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Case report of an ST-elevation Myocardial Infarction-like presentation of an immune checkpoint (PD-1/PD-L1) inhibitor-associated myocarditis.
Eur Heart J Case Rep
September 2024
Department of Cardiology, General Hospital Sint-Jan, Ruddershove 10, 8000 Bruges, Belgium.
Background: ICI-associated myocarditis is a rare but severe and potentially life-threatening complication that typically manifests shortly after treatment initiation. It may present in many different ways, ranging from fulminant to non-fulminant, even including clinical and electrocardiographic findings mimicking ST-elevation Myocardial Infarction (STEMI).
Case Summary: A 72-year-old woman with a history of non-small cell lung carcinoma presented at the emergency department with symptoms of general asthenia and chest pain, following recent ICI-therapy initiation.
Successful surgical attenuation of portosystemic shunt in a dog with imaging-diagnosed portal vein aplasia.
Can Vet J
February 2024
Department of Veterinary Surgery (Kim H, Kwak, Kim J, Woo) and Department of Veterinary Medical Imaging (Choi), College of Veterinary Medicine & Institute of Veterinary Science, Kangwon National University, 1 Gangwondaehak-gil, Chuncheon-si, Gangwon-do 24341, Korea; Laboratory of Veterinary Surgery and Ophthalmology, College of Veterinary Medicine, Chungbuk National University, 1 Chungdae-ro, Seowon-gu, Cheongju, Chungbuk 28644, Korea (Park).
An 8-month-old female Maltese dog was referred for examination with a history of circling, dullness, and drooling. Serum biochemical analysis revealed hyperammonemia, with microhepatica observed on radiography. Computed tomography angiography revealed a portosystemic shunt originating from the right gastric vein and inserting into the prehepatic caudal vena cava.
View Article and Find Full Text PDFOutflow obstruction after living donor liver transplantation managed with a temporary vena cava filter: A case report.
Int J Surg Case Rep
November 2023
Erasmus MC Transplant Institute, Department of Surgery, Division of HPB and Transplant Surgery, Erasmus Medical Center, Rotterdam, the Netherlands; King Faisal Specialist Hospital & Research Center, Organ Transplant Center of Excellence, Riyadh, Saudi Arabia.
Introduction: Outflow obstruction is a rare but critical vascular complication in liver transplantation, which may lead to graft loss and mortality. We report a case of caval vein outflow obstruction due to retrohepatic compression after living donor liver transplantation (LDLT), which was managed by temporary implantation of a vena cava filter.
Presentation Of Case: A 63-year-old male with end stage liver disease presented with caval vein outflow obstruction and massive ascites 12 days after right lobe LDLT.
Severe pulmonary valve insufficiency caused by transjugular cannulation of pulmonary artery for right ventricular assist device: diagnosis and surgical solution-a case report.
J Surg Case Rep
July 2023
Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité, Augustenburger Platz 1, 13353 Berlin, Germany.
Implantation of a temporary percutaneous right ventricular assist device (RVAD) in patients with right heart failure after left ventricular assist device (LVAD) implantation is an established technique that may cause complications. We present a 60-year-old male patient who underwent urgent LVAD implantation. On the second postoperative day the patient developed acute right heart failure.
View Article and Find Full Text PDFDiagnostic and monitoring value of ultrasound, computed tomography angiography, and portal venography in surgical ligation of congenital extrahepatic portosystemic shunts.
Eur J Radiol
August 2023
Department of Ultrasound, Children's Hospital Affiliated to Capital Institute of Pediatrics, Beijing, China.
Article Synopsis
- The study examines the effectiveness of ultrasound, computed tomography angiography, and portal venography in diagnosing and monitoring congenital extrahepatic portosystemic shunts (CEPS) in children.
- Results indicate poor consistency among these imaging techniques in showing portal vein development, highlighting the superiority of portal venography after shunt occlusion for accurate diagnosis.
- The research underscores the importance of gradual portal vein expansion post-ligation and suggests monitoring with ultrasound and CTA for secondary thrombi and complications like haematochezia.
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