findings may occur, depending on the compression that right cardiac chambers suffer, when squeezed between the sternum and the column vertebrae.
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28629812/benthic-foraminifera-for-heavy-metal-pollution-monitoring-a-case-study-from-burullus-lagoon-of-egypt
#18
O H Orabi, A A El-Badry, A M Badr-ElDin
Sources of heavy metals pollution in the Burullus Lagoon include phosphate fertilizers, sewage and oil spills from fishing boats. The benthic species identified in this lagoon are Adelosina carinata striata (Wiesner), Quinqueloculina bosciana (d'Orbigny), Quinqueloculina seminulum (Linnaeus), Ammonia tepida (Cushman), Elphidium excavatum (Terquem). A. tepida is the most dominant species in the lagoon. It constitutes more than 97% of the total benthic foraminiferal assemblages reflecting tolerance to the very low salinity in the Burullus Lagoon...
June 16, 2017: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/28626162/intervention-of-the-nuss-procedure-on-the-mental-health-of-pectus-excavatum-patients
#19
Li Luo, Bo Xu, Xinling Wang, Bo Tan, Jing Zhao
Pectus excavatum (PE) is the most common congenital chest wall deformity, but little is known about the influence of the Nuss surgical procedure on mental health of patients with PE. In this study, we aimed to evaluate the influence of the PE Nuss surgical procedure on mental health in Chinese patients and identify the predictors of psychological status for PE. Patients with PE (n = 266) underwent a standard surgical procedure by the same surgeon and did the Symptom Checklist 90 (SCL-90) and the Self-rating Depression Scale (SDS) questionnaires before and 1 year after surgery...
June 16, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28624480/evaluation-of-thoracic-vertebrae-rotation-in-patients-with-pectus-excavatum
#20
Ryszard Tomaszewski, Łukasz Wiktor, Ludwina Machała
PURPOSE: The aim of our study was to evaluate thoracic vertebrae rotation in patients with pectus excavatum. Moreover, we wanted to assess the prevalence, the severity and relationship between pectus excavatum and adolescent idiopathic scoliosis (AIS). METHODS: We performed retrospective analysis of 82 preoperative chest CT in children with pectus excavatum performed between January 2008 and December 2011. For each patient Haller Index and Cobb angle was measured...
June 14, 2017: Acta Orthopaedica et Traumatologica Turcica
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