Saudi J Kidney Dis Transpl
May 2023
Renal artery entrapment (RAE) by hypertrophic diaphragmatic crura is an extremely rare cause of renovascular hypertension (RVH). Here, we report the case of a 9-year-old boy diagnosed with RVH caused by right RAE by a hypertrophic diaphragmatic crus and successfully managed with close medical monitoring. Diagnosis of this entity is easily overlooked if the optimal views are not obtained during imaging, which depends on a high index of suspicion.
View Article and Find Full Text PDFUnlabelled: Isolated left ventricular apical hypoplasia (ILVAH) is an uncommon and likely congenital cardiac abnormality that has been described as relatively new. ILVAH is characterized by a truncated, globular-shaped left ventricle (LV) with bulging of the interventricular septum toward the right ventricle (RV), wrapping of an elongated and lengthened RV around the absent LV apex, thinning and fat replacement of apical myocardium of the LV, and abnormalities in the papillary muscle arrangement of the LV. In this report, we present the cardiac magnetic resonance imaging findings of a 22-year-old female patient with non-specific cardiac complaints that were compatible with ILVAH.
View Article and Find Full Text PDFGranulomatosis with polyangiitis (GPA) involves upper and lower respiratory tracts and kidneys. Lung involvement is among the most important organ involvements in GPA. GPA's lung involvement might be confused with other granulomatous conditions with lung involvement.
View Article and Find Full Text PDFCardiovasc Intervent Radiol
February 2018
Purpose: To investigate the safety, efficacy and long-term results of bronchial artery embolization with microsphere particles (Embosphere Microspheres, BioSphere Medical, Rockland, MA) 700-900 µm in size for massive hemoptysis.
Methods: One hundred and seventy-four patients (94 female, 80 male; mean age 39.4 ± 5.
Background: The aim of the study was to determine the safety and effectiveness of Atrium Advanta V12 large diameter stent-graft applications for infrarenal abdominal aortic pseudoaneurysms (due to Behcet disease [BD]).
Methods: Data of Advanta V12™ (Atrium Europe B.V, Mijdrecht, the Netherlands) applied 12 female patients (mean age 30.
Purpose: To compare doxorubicin-loaded HepaSphere transarterial chemoembolization versus conventional transarterial chemoembolization in terms of survival, time to recurrence, acute reversible hepatotoxicity, postembolization syndrome, and chemoembolization-related mortality and morbidity.
Materials And Methods: One hundred twenty-six patients (103 men, 23 women; mean age, 64.3 y) with unresectable hepatocellular carcinoma (HCC) who underwent conventional chemoembolization between January 2007 and March 2011 or drug-eluting embolic (DEE) chemoembolization (after the protocol change) between March 2011 and October 2014 were included in a retrospective analysis.
Objective: To determine the prevalence and associations of the impaired visibility of the hepatic veins (HV) on the multi-detector row computed tomography (MDCT) in cirrhotic patients.
Materials And Methods: Eighty-seven consecutive cirrhotic patients undergoing triphasic liver MDCT were enrolled. The patency of the HV and the direction of the blood flow in the main portal vein, inhomogeneity of the liver, portal vein thrombosis (PVT), a spontaneous splenorenal shunt, splenic indexes (cm(3)), contour abnormalities, and enlargement of the fissure were evaluated.
Echinococcus granulosus is a common infestation in sheep and cattle raising countries. Although it is typically encountered in liver and lung, rare cardiac involvement of this infestation has very important clinical complications such as heart failure, valve regurgitation, pericardial effusion-tamponade and arrhythmia. In addition, pericardial infestation is an extremely rare condition of Echinococcus granulosus.
View Article and Find Full Text PDFJ Cardiovasc Med (Hagerstown)
December 2011
Bronchogenic cyst, also known as inclusion cyst, is a type of congenital endodermal heterotropia derived from an abnormal development of the ventral diverticulum of the foregut or the tracheobronchial tree during embryogenesis. Its interatrial localization is extremely rare and making a final diagnosis without surgery challenges the clinician. Herein, we report a 58-year-old male patient who had an interatrial bronchogenic cyst related to transient ischemic attack.
View Article and Find Full Text PDFBackground: The aim of this study was to assess the accuracy and efficacy of B-flow imaging (BFI) in the diagnosis and measurement of renal artery stenosis (RAS) compared with color duplex ultrasonography (CDU) and digital subtraction angiography (DSA).
Methods: Fifty-one consecutive patients with RAS diagnosed and measured with DSA were subsequently and independently examined with BFI for the measurement of residual lumen diameter, and with CDU for the measurement of peak systolic velocity and renal-aortic velocity ratio. The diagnostic performances of BFI and CDU in determining 60-99% RAS were compared by receiver operating characteristic curve analysis.
Diagn Interv Radiol
June 2011
Celiac trunk variants and pathologies are relatively common occurrences. With the advent of computed tomography (CT) technology, these conditions are being diagnosed with an increased frequency even among asymptomatic patients. CT angiography is used noninvasively for preoperative staging and vascular mapping in patients with pancreatic and hepatobiliary neoplasm.
View Article and Find Full Text PDFPurpose: To investigate whether the right inferior phrenic artery (RIPA) has a role in supplying the liver in cirrhotic patients without hepatocellular carcinoma (HCC) using 64-slice computed tomography (CT).
Materials And Methods: Fifty-eight consecutive cirrhotic patients were categorized into two groups in regard to the absence (group 1, n=33) or presence of portal vein thrombosis (group 2, n=25). In addition, 35 patients without liver disease were included as a control group (group 0).
Objective: Obesity is a risk factor of fatty replacement of the pancreas. We aimed to investigate whether there is a better correlation between the visceral fat tissue and the fatty infiltration of the pancreas than with the BMI.
Materials And Methods: One hundred-eighteen patients were visually divided into three groups according to the pattern of the fatty infiltration of the pancreas.
Urachal remnant disease is a relatively rare urological condition that presents a variety of clinical problems in adult patients. Contrast-enhanced multi-detector row computed tomography (MDCT) urography is a new diagnostic imaging technique providing comprehensive evaluation of the upper and lower urinary tract. MDCT urography performed with a combination of unenhanced, nephrographic phase, and excretory- phase imaging can demonstrate a wide spectrum of disease in these patients with a single study.
View Article and Find Full Text PDFSuperior vena cava obstruction is associated with multiple venous collaterals. There is an unusual pathway involving pulmonary venous collaterals in which systemic veins drain directly into the left heart, resulting in a right-to-left shunt. We report here a rare case of systemic to pulmonary venous shunt on both hemithoraces in superior vena cava obstruction associated with Budd-Chiari syndrome due to coagulopathy which was diagnosed by multidetector computed tomography angiography.
View Article and Find Full Text PDFPurpose: To determine the ability to visualize the origin of the right inferior phrenic artery (RIPA) and the left inferior phrenic artery (LIPA) by multidetector row computed tomography (MDCT) in a population without disease of the liver.
Methods: The origin of the RIPAs and the LIPAs were evaluated using arterial-phase MDCT images in 200 patients.
Results: The RIPA origin was detected in all cases, while LIPA origin was detected in 193 (96.
Purpose: To investigate the effect of visceral fat area on the distance and angle between the superior mesenteric artery (SMA) and the aorta.
Methods: On axial and sagittal images from abdomen CT scan, the distance and the angle between the SMA and the aorta were measured at the location where the third part of the duodenum crosses. The visceral fat area was calculated at the level of the umbilicus on the abdominal CT section.