Temporo-mandibular disorders -TMD- involve a whole set of anatomical, physiological and clinical disorders that exceed by far the sole temporo-mandibular joint. The main symptom of this condition, most frequent in female patients, is pain. Three syndromes are associated with TMD: a muscular syndrome, not only involving masticatory muscles but also muscles of the neck and pain in seemingly unrelated anatomical regions, which can be misleading; an inflammatory articular syndrome; a mechanical syndrome affecting mouth-opening path.
View Article and Find Full Text PDFWe report a case of left main coronary artery thrombosis 7 days after aortic valve replacement for native aortic valve regurgitation. The patient had undergone apicoaortic conduit implantation 3 years earlier. The thrombosis resulted from deviation of the cardiac output through the apicoaortic conduit and consequent turbulence of flow in the ascending aorta.
View Article and Find Full Text PDFObjective: To determine the usefulness of systematic intraoperative transesophageal echocardiography in a cardiac surgical unit.
Design: Open prospective observational survey.
Setting: University Hospital.
Background: In patients after lung transplantation, dysfunction of pulmonary venous and artery anastomoses leading to reoperation is described.
Methods And Results: Pulmonary artery and vein anastomoses were evaluated intraoperatively by monoplane transesophageal echocardiography (TEE) in 18 patients undergoing lung transplantation (nine right, five left single lung transplantations, and four bilateral transplantations). All 13 right pulmonary artery anastomoses and all 22 pulmonary vein anastomoses could be visualized by TEE.