scholarly journals Arterial Thromboembolism in a patient with Ischemic Dilated Cradiomypathy (IDCM)

KYAMC Journal ◽  
2013 ◽  
Vol 2 (1) ◽  
pp. 149-151
Author(s):  
Md Saiful Islam ◽  
Md Alamgir Hossain ◽  
Ranjan Talukder ◽  
Md Moniruzzaman
Keyword(s):  
Lower Limb ◽  
Severe Pain ◽  
Coronary Angiogram ◽  
Total Occlusion ◽  
Tibial Arteries ◽  
Internal Iliac ◽  
History Of ◽  
Ct Coronary Angiogram ◽  
History Of Formation ◽  
Bluish Discoloration

Mrs. Shikha, 51 years old pleasant lady presented to us with the complaints of acute severe pain in the left leg associated with bluish discoloration for 5 days. She is a known case of Ischemic Dilated cardiomyopathy (IDCM) for last 6 years & had history of formation of LV thrombus for repeated times. She was on regular anti-platelets, anti-ischemic & anti-coagulant drugs. Recently her echocardiogram report revealed- IDCM, Mitral regurgitation (gr-11), spontaneous echo contrast within LV, LVEF- 24%. On this admission her CT coronary angiogram of lower limb vessels revealed total occlusion associated with thrombosis of left common iliac, external iliac & internal iliac, distal popliteal, ant. & post. tibial, peroneal arteries, & on right side diffuse atherosclerosis of distal popliteal, ant & post tibial arteries. Patient was treated with anticoagulants, anti platelet, anti-ischemic & other relevant medications & referred to vascular surgeon.DOI: http://dx.doi.org/10.3329/kyamcj.v2i1.13521 KYAMC Journal Vol.2(1) 2011 pp.149-151

Traumatic Aneurysm in Persistent Sciatic Artery

2010 ◽  
Vol 5 (2) ◽  
pp. 131-133
Author(s):  
Erol Kurc ◽  
Numan Ali Aydemir ◽  
Murat Sargin ◽  
Cem Ariturk
Keyword(s):  
Iliac Artery ◽  
Rare Case ◽  
Bypass Surgery ◽  
Internal Iliac Artery ◽  
Traumatic Aneurysm ◽  
Persistent Sciatic Artery ◽  
Internal Iliac ◽  
History Of ◽  
Embryologic Development ◽  
History Of Formation

A 59-year-old male patient admitted to our hospital with a pulsatile right gluteal mass with history of formation after blunt trauma. Persistent sciatic artery and its traumatic aneurysm was diagnosed after medical examination followed by peripheric digital substraction angiography. Surgery was performed under general anesthesia, and the patient was discharged from the hospital on postoperative day 7 without any problems. The sciatic artery, a continuation of the internal iliac artery into the popliteal-tibial vessels, represents the major blood supply to the lower limb in early embryologic development. Its persistence is very rare, and the aneurysmatic dilatation is the most common pathology diagnosed. Here, we present a rare case of persistent sciatic artery presenting with a traumatic aneurysm treated by iliopopliteal bypass surgery and ligation of the internal iliac artery proximal to the aneurysm.

scholarly journals CORONARY ARTERY DISEASE ON CT-CORONARY ANGIOGRAM – COMPARISON BETWEEN DIABETIC AND NON-DIABETIC POPULATION

2021 ◽  
Vol 54 (1) ◽  
pp. 85-89
Author(s):  
Muhammad Zubair Zaffar ◽  
Ammar Akhtar ◽  
Syed Naseem Iqbal Bukhari ◽  
Rashid Minhas
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Positive Family History ◽  
Invasive Technique ◽  
Diabetic Patients ◽  
Coronary Angiogram ◽  
Obstructive Disease ◽  
History Of ◽  
Artery Disease ◽  
Ct Coronary Angiogram

Objective: To evaluate the CT coronary angiograms of patients presenting with symptoms of coronary artery disease (CAD) as well as to compare the results between the diabetics and non-diabetics. Methodology: This descriptive cross-sectional study was carried out in Cardiology department of Chaudhary Pervaiz Elahi Institute of Cardiology, Multan. One hundred and fifty nine patients with history of symptoms of CAD and no previous history of myocardial infarction or revascularization were included in study. The conventional risk factors were noted and 64 slice multi detector CT coronary angiogram was done on all patients. Total calcium score and number of segments with disease, obstructive disease and non-obstructive disease were noted. Results were compared among diabetic and non-diabetic patients. Results: Mean age of the patients was 50.54±7.90 years. Out of 159 patients 118(74.2%) were males and 41 (25.8%) were females. Diabetic patients were 101(63.5%), 64 (40.3%) were hypertensive, 39(24.5%) were smokers, 24.5% (n=39) had positive family history, 18.2% (n=29) were obese and 13.8% (n=22) had dyslipidemia. There was no coronary artery disease in 40 (25.2%) patients while 91 (57.2%) patients had obstructive and 28 (17.6%) patients had non-obstructive disease. 83. 1% diabetics had obstructive CAD and 12.0% of non diabetic patients had obstructive CAD. Mean number of obstructive segments in diabetic patients are 2.36±1.23. Conclusion: CAD was more prevalent in diabetic patients and CAD is easily predicted by non-invasive technique of CT coronary angiography.

Acute complications in the post-anaesthesia care unit after infrainguinal surgery for lower limb ischaemia – a prospective observational cohort study

VASA ◽  
2019 ◽  
Vol 48 (1) ◽  
pp. 89-97
Author(s):  
Karin Yeung ◽  
Jonas Peter Eiberg ◽  
Henrik Kehlet ◽  
Eske Kvanner Aasvang
Keyword(s):  
Lower Limb ◽  
Severe Pain ◽  
Observational Cohort Study ◽  
Limb Ischaemia ◽  
Post Anaesthesia Care Unit ◽  
Lower Limb Ischaemia ◽  
Acute Complications ◽  
Observational Cohort ◽  
Anaesthesia Care ◽  
Pacu Stay

Abstract. Background: Arterial surgery for lower limb ischaemia is a frequently performed procedure in patients with severe cardio-pulmonary comorbidities, making them high-risk patients for acute postoperative complications with a need for prolonged stay in the post-anaesthesia care unit (PACU). However, detailed information on complications during the PACU stay is limited, hindering mechanism-based interventions for early enhanced recovery. Thus, we aimed to systematically describe acute complications and related risk factors in the immediate postoperative phase after infrainguinal arterial surgery. Patients and methods: Patients transferred to the PACU after infrainguinal arterial surgery due to chronic or acute lower limb ischaemia were consecutively included in a six-month observational cohort study. Pre- and intraoperative data included comorbidities as well as surgical and anaesthetic technique. Data on complications and treatments in the PACU were collected every 15 minutes using a standardised assessment tool. The primary endpoint was occurrence of predefined moderate or severe complications occurring during PACU stay. Results: In total, 155 patients were included for analysis. Eighty (52 %) patients experienced episodes with oxygen desaturation (< 85 %) and moderate or severe pain occurred in 72 patients (47 %); however, circulatory complications (hypotension, tachycardia) were rare. Preoperative opioid use was a significant risk factor for moderate or severe pain in PACU (59 vs. 38 % chronic vs. opioid naïve patients (P = 0.01). Conclusions: Complications in the PACU after infrainguinal arterial surgery relates to saturation and pain, suggesting that future efforts should focus on anaesthesia and analgesic techniques including opioid sparing regimes to enhance early postoperative recovery.

ANCIENT VALLEYS IN THE WEST PRIBAIKALYE (HISTORY OF FORMATION)

2015 ◽  
pp. 91 ◽  
Author(s):  
V. D. Mats ◽  
I. M. Yefimova ◽  
A. A. Kulchitskii
Keyword(s):  
The West ◽  
History Of ◽  
History Of Formation

Formation and Development of the Pre-Professional Training System of Foreign Medical Applicants in Ukraine (Historical and Educational Aspect)

2014 ◽  
Vol 4 (3) ◽  
pp. 95-98
Author(s):  
Iana Proskurkina
Keyword(s):  
Foreign Students ◽  
Professional Training ◽  
Training System ◽  
Further Education ◽  
Effective System ◽  
History Of ◽  
Set Up ◽  
The University ◽  
History Of Formation ◽  
Educational Aspect

Abstract The growing number of foreign applicants looking forward to getting education in Ukrainian medical universities makes us find the ways how to improve and make effective the pre-professional training system of foreign medical applicants for further education. The article deals with the issues of the history of formation and development of the preprofessional training system of foreign medical applicants in Ukraine. On the ground of the electronic databases of the official websites of higher educational establishments, the data on years of opening first offices of the dean, departments and preparatory faculties for foreign medical applicants in Ukrainian medical universities are analyzed and systematized. Also the data on the setting up preparatory faculties at other universities who carry out licensed training of foreign students of the medical profile are presented. The data on the operating and management of such institutions in the system of the University administration are generalized. It’s revealed that during the years of its functioning the pre-professional training has changed, in particular the system was commercialized and the institutions involved in training foreign applicants have been reorganized. The modern trends in teaching foreign medical students at the preparatory faculties of the Ukrainian medical universities are displayed. Based on the analysis of the data it is concluded that the system of the pre-professional training of foreign medical applicants was set up in the 50s-60s years of the twentieth century. During this time, some positive experience in the preparation of future international medical specialists has been gained. The system of the pre-professional training of foreign medical applicants has been comprehensively improved and an effective system of managing foreign medical applicants has been created.

Certification of Medical Workers to Confer Qualification Category: Current Issues (confined to the decade of the multifunctional expert group of the Departmental Certification Commission of the FMBA of Russia)

2020 ◽  
pp. 8-15
Author(s):  
Olga Abaeva
Keyword(s):  
Regulatory Framework ◽  
Expert Group ◽  
Modern System ◽  
History Of ◽  
History Of Formation

The article is a review of the history of formation of the modern system of certification commissions in healthcare, as bodies carrying out a business assessment of industry personnel, their working principles, issues and problems of the regulatory framework.

Sacral plexus disorder caused by a wooden toothpick in the rectum

2021 ◽  
Vol 14 (1) ◽  
pp. e238690
Author(s):  
Takuro Endo ◽  
Taku Sugawara ◽  
Naoki Higashiyama
Keyword(s):  
Lower Limb ◽  
Spinal Nerve ◽  
Leg Pain ◽  
Sacral Plexus ◽  
Lateral Recess ◽  
Lateral Recess Stenosis ◽  
Preoperative Ct ◽  
History Of ◽  
History Of Pain ◽  
The Right

A 67-year-old man presented with a 2-month history of pain in his right buttock and lower limb. MRI depicted right L5/S1 lateral recess stenosis requiring surgical treatment; however, preoperative CT showed an approximately 7 cm long, thin, rod-shaped structure in the rectum, which was ultimately determined to be an accidentally ingested toothpick. It was removed surgically 6 days after diagnosis, because right leg pain worsened rapidly. The pain disappeared thereafter, and the symptoms have not recurred since. The pain might have been localised to the right buttock and posterior thigh in the early stages because the fine tip of the toothpick was positioned to the right of the anterior ramus of the S2 spinal nerve. Although sacral plexus disorder caused by a rectal foreign body is extremely rare, physicians should be mindful to avoid misdiagnosis.

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