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Spontaneous Ischemic Cholecystitis in a Patient with Hereditary Hemorrhagic Telangiectasia (HHT).

J Clin Med

November 2024

Department of Digestive Surgery and Emergency Surgery, Edouard Herriot Hospital, Hospices Civils de Lyon, 69002 Lyon, France.

Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disorder characterized by abnormal blood vessel formation, leading to recurrent epistaxis, cutaneous and mucosal telangiectases, and visceral arteriovenous malformations (AVMs). Hepatic involvement may result in complications such as high-output heart failure, portal hypertension, and biliary ischemia. We report an uncommon case of ischemic cholecystitis in a patient with HHT.

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Glenn circulation causes early and progressive shunting in a surgical model of pulmonary arteriovenous malformations.

Physiol Rep

November 2024

Department of Pediatrics, Division of Cardiology, Medical College of Wisconsin, Children's Wisconsin, Herma Heart Institute, Milwaukee, Wisconsin, USA.

Pulmonary arteriovenous malformations (PAVMs) universally develop in patients with single ventricle congenital heart disease. Single ventricle PAVMs have been recognized for over 50 years but remain poorly understood. To improve our understanding, we developed a surgical rat model of Glenn circulation and characterized PAVM physiology over multiple time points.

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To analyze the survival status and prognostic factors of patients with hereditary hemorrhagic telangiectasia-associated pulmonary arterial hypertension (HHT-PAH). This prospective study included patients diagnosed with HHT-PAH at the Fuwai Hospital of the Chinese Academy of Medical Sciences and Guangdong General Hospital from August 2009 to December 2019. Patients were followed up every 6 months±2 weeks, with all-cause mortality as the study endpoint.

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Surgical Management of Infective Endocarditis Complicated by Budd-Chiari Syndrome.

Cureus

October 2024

Cardiac Surgery, International University of Health and Welfare, Narita Hospital, Chiba, JPN.

Budd-Chiari syndrome (BCS) is a relatively rare comorbidity, particularly in patients undergoing cardiac surgery. The difficulty arises when we try to drain blood from the obstructed lower body circulation to establish extracorporeal circulation. Herein, we describe a patient who developed a persistent fever after undergoing neurosurgery for a head arteriovenous fistula, wherein blood cultures confirmed infection.

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Article Synopsis
  • Angiodysplasia (AD) is a vascular condition in the gastrointestinal tract that often causes lower GI bleeding, especially in the elderly, and can be challenging to detect during endoscopy.
  • An 82-year-old woman with recurrent melena and anemia underwent various evaluations including contrast-enhanced CT scans, leading to a diagnosis of colonic AD after surgery.
  • The case emphasizes that contrast-enhanced CT is a safer and more convenient diagnostic tool for identifying AD-related bleeding in frail, elderly patients compared to traditional methods.
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