Obstructive Shock Due to a Crushed Left Atrium and Pulmonary Vein by Pulmonary Artery Intimal Sarcoma Successfully Treated with Pulmonary Vein Stenting.

A 46-year-old patient who had undergone right pneumonectomy for pulmonary artery intimal sarcoma presented with hypoxemia. The recurrent sarcoma in the mediastinum revealed external compression to the left pulmonary veins (PVs), leading to obstructive shock and cardiac arrest. Venous artery extracorporeal membrane oxygenation (VA-ECMO) was initiated; however, withdrawal was difficult, and the patient's survival seemed hopeless.

Synthesis of Unsymmetrical Ketones Using Chelation-Controlled Sequential Substitution of -Triazinylamide/Weinreb Amide by Organometallic Reagents.

-(2,4-Dimethoxy-1,3,5-triazinyl)amide was found to exhibit similar behavior to -methoxy--methylamide (Weinreb amide) but higher reactivity for nucleophilic substitution by organometallic reagents. Triazinylamide suppresses overaddition, leading to the formation of a tertiary alcohol by the chelating ability of the triazinyl and carbonyl groups. Ureas possessing both triazinylamino and methoxy(methyl)amino groups underwent sequential nucleophilic substitution with different organometallic reagents, which furnished unsymmetrical ketones without any detectable tertiary alcohols.

Herpes simplex virus DNA testing by a loop-mediated isothermal amplification method for accurate clinical diagnosis and detection of mucosal viral shedding.

Herpes simplex virus (HSV) periodically forms characteristic blisters in the perioral and genital areas in a subset of people. Because of the lack of accurate tests for this common virus, various types of perioral/anogenital lesions are often misdiagnosed as herpes. Also, though asymptomatic HSV-positive people shed virus, the precise time course of symptoms and viral shedding is unclear.

Dynamic solvent effects in radical-radical coupling reactions: an almost bottleable localised singlet diradical.

Localised singlet diradicals are key intermediates in bond homolysis, which plays a crucial role in chemical reactions. However, thorough experimental analyses of the reaction dynamics and chemical properties are generally difficult because bond formation is rapid, even under low-temperature matrix conditions. In this study, the effects of solvent and pressure on the lifetimes of long-lived singlet diradicals with bulky substituents were investigated.