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D Stabile, R Pretagostini, P Fiaschetti, D Peritore, A Oliveti, F Gabbrielli
The 21 heart transplantations in Centre-Sud Transplant Organization (OCST) is a stable number despite increasing donations, especially among subjects aged 50 to 60 years. The aim of the present study was to evaluate the possibility to increase the usage of marginal hearts through dipyridamole ecostress. From 2008 to 2010 we analyzed OCST donors at 74 donation sites for echocardiography (31 yes versus 43 no) and heart utilization: (1) principal sites (n > 13) versus (2) minor sites (n < 13). Among 2145 signaled donors, there were 900 (42%) effective donors, including 816 (38%) utilized organs from 387 subjects of age <50 years; 189, 50 to 60 years and 240, >60 years with 217 (90%); 24 (10%), and 3 (1%) utilized hearts respectively to the analyzed sites, the utilized donors with echocardiography were 373: 259 (69...
September 2012: Transplantation Proceedings
J A Domínguez-Morán, J F Plaza, T Frutos, P de Luis, A Rodríguez, J Masjuán
Atrial myxomas (AM) are the most frequent cardiac tumors. Between 25-45% of the cases present neurologic manifestations, generally owing to cerebral embolic infarcts or intracranial haemorrhages. Cerebral embolism can precede cardiac or constitutional symptoms, but recurrent embolisms as the only disturbance are infrequent. We present the case of two patients with 66 and 70 years that suffered recurrent cerebral embolisms as the only manifestation of a left AM. Magnetic resonance (MR) studies showed several isquemic infarcts in different vascular territories...
February 1999: Neurología: Publicación Oficial de la Sociedad Española de Neurología
C Y Xiao, X X Li, Q Z Xu
Primary pericardial mesotheliona is a clinical rarity. 7 cases were reported in this paper. There were no typical clinical symptoms and signs. It could not be diagnosed simply with chest film, ECG or echocardiagram and was usually misdiagnosed as constritive pericarditis, tuberculous pericarditis etc. In order to make correct diagnosis, some investigative diagnose methods such as pathological examination of pericardial fluid and pericardial biopsy, Gallium-67 scintigraphy, Ber-EP4 antibody and immunohistochemical procedures should be employed...
August 1994: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
B N Alimurung, J M Felner, R C Schlant
Of 89 patients with idiopathic hypertrophic subaortic stenosis who had M-mode echocardiagrams recorded, seven patients with coexisting moderate to large pericardial effusions were identified. The clinical profile, M-mode echocardiograms, and cardiac catheterization and angiocardiographic studies in two of the seven patients were analyzed. That the two entities were not associated was suggested by the identification of an etiology for the pericardial effusion in four of the patients. Although the "swinging heart" phenomenon was exhibited in the echocardiograms of each patient, the presence of a significant pericardial effusion did not preclude the ability to establish a diagnosis of idiopathic hypertrophic subaortic stenosis by M-mode echocardiography...
August 1979: Chest
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