scholarly journals 672 Isolated pulmonic valve endocarditis. AN unusual case with giant vegetations detected by transthoracic echocardiography

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Vito Maurizio Parato ◽  
Luca Di Geso ◽  
Andrea Giovanni Parato ◽  
Simona Pelliccioni
Keyword(s):  
Pulmonary Embolism ◽  
Transthoracic Echocardiography ◽  
Surgical Planning ◽  
Unusual Case ◽  
Surgical Intervention ◽  
Correct Diagnosis ◽  
Short Review ◽  
Direct Oral Anticoagulant ◽  
Rare Form ◽  
Pulmonic Valve

Abstract Aims Isolated pulmonic valve infective endocarditis (PV-IE) is a rare form of endocarditis. Methods and results The authors report a case of giant vegetations detected by transthoracic echocardiography on pulmonic valve in a 33 year-old patient, with drug abuse history (Figure 1). Patient underwent surgical intervention by pulmonary valved bioconduit implantation. After operation a pulmonary embolism episode was treated by a direct oral anticoagulant. The final outcome was favourable. We report a short review of this rare pathology. Conclusions The difficulty in diagnosing PV-IE is due to inability to properly visualize the pulmonic valve by echocardiography. In this case, with such large vegetations, transthoracic echocardiography (TTE) allowed a correct diagnosis and an effective surgical planning, confirming its importance as diagnostic tool.

SOLITARY PERIOSTEAL CHONDROMA PRESENTING AS A SNAPPING FINGER: AN UNUSUAL LOCATION

Hand Surgery ◽  
2008 ◽  
Vol 13 (02) ◽  
pp. 51-54 ◽  
Author(s):  
Toru Yamauchi ◽  
Osamu Oshiro ◽  
Shuji Hiraoka
Keyword(s):  
Unusual Case ◽  
Correct Diagnosis ◽  
Ring Finger ◽  
Extensor Tendon ◽  
Ct Scans ◽  
Unusual Location ◽  
Periosteal Chondroma ◽  
Pip Joint

We report an unusual case of a solitary periosteal chondroma presenting as a snapping finger and pain in the ring finger in a 37-year-old man. The snapping symptom was caused by impingement of this solitary chondroma. In this case, the periosteal chondroma was detached due to a finger sprain. Thus, the solitary chondroma was impinged between basal phalanx and extensor tendon, causing the pain and snapping finger. When patients with snapping finger present, CT scans can be helpful to make a correct diagnosis. To the best of our knowledge, this condition has not been described in the PIP joint.

Unusual case of aortic valve involvement in patient with Löffler’s Endomyocarditis: management, follow-up and short review of the literature

2007 ◽  
Vol 24 (3) ◽  
pp. 309-313 ◽  
Author(s):  
Evin Bozcali ◽  
Farid Aliyev ◽  
Mustafa Tarik Agac ◽  
Hakan Erkan ◽  
Barıs Okcun ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Unusual Case ◽  
Short Review ◽  
Review Of The Literature

Abstract 18291: Computed Tomography Angiography Can Replace Cardiac Catheterization in the Surgical Planning of Select Neonates with Major Aortopulmonary Collaterals

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Holly Bauser-Heaton ◽  
Lynn Peng ◽  
Stanton B Perry ◽  
Jeffrey A Feinstein ◽  
Frank L Hanley ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Ct Angiography ◽  
Cardiac Catheterization ◽  
Surgical Planning ◽  
Surgical Intervention ◽  
Neonatal Period ◽  
Aortopulmonary Collaterals ◽  
Initial Hospitalization ◽  
The Cost ◽  
Major Aortopulmonary Collaterals

Introduction: Neonates with Tetralogy of Fallot (TOF) and major aortopulmonary collaterals (MAPCAs) routinely undergo cardiac catheterization in the neonatal period. We have recently incorporated CT angiography into the neonatal evaluation with the hope of eliminating catheterization in those not needing neonatal intervention. We reviewed our experience with CT angiography and its accuracy in determining the need for neonatal intervention. Methods: Retrospective review of all patients from April 2005-October 2013 with MAPCAs who had both CTA and cardiac catheterization during the first 120 days of life and within 14 days of one another. The radiologist and interventionalist responsible for reading the studies were blinded to the results of the procedures and each other’s readings. The need for neonatal intervention as predicted by CTA was compared to the ultimate, cath-based decision. Results: 19 patients (mean age 3.73 days, range 1-9 days of age) were included in the study. In all patients CT was able to predict the need for surgical intervention correctly. CTA was found to be 87% sensitive, 93% specific and 91% sensitive with respect to number of MAPCAs, origin and distribution. Conclusion: CT angiography can accurately predict the need for neonatal intervention. In those not requiring neonatal intervention, neonatal cardiac catheterization is not required. CTA may also aid in guiding the subsequent, pre-operative catheterization but cannot replace it. This algorithm eliminates neonatal catheterization in the majority of TOF/MAPCAs patients, and with it the associated risks, and radiation, as well as substantially reducing the cost of the initial hospitalization.

The importance of periodontal screening in children. A case report

Dental Update ◽  
2021 ◽  
Vol 48 (6) ◽  
pp. 474-476
Author(s):  
Francesca Capaldi ◽  
Eleni Besi ◽  
Elizabeth M Roebuck
Keyword(s):  
Case Report ◽  
Secondary Care ◽  
Unusual Case ◽  
Surgical Intervention ◽  
Multidisciplinary Care ◽  
Paediatric Dentistry ◽  
British Society ◽  
General Dental Practitioner ◽  
Permanent Molars ◽  
First Permanent Molars

The British Society of Periodontology, in collaboration with the British Society of Paediatric Dentistry, published guidelines in 2012 for the periodontal screening of children and adolescents. The guidelines recommended a simplified Basic Periodontal Examination (BPE) of six teeth for children aged 7–17 years. This is further modified for ages 7–11, using codes 0–2 from the 0–4 BPE adult chart. An unusual case of an 11-year-old boy who attended his general dental practitioner for a check-up is reported. Periodontal screening led to the detection of 13-mm pockets associated with the two mandibular first permanent molars that required surgical intervention and multidisciplinary care. CPD/Clinical Relevance: This case report highlights the importance of paediatric periodontal screening in both primary and secondary care.

scholarly journals Ruptured Petrous Carotid Pseudoaneurysm Due to Tuberculous Otitis: Endovascular Treatment

2006 ◽  
Vol 12 (1) ◽  
pp. 53-56 ◽  
Author(s):  
A.B. Yagci ◽  
F.N. Ardiç ◽  
I. Oran ◽  
F. Bir ◽  
N. Karabulut
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Treatment ◽  
Unusual Case ◽  
Internal Carotid ◽  
Surgical Intervention ◽  
Imaging Findings ◽  
Parent Vessel ◽  
Detachable Balloon ◽  
Artery Pseudoaneurysm

We report the imaging findings and endovascular treatment in an unusual case of petrous internal carotid artery pseudoaneurysm due to primary tuberculous otitis. The aneurysm was recognized and ruptured during a surgical intervention for otitis. Successful endovascular treatment of the aneurysm was performed by occlusion of the parent vessel using detachable balloon and coils.

scholarly journals Maternalmortality in Benghazi: a clinicoepidemiological study

2000 ◽  
Vol 6 (2-3) ◽  
pp. 283-293
Author(s):  
M. Legnain ◽  
R. Singh ◽  
M. O. Busarira
Keyword(s):  
Risk Factors ◽  
Pulmonary Embolism ◽  
Mortality Rate ◽  
Birth Interval ◽  
Causes Of Death ◽  
Surgical Intervention ◽  
Hypertensive Disease ◽  
Maternal Deaths ◽  
Live Births ◽  
Almost All

We conducted a clinicoepidemiological study of 14 maternal deaths out of 79 981 live births at Al-Jamahiriya Hospital, Benghazi between 1993 and 1997. The maternal mortality rate per 100 000 live births was 17.5. The reproductive profile of these women was: mean age 31.5 +/- 6.9 years, mean parity 4.5, mean birth interval 14.6 +/- 7.0 months, mean gestation 27.7 +/- 14.6 weeks and mean haemoglobin 9.3 +/- 2.1 g/dL. None of the women had prebooked their delivery, 50% had preconceptional medical or obstetric risk factors, around 70% were anaemic, almost all were admitted with serious medical conditions and > 50% required surgical intervention. The main underlying medical causes of death were: hypertensive disease of pregnancy [28.6%], haemorrhage [14.3%], pulmonary embolism [14.3%]and brain tumour [14.3%]

scholarly journals Patient with Acute Coronary Syndrome in the Setting of an Extremely Rare form of Complex Congenital Anomalous Coronaries

Aorta ◽  
2021 ◽  
Author(s):  
Mahmoud Abdelnabi ◽  
Fady Gerges ◽  
Yehia Saleh ◽  
Eman Elsharkawy ◽  
Mohamed Sanhoury ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Young Patient ◽  
Right Coronary Artery ◽  
Unusual Case ◽  
Single Coronary Artery ◽  
Sinus Of Valsalva ◽  
Rare Form ◽  
Coronary Syndrome ◽  
The Right

AbstractA single coronary artery is an exceedingly rare anomaly. Hereby, we present an unusual case of a young patient with an acute coronary syndrome who was found to have a single coronary artery originating from a single ostium in the right sinus of Valsalva with dual left anterior descending (LAD) arteries arising from the right coronary artery with two different anatomical courses, and additionally one of those LADs running a malignant intra-arterial course.

scholarly journals Dissecting the Diagnosis – An Unusual Case of Pericarditis

2017 ◽  
Vol 16 (4) ◽  
pp. 200-203
Author(s):  
Louise Mundy ◽  
◽  
Purav Desai ◽  
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Unusual Case ◽  
Correct Diagnosis ◽  
Timely Manner ◽  
Medical Unit ◽  
Coronary Syndrome ◽  
Acute Medical Unit

Chest pain is an extremely common presenting complaint on the acute medical unit. It is important to distinguish between patients who have serious pathology and those without. Often, the focus is on ruling out an acute coronary syndrome and inadequate consideration is given to other possible causes. This case highlights the importance of performing relevant investigations in a timely manner, in order to ensure that a correct diagnosis is made.

scholarly journals Mitral commissural prolapse

2020 ◽  
Author(s):  
EVA PAPADIMITRAKI ◽  
Alexandros Patrianakos ◽  
Antonis Pitsis ◽  
Maria Marketou ◽  
Aggeliki Zacharaki ◽  
...  
Keyword(s):  
Risk Factor ◽  
Surgical Planning ◽  
3D Imaging ◽  
Correct Diagnosis ◽  
Surgical Techniques ◽  
Valve Repair ◽  
Accurate Identification ◽  
2D Echocardiography ◽  
2D And 3D ◽  
Echocardiographic Findings

Mitral commissural prolapse or flail, either isolated or combined with more extensive degenerative valve disease imposes several challenges both on its diagnosis and management whilst being a risk factor for valve reoperation after mitral valve repair. Accurate identification of the prolapsing segment is often not feasible with transthoracic 2D echocardiography, with transesophageal 3D imaging then required for correct diagnosis and surgical planning. Various surgical techniques employed alone or in combination, have yielded good results in the repair of commissural prolapse. Herein, we analyze the specific characteristics of commissural disease focusing our attention on 2D and 3D echocardiographic findings and we briefly comment on techniques employed for surgical correction of the disease.

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