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https://www.readbyqxmd.com/read/29691906/peri-mitral-ventriculoatrial-fistula-after-blunt-thoracic-trauma
#1
Mozhgan Parsaee, Sedigheh Saedi, Roghieh Porkia
Blunt trauma to the chest can damage any thoracic organ. Heart valve damage and particularly mitral apparatus occurs relatively rare, and the patients are expected to become acutely symptomatic. However, in patients with multiple traumas, other dominant severe damages tend to draw away the attention of the physicians resulting in neglect of less salient heart injuries. Here, we present a patient with history of blunt chest trauma and incidental finding of posttraumatic severe mitral regurgitation.
April 24, 2018: Echocardiography
https://www.readbyqxmd.com/read/29691837/oral-health-status-associated-with-sociodemographic-factors-of-nepalese-schoolchildren-a-population-based-study
#2
Saujanya Karki, Marja-Liisa Laitala, Manoj Humagain, Marjo Seppänen, Jari Päkkila, Vuokko Anttonen
OBJECTIVES: The aim of this study was to investigate the oral health of Nepalese schoolchildren relative to their sociodemographic characteristics. METHODS: This school-based, cross-sectional study was conducted among 5-6-, 12- and 15-year-old Nepalese children in 18 randomly selected districts of the 75 in Nepal. Clinical parameters were recorded according to the World Health Organization (WHO) guidelines. Results were presented as mean (SD) and proportions; the chi-square test, t-test and one way-ANOVA were also performed...
April 25, 2018: International Dental Journal
https://www.readbyqxmd.com/read/29691186/does-micropuncture-technique-really-help-reduce-vascular-complications
#3
Hari Bogabathina, Sampath Singireddy, Runhua Shi, Liam Morris, Abdulrahman Abdulbaki, Henock Zabher, Pavan Katikaneni, Kalgi Modi
BACKGROUND: Micropuncture technique (MPT) is being adapted nationally to reduce vascular complications (VC). We initiated a quality improvement project in our cath lab to reduce VCs utilizing MPT. METHODS: We utilized MPT on all of our non-STEMI femoral artery (FA) access cases starting September 2016. As a comparator group, we collected data from April to August 2016. Anatomic localization of FA and fluoroscopic marking of femoral head was utilized in all cases...
March 26, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29691184/successful-percutaneous-closure-of-a-large-symptomatic-av-fistula-using-an-amplatzer-occluder-device
#4
Alireza Khosravi, Masude Pourmoghadas, Mohammad Reza Movahed
Atrial septal device occluders such as amplatzer occluder have been designed to close atrial septal defects of paten formal ovale. Off label use of this device has been reported in pathological conditions that connect two vascular compartments with narrow neck. In this report, we describe a successful closure of a traumatically occurred AV fistula between iliac artery and iliac vein using amplatzer occluder device that has not been reported previously. This rare case is followed by a review of the literature...
April 12, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29691145/extended-endoscopic-endonasal-surgery-for-clival-chordoma-and-chondrosarcoma-our-experience-in-14-cases
#5
Diego Culebras, Jorge Torales, Luis Alberto Reyes, Luis Zapata, Sergio García, Pedro Roldán, Cristóbal Langdon, Issam Alobid, Joaquim Enseñat
OBJECTIVE: To report our experience in the management of chordoma and chondrosarcoma with extended endoscopic endonasal surgery. METHOD: We performed a retrospective analysis of a series of 14 patients with clival chordoma or chondrosarcoma who had extended endoscopic endonasal surgery from 2008 to 2016 performed by the same multidisciplinary team. RESULTS: We had fourteen patients (male/female 2:1), with a mean age of 49years for chordoma and 32 for chondrosarcoma...
April 21, 2018: Neurocirugía
https://www.readbyqxmd.com/read/29690817/failure-to-place-a-tunneled-hemodialysis-catheter-due-to-malformation-of-right-internal-jugular-vein-draining-to-subclavian-vein
#6
Li-Na Zhu, Li-Jun Mou, Ying-Hu, Gui-Na Wei, Jun-Feng Sun
The right internal jugular vein (IJV) is an important access site for hemodialysis catheterization. Venous cannulation failure is usually caused by central venous stenosis and is rarely related to vessel malformation. We herein present a case of failure to place a tunneled hemodialysis catheter into the right IJV. The patient had an arteriovenous fistula in the right arm with inadequate flow and a history of multiple central venous catheterizations. The guidewire was repeatedly misplaced into the right subclavian vein (SV) regardless of the technique used...
January 1, 2018: Journal of International Medical Research
https://www.readbyqxmd.com/read/29690541/colorectal-vaginal-fistulas-imaging-and-novel-interventional-treatment-modalities
#7
REVIEW
M-Grace Knuttinen, Johnny Yi, Paul Magtibay, Christina T Miller, Sadeer Alzubaidi, Sailendra Naidu, Rahmi Oklu, J Scott Kriegshauser, Winnie A Mar
Colovaginal and/or rectovaginal fistulas cause significant and distressing symptoms, including vaginitis, passage of flatus/feces through the vagina, and painful skin excoriation. These fistulas can be a challenging condition to treat. Although most fistulas can be treated with surgical repair, for those patients who are not operative candidates, limited options remain. As minimally-invasive interventional techniques have evolved, the possibility of fistula occlusion has enriched the therapeutic armamentarium for the treatment of these complex patients...
April 22, 2018: Journal of Clinical Medicine
https://www.readbyqxmd.com/read/29689520/brachiocephalic-a-v-fistula-through-the-median-cubital-vein-a-reliable-option-to-failure-of-forearm-fistulas-a-case-report-from-chu-yaound%C3%A3
#8
Marc Leroy Guifo, Denis Georges Teuwafeu, Motto Georges Bwelle, Guy Aristide Bang, Mefiré Alain Chichom, Aurelien Ndoumbe, Arthur Georges Essomba
INTRODUCTION: Renal replacement therapy in end-stage kidney disease relies on dialysis in low-income countries. This maintenance treatment needs a reliable vascular access and is done through central venous catheter or creation of A-V fistulas. Several types of A-V fistulas can be done but due to some individual conditions, those possibilities may be exhausted rapidly. CASE PRESENTATION: A 31 year old female was diagnosed with an end stage renal disease for which she was prescribed maintenance dialysis...
April 18, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29689478/aorto-left-atrial-fistula-diagnosed-with-computed-tomographic-angiography-a-case-report
#9
Nicholas Voutsinas, Aalap Chokshi, Michael Chung, Matthew Cham, Gina LaRocca, Javier Sanz, Adam Jacobi
Aorto-atrial fistulas are a rare diagnosis with limited reports in the clinical literature. These findings are often characterized by echocardiography alone; however, the advent and increased availability and use of CT angiography to diagnose cardiac abnormalities provides improved anatomic visibility of potential defects. We are reporting a case of a 76-year-old male with decompensated heart failure secondary to a fistula between the aorta and left atrium after remote history of bioprosthetic aortic valve replacement...
April 14, 2018: Clinical Imaging
https://www.readbyqxmd.com/read/29689392/endoscopic-visualization-of-an-iatrogenic-valve-mechanism-elucidating-the-pathogenesis-of-postoperative-tumor-bed-cysts
#10
Thomas Beez, Daniel Remmel, Hans-Jakob Steiger
Space-occupying tumor bed cysts have been reported after resection of intracranial tumors, although the exact mechanism of their pathogenesis is unclear. Opening of the ventricular system during the tumor resection appears to be a risk factor. Occlusion of the surgical opening of the ventricle using fibrinogen-coated collagen fleece has been suggested to restore the integrity of the ventricular system. Here we present a clinical image depicting an iatrogenic valve mechanism caused by a fleece intended to seal a surgical opening of the lateral ventricle, leading to development of a space-occupying tumor bed cyst and cerebrospinal fluid fistula...
April 21, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29688445/extrapolating-the-limits-of-the-nasoseptal-flap-with-pedicle-dissection-to-the-internal-maxillary-artery
#11
Carlos D Pinheiro-Neto, Maria Peris-Celda, Tyler Kenning
BACKGROUND: The nasoseptal flap is the main pedicled flap used for endoscopic cranial base reconstruction. For large anterior cranial base defects, the anterior edge is a concern for the nasoseptal flap reach. OBJECTIVE: To present a surgical technique that completely releases the vascular pedicle of the nasoseptal flap from the sphenopalatine artery (SPA) foramen improving considerably the reach of the flap. METHODS: A patient with left anterior cranial base fracture involving the posterior table of the frontal sinus, who presented with cerebrospinal fluid leak and contused brain herniation to the ethmoid and frontal sinuses...
April 24, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29688401/anal-fistulas-in-severe-perineal-crohn-s-disease-mri-assessment-in-the-determination-of-long-term-healing-rates
#12
Charlène Brochard, Amandine Landemaine, Alexandre Merlini L'Heritier, Marie Provost Dewitte, Belinda Tchoundjeu, Tanguy Rohou, Aurélien Garros, Guillaume Bouguen, Laurent Siproudhis
Background & Aims: The European Crohn's and Colitis Organization recommends magnetic resonance imaging (MRI) of anal fistulas to decide on the drug/surgery strategy. No evidence is available on the long-term impact of MRI features on fistula healing. The aim of this study was to evaluate the benefit of combined drug/surgery strategies for the treatment of perianal Crohn's fistulas based on MRI factors at referral. Methods: The clinical event (anal abscess, new fistula tract, cellulitis), therapeutic intervention (introduction/optimization of immunosuppressant/biologics, anal surgery, intestinal resection, stoma), and MRI data were prospectively recorded for patients with Crohn's disease (CD) and anal fistulas...
April 20, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29687684/temporary-arteriovenous-fistula-due-to-trauma
#13
Horacio García-Delgado Rosado, Joaquín Ortega Quintanilla, Ignacio Pérez Torres
No abstract text is available yet for this article.
June 2018: Emergencias: Revista de la Sociedad Española de Medicina de Emergencias
https://www.readbyqxmd.com/read/29687468/spontaneous-detumescence-and-full-restoration-of-erection-in-a-patient-with-high-flow-priapism-with-persistent-arterial-lacunar-fistula-after-repeated-selective-embolisation-a-case-report
#14
M Čechová, R Pádr, P Hanek, M Chocholatý
High-flow priapism is a rare condition mainly caused by perineal trauma. Laceration of cavernosal artery results in a formation of arterial-lacunar fistula with unregulated blood flow causing prolonged erection. We present a case of a 25-year-old man with high-flow priapism and concurrent erectile dysfunction treated with repeated selective embolisation with only a partial effect. When no further embolisation was possible, we assumed on conservative management even through the fistula was still present. Spontaneous detumescence occurred 9 months, and erectile function has fully restored 24 months after the injury...
April 23, 2018: Andrologia
https://www.readbyqxmd.com/read/29686924/anomalous-right-subclavian-artery-esophageal-fistulae
#15
Courtney Brooke Shires, Michael J Rohrer
An aberrant right subclavian artery (ARSA) is the most common aortic arch anomaly, but only 19 previous cases of ARSA-esophageal fistula have been reported. Six patients have survived their bleeding episode. We describe the case of a 44-year-old woman who developed massive hemoptysis. Laryngoscopy, bronchoscopy, head and neck angiogram, and median sternotomy did not reveal what was presumed initially to be a tracheoinnominate fistula. Contrasted CT showed an anomalous subclavian artery posterior to the esophagus...
2018: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29686922/endolumenal-vacuum-therapy-and-fistulojejunostomy-in-the-management-of-sleeve-gastrectomy-staple-line-leaks
#16
Kyle Szymanski, Estrellita Ontiveros, James S Burdick, Daniel Davis, Steven G Leeds
Laparoscopic sleeve gastrectomy (LSG) is the most common bariatric surgery performed for morbid obesity. Leaks of the vertical staple line can occur in up to 7% of cases and are difficult to manage. Endolumenal vacuum (EVAC) therapy and fistulojejunostomy (FJ) have separate documented uses to heal these complicated leaks. We aim to show the benefit of using EVAC with FJ in the treatment of LSG staple line leaks. The patient presented with an LSG chronic leak. EVAC therapy was initiated but failed to close the fistula after 101 days...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29686917/a-recurrent-cervical-neurenteric-cyst-treated-anteriorly-safe-gross-total-excision-facilitated-by-prophylactic-unilateral-vertebral-artery-exposure-microdissection-and-spinal-cord-monitoring-a-case-report-and-technical-note
#17
Kazunobu Kida, Toshikazu Tani, Tateo Kawazoe, Makoto Hiroi
This study reports on a 67-year-old woman with partial Brown-Séquard syndrome due to a recurrent cervical neurenteric cyst at C3 to C4. The myelopathic symptoms reappeared 22 years after a previous shunting operation performed posteriorly with a silicone tube connecting the intradural cervical cyst cavity to the subarachnoid space. We have now succeeded in removing the cyst nearly completely with the anterior approach. The surgical procedure consisted of right vertebral artery exposure at C3 and C4 and a subtotal corpectomy of C3 followed by microdissection of the cyst, duraplasty, and iliac strut graft fusion...
2018: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29686795/rare-cause-of-gastric-outlet-obstruction
#18
Sonal Gandhi, Niraj Jani
Bouveret's syndrome is a rare cause of gastric outlet obstruction. The stones enter the small bowel via cholecysto-enteric fistula. The most common presenting symptoms are abdominal pain, nausea and vomiting. The gold standard diagnostic test isesophagogastroduodenoscopy (EGD). Rigler's triad on abdominal x-ray is classic. CT scan findings are pneumobilia, cholecystoduodenal fistula and a gallstone in the duodenum. We present a case of a 75-year-old female who presents with 3 week history of nausea, vomiting, and diffuse abdominal pain...
2018: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/29686557/coronary-artery-fistula-between-the-left-anterior-descending-artery-and-pulmonary-artery
#19
Abdul Al-Douri, Ari Cedars, Dat Tran
Coronary artery fistula is a rare anomalous connection between a coronary artery and a cardiac chamber or major vessel. Here we present the case of a 36-year-old woman who presented with sharp, substernal chest pain, dyspnea, and dizziness. A fistula between her left anterior descending artery and pulmonary trunk was found. Herein, we describe our approach and review the epidemiology, pathophysiology, diagnosis, and treatment options.
January 2018: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/29686474/impact-of-enhanced-recovery-after-surgery-programs-on-pancreatic-surgery-a-meta-analysis
#20
Hai-Bin Ji, Wen-Tao Zhu, Qiang Wei, Xiao-Xiao Wang, Hai-Bin Wang, Qiang-Pu Chen
AIM: To evaluate the impact of enhanced recovery after surgery (ERAS) programs on postoperative complications of pancreatic surgery. METHODS: Computer searches were performed in databases (including PubMed, Cochrane Library and Embase) for randomized controlled trials or case-control studies describing ERAS programs in patients undergoing pancreatic surgery published between January 1995 and August 2017. Two researchers independently evaluated the quality of the studies' extracted data that met the inclusion criteria and performed a meta-analysis using RevMan5...
April 21, 2018: World Journal of Gastroenterology: WJG
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