scholarly journals Is a Mechanic Prosthetic Valve in Tricuspid Position an Absolute Impediment to Implant a Definitive Electrode in the Right Ventricle?

2020 ◽  
Vol 33 (4) ◽  
pp. 193-196
Author(s):  
Luis Antonio Arabia ◽  
Juan Carlos Luciano
Keyword(s):  
Right Ventricle ◽  
Chronic Respiratory Disease ◽  
Ball Valve ◽  
Ventricular Pacing ◽  
Tricuspid Valve Replacement ◽  
Ebstein Anomaly ◽  
Prosthetic Valves ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
The Right

This is the case of a middle-aged woman with Ebstein anomaly, who had a tricuspid valve replacement with a mechanic Starr-Edwards caged-ball valve many years ago, and needed an implantable cardioverter defibrillator (ICD) and ventricular pacing due to ventricular tachycardia and atrioventricular block with syncope. Furthermore, she has a chronic respiratory disease that make open chest surgery inadvisable. Prosthetic valves are a real obstacle to cross them and place catheters in the distal chamber. This report shows a technique to get access to the right ventricle endocardium through the annulus and placing the ICD electrode with correct sensing and pacing.

scholarly journals Dislodgment of VDD Lead Connected to DR Pacer and Managed by Mode Switch

2012 ◽  
Vol 5 ◽  
pp. CCRep.S9625
Author(s):  
Antoine Kossaify ◽  
Nayla Nicolas
Keyword(s):  
Right Ventricle ◽  
Clinical Settings ◽  
Conservative Approach ◽  
Ventricular Pacing ◽  
Mode Switch ◽  
Dual Chamber ◽  
The Right ◽  
Dependent Patient

An 80-year-old patient having a dual chamber DR pacer connected to a VDD lead presented with chronic lead dislodgment with the atrial ring displaced into the right ventricle. There was no ventricular capture at maximal ventricular output, and given the clinical settings, the condition was managed with a conservative approach, the mode was switched to AAI ensuring a minimal adequate ventricular pacing backup in a non dependent patient.

scholarly journals Non-recurrent inferior laryngeal nerve: a case report

2020 ◽  
Vol 7 (10) ◽  
pp. 3469
Author(s):  
Shah Urvin Manish ◽  
Boopathi Subbarayan ◽  
Saravanakumar Subbaraj ◽  
Tirou Aroul Tirougnanassambandamourty ◽  
S. Robinson Smile
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Nodular Goiter ◽  
Anatomical Variations ◽  
Laryngeal Nerve ◽  
Anatomical Landmarks ◽  
Inferior Laryngeal Nerve ◽  
Nonrecurrent Inferior Laryngeal Nerve ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
The Right

The incidence of Non-recurrent laryngeal nerve (NRLN) is reported to be 0.6%-0.8% on the right side and in 0.004% on the left side. Damage to this nerve during thyroidectomy may lead to vocal cord complications and should therefore be prevented. A middle-aged woman with a nodular goiter who underwent subtotal thyroidectomy for multinodular colloid goiter. We encountered a non-recurrent laryngeal nerve on the right side in a patient during surgery. We were not able to find the inferior laryngeal nerve in its usual position using the customary anatomical landmarks. Instead, it was emerging directly from the right vagus nerve at a right angle and entering the larynx as a unique non-bifurcating nerve. Nonrecurrent inferior laryngeal nerve incidence is very rare, but when present, increases the risk of damage during thyroidectomy. Hence, it is very important to be aware of the anatomical variations of the inguinal lymph node (ILN) and the use of safe meticulous dissection while looking for the nerve during thyroidectomy. The use of Intra-operative neuro-monitoring (IONM) if available in thyroid surgery allows the surgeon to recognize and differentiate branches of the inferior laryngeal nerve (ILN) from sympathetic anastomoses, as well as NRLN during surgery.

scholarly journals Ebstein Anomaly With QRS Fragmentation on Electrocardiogram

2017 ◽  
Vol 5 (1) ◽  
pp. 232470961668871 ◽  
Author(s):  
Prakash Acharya ◽  
Jonathan Ross Ang ◽  
Bernard Gitler
Keyword(s):  
Right Ventricle ◽  
Tricuspid Valve ◽  
Congenital Disorder ◽  
Corrective Surgery ◽  
Ebstein Anomaly ◽  
Interatrial Communication ◽  
Rare Congenital Disorder ◽  
Qrs Fragmentation ◽  
The Right

Ebstein anomaly is a rare congenital disorder that involves the tricuspid valve and the right ventricle. It is associated with interatrial communication, which allows for paradoxical embolization causing unilateral blindness. Abnormal conduction through the atrialized right ventricle leads to QRS fragmentation on electrocardiogram. Its presence suggests a more severe abnormality and a higher risk of arrhythmia. The QRS fragmentation disappears after corrective surgery with resection of the atrialized right ventricle.

scholarly journals A hairy intruder into colon

2014 ◽  
Vol 05 (04) ◽  
pp. 159-161 ◽  
Author(s):  
Umesh Jalihal ◽  
Prithvipriyadarshini Shivalingaiah ◽  
Dheena Shurane ◽  
Kiran Reddyvari
Keyword(s):  
Dermoid Cyst ◽  
Germ Cells ◽  
Neural Tissue ◽  
Benign Tumors ◽  
Aged Woman ◽  
Adnexal Tumor ◽  
Middle Aged Woman ◽  
Bleeding Per Rectum ◽  
The Right ◽  
Ovarian Dermoid Cyst

AbstractOvarian dermoid cysts are benign tumors, which develop from totipotent germ cells and grow into mature tissue types consisting of hair, teeth, fat and neural tissue. Ovarian dermoid cyst fistulizing to the sigmoid is rare and presenting with bleeding per rectum is extremely rare. We present a case of middle-aged woman with bleeding per rectum who had the right adnexal tumor fistulating to sigmoid.

scholarly journals Right thyroid lobed cyst in a middle-aged woman: A case report

2020 ◽  
Vol 7 (1) ◽  
pp. 4-10
Author(s):  
Adam Moyosore Afodun ◽  
Khadijah Kofoworola Quadri ◽  
Akeem Ayodeji Okesina ◽  
Abdulfatai Olakunle Ojewale ◽  
Airat Adeola Bakare ◽  
...  
Keyword(s):  
Cervical Lymphadenopathy ◽  
The United States ◽  
Needle Aspiration ◽  
Cystic Mass ◽  
Aged Woman ◽  
Thyroid Cyst ◽  
Middle Aged Woman ◽  
Right Lobe ◽  
The Right

Background: Thyroidal ultrasound has been used to detect neck lesions and nodules for decades. However, cystic thyroid disease is rare with few reported series. Different consensus exists concerning availability of medical treatment and the limited role of surgical management. Case presentation: We present a 31-year-old female with obvious neck swelling and dysphagia. Ultrasound diagnosed a suspected colloidal thyroid cyst in the right lobe. The hypoechoic cystic mass measures 3.2 cm x 3.6 cm on frozen sonogram, with evidence of bilateral (cervical) lymphadenopathy. Thyroid cystic nodule viewed via sonar corresponds to detected mass finding on observation and palpitation. Researchers have recently standardized Thyroid-Imaging- Reporting and Data System (TIRADS), mostly in the United States. Conclusion: If Fine Needle Aspiration (FNA) and hormone therapy fail, cysts larger than >2.8cm may require surgical intervention, especially when there is a danger of great-vessel compression.

scholarly journals A Middle-aged Woman Suffering Buerger’s Disease

2020 ◽  
Vol 1 (1) ◽  
pp. 6
Author(s):  
M. Aminuddin ◽  
Devie Caroline
Keyword(s):  
Doppler Ultrasound ◽  
Normal Limit ◽  
Partial Occlusion ◽  
Buerger’S Disease ◽  
Laboratory Examination ◽  
Buerger's Disease ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
The Right ◽  
Local Examination

A 48 years old woman complains of numbness on her fingers and toes. Her 4th and the 5th right fingertips were painful and then blackened. She had no diabetes and hypertension history. She didn’t smoke, but her husband and son were smokers. On local examination there were necrotic gangrenes on the 4th and the 5th fingertips of the right hand. Laboratory examination results (including immunology marker) were within normal limit. Doppler ultrasound and arteriography showed segmental stenosis and partial occlusion of distal arteries on all extremities. We assessed the patient with Buerger’s disease. The managements were oral analgesic and vasodilator medication. Endoscopic thoracal ganglion sympathectomy was performed, followed by amputation of the necrotic fingers. We did not perform a biopsy, so according to all examinations and also by Shionoya and Olin’s criteria, the patient was more likely to suffer from Buerger’s disease than other peripheral occlusive diseases.

scholarly journals Meningioma With Tyrosine-Rich Crystalloids: A Case Report and Review of the Literature

2017 ◽  
Vol 26 (2) ◽  
pp. 157-160
Author(s):  
Erik Reinertsen ◽  
Stewart G. Neill ◽  
Kambiz Nael ◽  
Daniel J. Brat ◽  
Costas G. Hadjipanayis
Keyword(s):  
Review Of The Literature ◽  
Midline Shift ◽  
The Third ◽  
Orbital Roof ◽  
Aged Woman ◽  
Axial Mass ◽  
Middle Aged Woman ◽  
History Of ◽  
Blurry Vision ◽  
The Right

We report a case of fibrous meningioma with tyrosine-rich crystalloid in the frontal lobe of a middle-aged woman. The patient presented with a history of several years of worsening headaches and blurry vision, which progressed to include syncopal episodes and right-sided weakness. Imaging demonstrated a dural-based extra-axial mass arising from the right orbital roof and extending superiorly along the right frontal convexity causing right-to-left midline shift. The patient underwent a craniotomy and operative resection. Tumor architecture and cytology was similar to that of a Schwannian neoplasm, with spindled cells arranged in a fascicular architecture and displaying focal nuclear palisading. Immunohistochemical stains confirmed a diagnosis of fibrous meningioma. Light microscopy demonstrated extracellular deposits of eosinophilic crystalline material parallel to the spindled tumor cells, reminiscent of “tyrosine-rich” crystals described in salivary gland neoplasms. This is the third meningioma featuring tyrosine-rich crystalloid reported in the literature; we also summarize the previous 2 reports.

scholarly journals Successful One and One-half Ventricular Circulation with Bioprosthetic Tricuspid Valve Replacement and Total Chordal Preservation in a Patient with Ebstein’s Anomaly: A Video Presentation

2021 ◽  
Vol 5 (02) ◽  
pp. 147-150
Author(s):  
Ujjwal K. Chowdhury ◽  
Sukhjeet Singh ◽  
Niwin George ◽  
Lakshmi Kumari Sankhyan ◽  
Sandeep Sharan ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Tricuspid Valve ◽  
Ebstein’S Anomaly ◽  
Anterior Leaflet ◽  
Tricuspid Annulus ◽  
Tricuspid Valve Replacement ◽  
Rotational Displacement ◽  
Atrioventricular Junction ◽  
Ebstein's Anomaly ◽  
The Right

AbstractEbstein’s anomaly is a rare congenital malformation of the right ventricle and tricuspid valve which is characterized by several features that can exhibit an infinite spectrum of malformation.The abnormalities include: i) adherence of the tricuspid leaflets to the underlying myocardium (failure of delamination); ii) anterior and apical rotational displacement of the functional tricuspid annulus (septal > posterior > anterior leaflet); iii) dilatation of the right atrioventricular junction (the true tricuspid annulus) with variable degrees of hypertrophy and thinning of the wall; iv) dilatation of the “atrialized” portion of the right ventricle; and v) redundancy, fenestration, and tethering of the anterior leaflet.

scholarly journals A Case of Coronary Cameral Fistula: When and How to Intervene?

2021 ◽  
Author(s):  
Mehdi Peighambari ◽  
Marziyeh Pakbaz ◽  
Azin Alizadehasl ◽  
Saeid Hosseini ◽  
Hamidreza Pouraliakbar
Keyword(s):  
Coronary Artery ◽  
Unusual Case ◽  
Coronary Artery Fistula ◽  
Circumflex Coronary Artery ◽  
Aged Woman ◽  
Complex Anatomy ◽  
Coronary Artery Fistulas ◽  
Middle Aged Woman ◽  
The Right

Coronary artery fistulas constitute a rare anomaly defined as an abnormal communication between a coronary artery and a great vessel or any cardiac chamber. The majority of these fistulas arise from the right coronary artery and the left anterior descending coronary artery; the circumflex coronary artery is rarely involved. We present an unusual case of a coronary artery fistula in a middle-aged woman who presented with symptoms of heart failure and abnormal auscultation. Echocardiography and conventional and computed tomography angiography showed that the coronary fistula originated from the left circumflex coronary artery and drained majorly into the right ventricle. Given the complex anatomy of the fistula, we managed it surgically rather than percutaneously. There were no complications early after surgery and at 1 year’s follow-up.

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