scholarly journals Rare Etiology of Acute Embolic Stroke in a 17-Year-Old Girl: Cardiac Papillary Fibroelastoma

2017 ◽  
Vol 07 (01) ◽  
pp. 059-061
Author(s):  
Susan Cooke ◽  
Michael Shillingford ◽  
Eric Ceithaml ◽  
Tanya Chadha
Keyword(s):  
Cardiac Tumor ◽  
Surgical Intervention ◽  
Interesting Case ◽  
Papillary Fibroelastoma ◽  
Optimal Timing ◽  
Cerebrovascular Event ◽  
Healthy Children ◽  
Primary Cardiac Tumor ◽  
Pedunculated Tumor ◽  
High Index Of Suspicion

AbstractA cardiac papillary fibroelastoma is a benign, pedunculated tumor with strand-like projections arising from the endocardium. While often discovered incidentally, these tumors can embolize resulting in major neurologic events. There is a dearth of pediatric literature describing the necessity and optimal timing of surgical intervention for this rare primary cardiac tumor after a cerebrovascular event. We report an interesting case and the subsequent management dilemma in a teenage patient presenting with acute embolic strokes secondary to an aortic valve papillary fibroelastoma. Despite its rarity, a high index of suspicion should be maintained for such tumors in previously healthy children presenting with acute stroke.

scholarly journals Cardiac Papillary Fibroelastoma Presented as Angina: A Case Report

2020 ◽  
Author(s):  
Zhefeng Kang ◽  
Jun Shi ◽  
Yingqiang Guo ◽  
Mian Wang
Keyword(s):  
Myocardial Infarction ◽  
Cardiac Tumor ◽  
Surgical Excision ◽  
Papillary Fibroelastoma ◽  
Primary Cardiac Tumor ◽  
Case Presentation ◽  
Tumor Excision ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

Abstract Background: Cardiac papillary fibroelastoma is a rare, benign primary cardiac tumor, which always remains asymptomatic. Severe complications also had been reported in many cases. And the only effective therapy is surgical excision.Case presentation: Here we report a case of cardiac papillary fibroelastoma with the beginning symptom of chest pain and first diagnosis of non–ST-segment elevation myocardial infarction (NSTEMI). The patient finally underwent tumor excision surgery and recovered well.Conclusion: For patients with symptomatic cardiac papillary fibroelastoma we provide a series of comprehensive data before, during and after operation. This might be helpful for the further diagnosis and treatment of the tumor.

Tracheoinnominate fistula: surgical management of an iatrogenic disaster

2006 ◽  
Vol 120 (8) ◽  
pp. 676-680 ◽  
Author(s):  
R W Ridley ◽  
J B Zwischenberger
Keyword(s):  
Operating Room ◽  
Surgical Management ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Pectoralis Major Muscle ◽  
Muscle Flap ◽  
Rare Condition ◽  
Innominate Artery ◽  
Significant Potential ◽  
High Index Of Suspicion

Tracheoinnominate fistula (TIF) is a rare condition with significant potential for mortality if surgical intervention is not immediate. We present two cases of successfully managed TIF. Both cases involve ligation and resection of the innominate artery at the TIF followed by a pectoralis major muscle flap. In both cases, success was largely due to a high index of suspicion and immediate control of the bleeding with transport to the operating room for surgical repair. The history, aetiology, and pathogenesis of TIF are reviewed, yielding an algorithm for recommended management of TIF.

scholarly journals Primary Cardiac Tumor Presenting as Obstruction of the Left Ventricular Outflow Tract

2004 ◽  
Vol 68 (10) ◽  
pp. 961-963 ◽  
Author(s):  
Yoshikazu Ohara ◽  
Yoshikazu Hiasa ◽  
Shinobu Hosokawa ◽  
Koji Yamaguchi ◽  
Riyo Ogura ◽  
...  
Keyword(s):  
Cardiac Tumor ◽  
Left Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Outflow Tract ◽  
Primary Cardiac Tumor ◽  
Left Ventricular Outflow

Hemoperitoneum in a Peritoneal Dialysis Patient: Ruptured Ectopic Pregnancy

2018 ◽  
Vol 38 (6) ◽  
pp. 455-456 ◽  
Author(s):  
Orly F. Kohn ◽  
Sandra Culbertson ◽  
Yolanda T. Becker
Keyword(s):  
Differential Diagnosis ◽  
Peritoneal Dialysis ◽  
Ectopic Pregnancy ◽  
Dialysis Patient ◽  
Surgical Intervention ◽  
Peritoneal Dialysis Patient ◽  
Dialysis Patients ◽  
Childbearing Age ◽  
Life Threatening ◽  
High Index Of Suspicion

Hemoperitoneum is a well-recognized complication in female peritoneal dialysis (PD) patients of childbearing age. Bloody effluent is commonly of minor nature, presenting during menstruation or midcycle, resolving after a few rapid exchanges without a need for further intervention. One must remain vigilant, however, and consider a broader differential diagnosis when hemoperitoneum is persistent or severe, as it indicates a serious and potentially life-threatening etiology. We report 2 episodes of hemoperitoneum in a PD patient occurring more than 1.5 years apart, with different underlying etiologies. The more dramatic second episode was due to a ruptured ectopic pregnancy, a condition which had not been reported as a cause of hemoperitoneum in dialysis patients to date and requires a high index of suspicion and prompt surgical intervention.

Nodular melanoma presenting as an exophytic subungual mass

2018 ◽  
Vol 63 (1) ◽  
pp. 32-34 ◽  
Author(s):  
B Finlay ◽  
T Ramachandren ◽  
K Hussey ◽  
S Parkyn ◽  
K Meyer ◽  
...  
Keyword(s):  
Delayed Diagnosis ◽  
Interesting Case ◽  
High Index ◽  
Nodular Melanoma ◽  
Diagnostic Pitfall ◽  
One Year ◽  
High Index Of Suspicion ◽  
Subungual Melanoma

Despite being recognised and reported in the literature for decades, subungual melanoma of the foot remains a diagnostic pitfall, with it commonly being mistaken for benign conditions. We present an interesting case of delayed diagnosis of subungual melanoma of the hallux that was misdiagnosed in the community for over one year. With melanoma being the fourth most commonly diagnosed cancer in Australia in 2013, this case serves as a reminder to all clinicians about the importance of maintaining a high index of suspicion for melanoma of the foot.

Foreign Body Nose: An Unusual Presentation

2021 ◽  
Vol 28 (3) ◽  
pp. 282-284
Author(s):  
Ankit Gulati ◽  
Surinder K Singhal ◽  
Shashikant A Pol ◽  
Nitin Gupta
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Interesting Case ◽  
Alar Cartilage ◽  
Open Approach ◽  
Medial Canthus ◽  
History Of ◽  
Foreign Body Impaction ◽  
Nasal Bleed ◽  
High Index Of Suspicion

Introduction This is a very interesting case of retained homicidal foreign body in the nose in contrast to most of the foreign bodies which are accidental. Case Report A 27 year old male presented to ENT emergency with alleged history of assault over face with sharp object following which patient developed nasal bleed. On examination vertical laceration of approximately 8 cm in length was present along left naso-orbital groove extending superiorly from medial canthus of left eye and inferiorly to nasal alar cartilage. On anterior rhinoscopy a metallic foreign body was seen in both nasal cavities, which appeared to be crossing from left to right side piercing the nasal septum. Foreign body was removed via open approach. Discussion Penetrating maxillofacial injury with foreign body impaction are less common. High index of suspicion is required in diagnosing these cases. Radiological intervention should be done to get idea of exact location and extent of foreign body. Lateral rhinotomy is a useful approach in removing these foreign bodies.

Abstract 17158: Intraoperative Electroanatomical Mapping and Histopathological Examination Revealed Mechanism of Monomorphic Ventricular Tachycardia associated with Primary Cardiac Tumor

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Hiroshige Murata ◽  
Yasushi Miyauchi ◽  
Takashi Nitta ◽  
Kenta Takahashi ◽  
Ippei Tsuboi ◽  
...  
Keyword(s):  
Ventricular Tachycardia ◽  
Cardiac Tumor ◽  
Histopathological Examination ◽  
Therapeutic Option ◽  
Myocardial Cell ◽  
Complete Resection ◽  
Electroanatomical Mapping ◽  
Primary Cardiac Tumor ◽  
Unresectable Tumor ◽  
Histopathological Studies

Introduction: Ventricular tachycardia (VT) associated with a primary cardiac tumor is extremely rare. Complete resection of a tumor was reported to be effective in a treatment of this VT. However, the mechanism of the cardiac tumor-related VT (CT-VT) is still unknown, and the therapeutic strategy of the VT in patients with unresectable tumor is not determined. Methods and Results: Four patients (20 ± 15 years, 3 males) with CT-VT (fibroma in 2, lipoma in 1, and hemangioma in 1 patient) were investigated. All four patients developed repetitive forms of monomorphic VTs, which were reproducibly induced by programmed ventricular stimulation and terminated by burst pacing. These VTs exhibited a right bundle branch block QRS morphology (QRS duration, 160 ± 28 ms) with a pseudo-delta wave (75 ± 10 ms) at a cycle length of 330 ± 86 ms. Intraoperative electroanatomical mapping showed a radially spreading activation pattern originating from the epicardial border of the tumor, where fractionated and late potentials were detected during sinus rhythm. Histopathological studies of the sections from this border area revealed tumor infiltration to the surrounding myocardium and myocardial cell disorganization exhibiting myocardial disarray. In 2 patients in whom the cardiac tumor was completely resected, cryoablation was added to the resection line. In the remaining 2 patients in whom complete resection of the tumor was unfeasible, encircling cryoablation to entirely isolate the unresectable tumor was effective in suppressing their VTs. Conclusions: The mechanism of CT-VT is reentry localized at the epicardial border of the tumor. Myocardial disarray associated with infiltration of the cardiac tumor may be a substrate of this VT. Encircling cryoablation along the border of the tumor may be a therapeutic option for an unresectable CT-VT.

Papillary fibroelastoma on pulmonary valve – Valve-sparing surgery of a cardiac tumor in a rare location

2020 ◽  
Vol 46 ◽  
pp. 107195
Author(s):  
Tomas Grus ◽  
Petr Kuchynka ◽  
Tomas Palecek ◽  
Ladislav Hadravsky ◽  
Tomas Urbanec ◽  
...  
Keyword(s):  
Cardiac Tumor ◽  
Pulmonary Valve ◽  
Papillary Fibroelastoma ◽  
Rare Location ◽  
Valve Sparing

Children’s hand trauma

2011 ◽  
Author(s):  
Henk Giele
Keyword(s):  
Nerve Injury ◽  
Upper Limb ◽  
Growth And Development ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
General Anaesthetic ◽  
Hand Trauma ◽  
Nail Bed ◽  
The Common ◽  
High Index Of Suspicion

♦ This chapter reinforces that children are not small adults and the management of these injuries must consider the effect on growth and development♦ Nail bed injuries require microsurgical repair if permanent deformity is to be avoided♦ Every attempt should be made to replace amputated digits, whatever the level of amputation♦ Good results are the common outcome in children’s fractures unless complicated by surgical intervention or infection. However, angulation, rotation, and intra-articular deformities should be corrected where possible♦ All children with deep lacerations of the upper limb should have a general anaesthetic for adequate exploration and repair of the wound♦ A high index of suspicion of nerve injury should exist when assessing hand lacerations, and the outcome of early surgical repair is good.

Intracranial and Orbital Complications of Sinusitis: A Case Series and Review of Literature

2011 ◽  
Vol 4 (2) ◽  
pp. 87-92 ◽  
Author(s):  
Kishore Shetty ◽  
Vinay Vaidyanathan
Keyword(s):  
Surgical Intervention ◽  
Case Series ◽  
Interesting Case ◽  
Sinus Surgery ◽  
Intracranial Extension ◽  
Review Of Literature ◽  
Neurosurgical Technique ◽  
Orbital Complications ◽  
Late Recognition

ABSTRACT Complications of paranasal sinus infection most often involve the orbit and periorbita. Because of widespread use of antibiotics, intracranial extension of paranasal sinusitis is rarely seen today. Nevertheless, the clinician must be aware of the potential of these complications, as late recognition of this condition and delay in treatment can increase morbidity and mortality rates. An interesting case series of sinusitis with orbital and intracranial complication is presented, which was radiologically evaluated, and was managed by endoscopic sinus surgery with drainage of subdural empyema by appropriate neurosurgical technique. The radiological tools played a very important role in both assessment and timing of surgical intervention. Unparallel role of radiological investigations cannot be overemphasized. The key to successful treatment is aggressive management and the timing for surgical intervention should not be deferred. The patients made full recovery at the time of discharge.

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