Publications by authors named "Thomas J Earl"
Article Synopsis
- The radial artery approach for coronary procedures is becoming more popular than the femoral artery method due to lower risks of bleeding and complications.
- Despite its advantages, using the radial artery can lead to serious issues, mainly radial artery occlusion, which needs to be monitored.
- A case is presented of a 46-year-old woman with CREST syndrome who suffered radial artery occlusion after a procedure, resulting in severe hand ischemia and the eventual amputation of two fingers.
Article Synopsis
- Alport syndrome is a genetic disorder mainly affecting type IV collagen, often resulting in kidney issues like glomerulonephritis and eventual kidney failure.
- A case study of a 34-year-old man with Alport syndrome showed chest pain linked to a dilated aortic root, bicuspid aortic valve, aortic insufficiency, and a small ascending aortic dissection requiring surgery.
- The authors emphasize the importance for healthcare providers to be vigilant about potential aortic problems in Alport syndrome patients who exhibit chest pain symptoms.
We report a case of a 53 year-old man with a history of hypertension presenting with acute left lower extremity parasthesias and pulselessness initially presumed to be secondary to arterial thrombosis or embolism. Work-up included a transthoracic echocardiogram which revealed an aortic dissection at the level of the aortic root extending to the visualized portions of the descending aorta. Type A aortic dissections are relatively rare, with the vast majority of patients presenting with chest pain.
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