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Case report: Cilioretinal artery occlusion combined with central retinal vein occlusion as the initial presentation of pulmonary arterial hypertension.
Front Med (Lausanne)
December 2024
Department of Ophthalmology, Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Article Synopsis
- PAH can cause serious ocular conditions like CRVO and CilRAO due to high blood pressure in the lungs affecting blood flow to the eyes.
- A 13-year-old girl with a history of heart surgery experienced sudden vision loss, with tests revealing both CRVO and CilRAO, along with signs of severe PAH.
- Treatment with Bosentan and traditional Chinese medicine led to significant vision improvement, highlighting the importance of addressing cardiovascular issues to prevent eye complications and the need for a comprehensive approach in such complex cases.
Effect of Antithrombin Leakage From Hemodialysis Therapy on Antithrombin Hemodynamics.
Cureus
December 2024
Clinical Laboratory Science, Graduate School of Medical Science, Kanazawa University, Kanazawa, JPN.
Introduction Hemodialysis (HD) therapy is a crucial treatment for patients with renal failure but can impact the hemodynamics of antithrombin (AT), a protein essential for regulating hemostasis and preventing thrombosis. Reduced AT activity can lead to thrombus formation at unusual sites and increase the risk of recurrent venous thromboembolism. The loss of AT during HD or hemodiafiltration (HDF) through leakage or adsorption onto dialysis membranes has not been fully investigated, and its effects on AT hemodynamics remain unclear.
View Article and Find Full Text PDFIsolation of left brachiocephalic artery in a patient with tetralogy of Fallot.
Ann Pediatr Cardiol
November 2024
Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.
We present the case of a 4-year-old girl with tetralogy of Fallot associated with an incidentally detected isolation of the left brachiocephalic artery, with no communication between it and the pulmonary artery or ductus arteriosus. The case highlights the unusual association and hemodynamic consequences of the condition.
View Article and Find Full Text PDFCovered Stent Correction for Sinus Venosus Atrial Septal Defects, an Emerging Alternative to Surgical Repair: Results of an International Registry.
Circulation
December 2024
Department of Pediatrics, The Smidt Heart Institute, Cedars Sinai Medical Center, Los Angeles, CA (E.M.Z.).
Background: Covered stent correction for a sinus venosus atrial septal defect (SVASD) was first performed in 2009. This innovative approach was initially viewed as experimental and was reserved for highly selected patients with unusual anatomic variants. In 2016, increasing numbers of procedures began to be performed, and in several centers, it is now offered as a standard of care option alongside surgical repair.
View Article and Find Full Text PDFRight para-duodenal hernia related small bowel strangulation in 71 years old male patient managed surgically for small bowel resection and anastomosis:First case report in Somalia.
Int J Surg Case Rep
December 2024
Department of General Surgery, Mogadishu Somali Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia. Electronic address:
Article Synopsis
- - Para-duodenal hernias account for 53% of internal hernias, mostly occurring on the left side, with rare symptoms in adults and a higher prevalence in males; right para-duodenal hernias are particularly uncommon and often discovered during emergency surgeries.
- - A 71-year-old male experienced severe abdominal pain, nausea, and vomiting, leading to a CT scan that identified a right para-duodenal hernia, resulting in an emergency surgery where the hernia was confirmed.
- - Internal hernias, while rare, lead to significant complications like bowel obstruction and ischemia; due to the patient's extensive symptoms at presentation, an exploratory laparotomy was chosen as the surgical approach, ultimately resulting in a full recovery.
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