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Heterotaxy Syndrome Diagnosed in an Adult.
Ochsner J
January 2024
Department of Internal Medicine, Sultan 2. Abdul Hamid Khan Educational and Research Hospital, Istanbul, Turkey.
Heterotaxy syndrome, a condition in which the internal organs are abnormally arranged in the thorax or abdomen, is generally diagnosed early in life, often during the neonatal period. We present the case of a 42-year-old male who was incidentally diagnosed with polysplenia syndrome and subsequently diagnosed with heterotaxy syndrome. Upon further investigation, he was determined to have a sinus venosus type atrial septal defect.
View Article and Find Full Text PDF[Anomalous origin of left circumflex artery from the right sinus of Valsalva and left anterior descending artery with double intramyocardial tract: a rare case of angina].
G Ital Cardiol (Rome)
November 2024
Divisione Medica, Policlinico, Università degli Studi di Verona.
Article Synopsis
- A rare case of angina was reported involving a patient's anomalous left circumflex artery originating from the right sinus of Valsalva and having a retroaortic course along with double myocardial bridging of the anterior descending artery.
- The "crossed aorta sign" (or "RAC sign") was observed using a modified apical 4-chamber view during transthoracic echocardiography.
- Although the anomaly was suspected during the initial coronary angiography, it was ultimately confirmed through echocardiography and coronary computed tomography angiography.
An Incidental Finding of Posterior Nutcracker Syndrome: A Case Report.
Cureus
October 2024
Radiology, Osmania Medical College, Hyderabad, IND.
Posterior nutcracker syndrome (PNCS) is a rare vascular disorder involving the compression of the retro-aortic left renal vein between the aorta and the vertebral column. It often presents with left flank pain, hematuria, and varicocele. We report the case of a 39-year-old male who presented with diffuse abdominal pain, acute urinary retention, and left flank pain.
View Article and Find Full Text PDFA case of "late adult type" of ALCAPA syndrome in a 76-year-old woman.
J Cardiol Cases
September 2024
Unit of Diagnostic Imaging and Interventional Radiology, Departmental Faculty of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Rome, Italy.
Unlabelled: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare condition; late adult presentation is extremely rare but, with modern diagnostics, more asymptomatic or mildly symptomatic elderly patients with ALCAPA are found. A 76-year-old woman was admitted to our emergency department in December 2021 with fever, fatigue, cognitive-motor slowing, and hyposthenia of left hemisoma. Cranium computed tomography (CT) was performed, with no signs of stroke.
View Article and Find Full Text PDFA Cadaveric Case Report of Retroaortic Left Renal Vein in an Elderly Male With Multiple Known Comorbidities.
Cureus
August 2024
Anatomical Sciences, Edward Via College of Osteopathic Medicine, Monroe, USA.
Article Synopsis
- The case report discusses an 83-year-old male cadaver with a rare anatomical variant known as a type 1 retroaortic left renal vein (RLRV), which occurs in about 0.5-3.6% of the population and is usually asymptomatic.
- Although RLRV is often benign, it can lead to symptoms like hematuria and flank pain, particularly due to a condition called "nutcracker syndrome," where the renal vein is compressed between the aorta and other structures.
- Diagnosis typically involves imaging techniques like multidetector CT or Doppler ultrasound, and treatment for symptomatic cases often includes conservative methods such as medication, while surgery is considered only if these methods don't help.
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