Retrieval of a Catheter Foreign Body from the Right Heart Using a Guide Wire Deflector System

Radiology ◽  
1971 ◽  
Vol 100 (1) ◽  
pp. 61-62 ◽  
Author(s):  
William J. McSweeney ◽  
David C. Schwartz
2013 ◽  
Vol 67 (3-4) ◽  
pp. 287-295
Author(s):  
Ivan Vujanac ◽  
Radisa Prodanovic ◽  
Goran Dzmura ◽  
Miloje Djuric ◽  
Darko Marinkovic ◽  
...  

In this paper there is presented right heart failure in 10 years' old cow. During last year it had changeable apetite, profuse diarrhea as well as fluctuations in milk production. In the mentoned period it did not conceive. By examination of peripheral blood vessels, there were determined some changes in pulse quality (p.rarus et parvus) and charge of neck veins (venous stasis). Under the skin in sternum region there was noticeable swelling of pastose condensation. Visible mucosas were pail. Heart sounds were barely audible, and at puncta optima aorte and a.pulmonalis could not be heard at all. On the right side of the chest, first and second heart tones audability was better, compared to those of the opposite side. By examining of the reticulum by testing on foreign body presence, the animal did not react painfully. On the basis of these data, there was diagnosed: Insufficientio cordis et pericarditis traumatica in obs. By laboratory analysis of blood samples, trere was determined hypochromic and microcytic anemia, mild leukocytosis with neutrophilia, as well as hyperproteinemia characterized by hypoalbuminemia and hyperglobulinemia. These findings pointed out to iron deficiency, inflammatory process and reduced syntetic ability of liver. For economic reasons, the animal was sent to the slaughter. By pathomorphological examination there were determined connective tissue adhesions among reticulum, diaphragm, pericardium and the base of the heart. The foreign body was located in the base of the heart where a large abscess was formed. Pericardium was thickened, and on its inner side there were grained sediments of fibrin and purulent content. Right ventricle of the heart was expanded and the wall was thinned. By histopathological examination of the heart, there was found out thickened pericardium with fibrin sediments, and the wall of the abscess located on the base of the heart was formed of connective tissue largely infiltrated by neutrophyl granulocytes. On the basis of the findings, there was diagnosed Pericarditis purulenta chronica.


2019 ◽  
Vol 70 (1) ◽  
pp. 63-68 ◽  
Author(s):  
Venera Cristina Dinescu ◽  
Ileana Puiu ◽  
Sorin Nicolae Dinescu ◽  
Diana Rodica Tudorascu ◽  
Elena Catalina Bica ◽  
...  

The aim of this study was to identify correlations between electrocardiographic and echocardiographic changes in patients with silicosis prior to the occurrence of chronic pulmonary heart disease. We conducted a prospective, descriptive, analytical study, in which we included a group of 67 patients consecutively admitted to the Health Promotion and Occupational Medicine Clinic between December 2016 and January 2018, aged 47 to 78 years.There was a biochemical and electrocardiographic evaluation for each patient as well as a right ventricle echocardiographic evaluation (diameters, volumes, function). A control group, including 25 patients with benign minor diseases that required a cardiologist consultation, was also used. From the electrocardiographic point of view, slight changes were observed regarding the waves of electrical activity of the right ventricle. Taking into account the degree of ventilatory dysfunction (depending on FEV1), changes in right heart echocardiographic parameters were identified. Thus, in what the most important right ventricular parameters, including the tricuspid annular plane systolic excursion (TAPSE) or the RV index of myocardial performance (RVMPI) were concerned, values at the upper limit of normality were recorded in most patients with moderate and severe ventilatory dysfunction. Values of echocardiographic parameters of the right heart at the upper limit of normality, correlated with the degree of ventilatory dysfunction, are early markers for cardiovascular damage in patients with pulmonary silicosis prior to the occurrence of chronic pulmonary heart disease also known ascor pulmonale.


2020 ◽  
Vol 10 (1) ◽  
pp. 122
Author(s):  
Lilly-Ann Mohlkert ◽  
Jenny Hallberg ◽  
Olof Broberg ◽  
Gunnar Sjöberg ◽  
Annika Rydberg ◽  
...  

Preterm birth has been associated with altered cardiac phenotype in adults. Our aim was to test the hypothesis that children surviving extremely preterm birth have important structural or functional changes of the right heart or pulmonary circulation. We also examined relations between birth size, gestational age, neonatal diagnoses of bronchopulmonary dysplasia (BPD) and patent ductus arteriosus (PDA) with cardiac outcomes. We assessed a population-based cohort of children born in Sweden before 27 weeks of gestation with echocardiography at 6.5 years of age (n = 176). Each preterm child was matched to a healthy control child born at term. Children born preterm had significantly smaller right atria, right ventricles with smaller widths, higher relative wall thickness and higher estimated pulmonary vascular resistance (PVR) than controls. In preterm children, PVR and right ventricular myocardial performance index (RVmpi’) were significantly higher in those with a PDA as neonates than in those without PDA, but no such associations were found with BPD. In conclusion, children born extremely preterm exhibit higher estimated PVR, altered right heart structure and function compared with children born at term.


Medicina ◽  
2021 ◽  
Vol 57 (1) ◽  
pp. 50
Author(s):  
Jun-Ho Ha ◽  
Byeong-Ho Jeong

Foreign body (FB) aspiration occurs less frequently in adults than in children. Among the complications related to FB aspiration, pneumothorax is rarely reported in adults. Although the majority of FB aspiration cases can be diagnosed easily and accurately by using radiographs and bronchoscopy, some patients are misdiagnosed with endobronchial tumors. We describe a case of airway FB that mimicked an endobronchial tumor presenting with pneumothorax in an adult. A 77-year-old man was referred to our hospital due to pneumothorax and atelectasis of the right upper lobe caused by an endobronchial nodule. A chest tube was immediately inserted to decompress the pneumothorax. Chest computed tomography with contrast revealed an endobronchial nodule that was seen as contrast-enhanced. Flexible bronchoscopy was performed to biopsy the nodule. The bronchoscopy showed a yellow spherical nodule in the right upper lobar bronchus. Rat tooth forceps were used, because the lesion was too slippery to grasp with ellipsoid cup biopsy forceps. The whole nodule was extracted and was confirmed to be a FB, which was determined to be a green pea vegetable. After the procedure, the chest tube was removed, and the patient was discharged without any complications. This case highlights the importance of suspecting a FB as a cause of pneumothorax and presents the possibility of misdiagnosing an aspirated FB as an endobronchial tumor and selecting the appropriate instrument for removing an endobronchial FB.


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