scholarly journals Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jacek Pająk ◽  
Maciej Aleksander Karolczak ◽  
Michał Buczyński ◽  
Wojciech Mądry ◽  
Darren James Grégoire ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Myocardial Ischemia ◽  
Right Ventricle ◽  
Ventricular Pressure ◽  
Coronary Ostium ◽  
Hybrid Strategy ◽  
Case Presentation ◽  
Steal Phenomenon ◽  
Coronary Steal

Abstract Background Coronary steal phenomenon and myocardial ischemia is a complication following decompression of a hypertensive right ventricle in patients with left coronary-cameral fistulae. Case presentation We present a 12-year-old girl with a complex heart defect successfully operated on using a hybrid surgical-interventional approach to decompress the ventricle, embolize the fistula and reconstruct the atretic left coronary ostium. Conclusions A novel hybrid strategy is the best solution for coronary-cameral fistulas reliant on high ventricular pressure at high risk for coronary steal phenomenon.

scholarly journals Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium - case report

2021 ◽  
Author(s):  
Jacek Pająk ◽  
Maciej Aleksander Karolczak ◽  
Michał Buczyński ◽  
Wojciech Mądry ◽  
Darren James Grégoire ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Myocardial Ischemia ◽  
Right Ventricle ◽  
Ventricular Pressure ◽  
Coronary Ostium ◽  
Hybrid Strategy ◽  
Steal Phenomenon ◽  
Heart Defect ◽  
Coronary Steal

Abstract BackgroundCoronary steal phenomenon and myocardial ischemia is a complication following decompression of a hypertensive right ventricle in patients with left coronary-cameral fistulae.Case presentationWe present a 12-year-old girl with a complex heart defect successfully operated on using a hybrid surgical-interventional approach to decompress the ventricle, embolize the fistula and reconstruct the atretic left coronary ostium.ConclusionsA novel hybrid strategy is the best solution for coronary-cameral fistulas reliant on high ventricular pressure at high risk for coronary steal phenomenon.

scholarly journals Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Junnosuke Kimura ◽  
Kento Kawamura ◽  
Manami Minoura ◽  
Ayako Hiramoto ◽  
Yoshifumi Suga ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Business Communication ◽  
Communication Tools ◽  
Case Presentation ◽  
Emergency Cesarean

Abstract Background We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section. Case presentation A 37-year-old woman, who had been prescribed icosapentate for hypertriglyceridemia, received an antenatal anesthetic evaluation for possible cesarean delivery, and it was agreed that the anesthetic method for emergency cesarean section was general anesthesia if the surgery would take place within 7 days after the discontinuation of the drug, and regional anesthesia if it would take place any time later. Then this agreement was uploaded on the cloud-based business communication tools, and updated until she delivered her baby via unscheduled cesarean section. Conclusions A cloud-based business communication tools was useful in formulating an anesthesia plan for a patient undergoing a cesarean delivery. However, more discussion would be needed to utilize it in security.

Transcatheter Embolization of Coronary to Pulmonary Artery Fistula with Coronary Steal Phenomenon--A Case Report

2000 ◽  
Vol 9 (3) ◽  
pp. 176-177
Author(s):  
Filiz Özerkan ◽  
Mustafa Akin ◽  
Azem Akilli ◽  
Hakan Kültürsay ◽  
Serdar Payzin ◽  
...  
Keyword(s):  
Case Report ◽  
Pulmonary Artery ◽  
Transcatheter Embolization ◽  
Steal Phenomenon ◽  
Coronary Steal ◽  
Pulmonary Artery Fistula

scholarly journals Case report: a novel approach for the emergency repair of acute aortic rupture associated with congenital aortic Coarctation

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Xin Pu ◽  
Maozhou Wang ◽  
Xiaoyong Huang ◽  
Hongjia Zhang ◽  
Lianjun Huang
Keyword(s):  
Case Report ◽  
Aortic Coarctation ◽  
Aortic Rupture ◽  
Hybrid Approach ◽  
Hybrid Strategy ◽  
Case Presentation ◽  
Aortic Pseudoaneurysm ◽  
Ruptured Aneurysms ◽  
Novel Approach ◽  
Life Saving

Abstract Background Congenital aortic coarctation (CoA) associated with aortic rupture is a rare but extremely lethal condition. In pregnant patients, the condition becomes very risky. Case presentation We presented a case of a pregnant (20 weeks gestation) patient with CoA associated with ruptured aortic pseudoaneurysm who was successfully rescued using a novel hybrid strategy. Conclusions This hybrid approach may be a life-saving bridging intervention in patients with CoA associated with devastating complications, such as ruptured aneurysms, especially with extremely narrowed access.

scholarly journals Endoscopic submucosal tunnel dissection for a giant adenoma of the cecum (case report)

2021 ◽  
Vol 20 (1) ◽  
pp. 41-45
Author(s):  
O. M. Iugai ◽  
D. A. Mtvralashvili ◽  
A. A. Likutov ◽  
Yu. E. Vaganov
Keyword(s):  
Case Report ◽  
High Risk ◽  
Villous Adenoma ◽  
Ileocecal Valve ◽  
Tumor Site ◽  
Endoscopic Removal ◽  
Case Presentation ◽  
Submucosal Tunnel ◽  
Successful Removal ◽  
Endoscopic Submucosal Tunnel Dissection

Endoscopic removal of giant adenomas of the cecum is associated with high risk of perforation and conversion to laparoscopic procedure. Endoscopic submucosal dissection for cecal adenomas had technical limitations due to the adjacent ileocecal valve and appendix opening, perpendicular operating angle. Case presentation of the possibility of successful removal of a large laterally spreading cecal adenoma by the method of endoscopic submucosal tunnel dissection (ESTD) never been described before for this tumor site and size. Patient 54 years old, an LST-G adenoma (5 cm in diameter, according to Kudo – IIIL, according to Sano – II) was detected in the dome of the cecum during colonoscopy. ESTD. The postoperative period without any unfavorable events; the patient was discharged on the 5th day after surgery. The morphological conclusion: tubulo-villous adenoma with moderate epithelial dysplasia, R0. ESTD is suitable for cecal giant adenomas.

Transcatheter embolization of coronary to pulmonary artery fistula with coronary steal phenomenon—A case report

2011 ◽  
Vol 9 (03) ◽  
pp. 176-177
Author(s):  
Filiz Özerkan ◽  
Mustafa Akin ◽  
Azem Akilli ◽  
Hakan Kültürsay ◽  
Serdar Payzin ◽  
...  
Keyword(s):  
Case Report ◽  
Pulmonary Artery ◽  
Transcatheter Embolization ◽  
Steal Phenomenon ◽  
Coronary Steal ◽  
Pulmonary Artery Fistula

Trimodality approach, using modern radiation techniques, for management of locally advanced adrenocortical carcinoma – case report

2021 ◽  
pp. 1-4
Author(s):  
André Laranja ◽  
Carolina Ferreira
Keyword(s):  
Case Report ◽  
High Risk ◽  
Local Recurrence ◽  
Adrenocortical Carcinoma ◽  
Postoperative Radiotherapy ◽  
Locally Advanced ◽  
Volumetric Modulated Arc Therapy ◽  
Case Presentation ◽  
Risk Of Recurrence ◽  
Arc Therapy

Abstract Background: Adrenocortical carcinoma (ACC) is a rare and aggressive malignancy. Surgery is the mainstay of treatment, still even after a R0 surgical margins, there is a high risk of recurrence. Case Presentation: A 26-year-old female diagnosed with a large functioning ACC treated with a trimodality approach (surgery, radiotherapy and chemotherapy). Postoperative radiotherapy was proposed regarding the high risk of recurrence. A dose of 50.4 Gy in 28 fractions was delivered to the patient using a volumetric-modulated arc therapy plan. Radiotherapy was safe and well tolerated, and no local recurrence was observed so far (13 months after radiotherapy). Conclusions: Due to the rarity of ACC and the lack of evidence regarding this entity, therapeutic approach can be challenging. Recent evidence suggests that radiotherapy could have an important role in the therapeutic arsenal.

scholarly journals Multiple asystoles in a patient undergoing total knee arthroplasty - a case report

2019 ◽  
Author(s):  
Anna-Maria Burgdorff ◽  
Lilit Flöther ◽  
David Wohlrab
Keyword(s):  
Total Knee Arthroplasty ◽  
Cardiac Arrest ◽  
Case Report ◽  
High Risk ◽  
Knee Arthroplasty ◽  
Cardiac Disease ◽  
Case Presentation ◽  
Total Knee ◽  
Additional Monitoring

Abstract Background Unexpected cardiac arrest in patients during surgery is associated with high mortality. Reasons are often multifactorial and not exactly clear. Case presentation Therefore, this case report describes a patient, who developed reversible asystoles during knee surgery under general anesthesia. All diagnostic cardiac examinations were unremarkable. After surgery the patient showed no further symptoms. Conclusion To prevent cardiac arrest due to non-cardiac reasons, patients with high risk for asystole caused by vasovagal reflex or pain need to be identified. Preoperative conditions like hypovolemia need to be improved and additional monitoring should be used. Further investigations to find the influence of non-cardiac disease and long-term medication are necessary.

scholarly journals Subcutaneous Uptake on [18F]Florbetaben PET/CT: a Case Report of Possible Amyloid-Beta Immune-Reactivity After COVID-19 Vaccination

2021 ◽  
Author(s):  
Riccardo Laudicella ◽  
Irene Andrea Burger ◽  
Francesco Panasiti ◽  
Costanza Longo ◽  
Salvatore Scalisi ◽  
...  
Keyword(s):  
Heart Disease ◽  
Case Report ◽  
High Risk ◽  
Large Scale ◽  
Immune Reactivity ◽  
Case Presentation ◽  
Vaccination Programs ◽  
Pet Ct ◽  
Risk Patients ◽  
History Of

Abstract Introduction Large-scale worldwide COVID-19 vaccination programs are being rapidly deployed, and high-risk patients with comorbidity are now receiving the first doses of the vaccine. Physicians should be, therefore, aware of new pitfalls associated with the current pandemic vaccination program, also in the case of [18F]Florbetaben PET/CT. Case Presentation We described the first image of [18F]Florbetaben PET/CT in the evaluation of a 70-year-old male with suspicious Alzheimer disease and unclear history of heart disease. We detailed the diagnostic imaging PET/CT workup with different findings. Conclusion In this case, [18F]Florbetaben PET/CT can demonstrate potential beta-amyloid immune-reactivity and deposition associated with the current COVID-19 pandemic vaccination programs.

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