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Similar Publications

Tuberculous Pericarditis in an Immunocompromised Patient: A Case Report.

Cureus

October 2024

Cardiology, King Abdulaziz Medical City, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, SAU.

Article Synopsis
  • A 43-year-old male with a history of chronic severe pericarditis, right-sided heart failure, and rheumatoid arthritis presented with chest pain, dyspnea, ascites, and limb edema.
  • Diagnostic tests revealed significant pericardial thickening and necrotic lymph nodes, with a positive QuantiFERON-TB test confirming tuberculous pericarditis (TBP).
  • The patient was treated with anti-tuberculosis therapy and a radical pericardiectomy, highlighting the need for prompt diagnosis and management to enhance patient outcomes in TBP cases.
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Article Synopsis
  • Metastatic breast cancer can lead to unusual complications, such as cardiac tamponade and bilateral vocal cord paralysis, as shown in a case of an elderly patient who had prior surgery for breast cancer.
  • The patient underwent multiple surgical procedures, including thoracotomy and tracheostomy, due to these complications, which posed significant challenges for anaesthesia management.
  • This case underscores the seriousness of advanced breast cancer and the need for careful consideration of anaesthetic strategies in similar situations.
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Ten-year survival after resection of a huge rhabdomyosarcoma in the pericardial cavity.

Gen Thorac Cardiovasc Surg Cases

March 2024

Department of Cardiovascular Surgery, Faculty of Medicine, Kagawa University, Kagawa, Japan.

Background: Primary malignant cardiac tumors are exceedingly rare and cardiac rhabdomyosarcoma among them is an exceptional rarity characterized by a dismal poor prognosis.

Case Presentation: A 48-year-old man had suffered from a persistent cough lasting for more than 6 months and computed tomography showed a huge mass in the pericardial cavity with heterogeneous content. Following referral to our department for suspected cardiac malignancy, cardiac magnetic resonance imaging revealed a lucent layer on the boundary around the mass, suggesting the feasibility of surgical resection.

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Background: Minimally invasive approaches have been a standard choice of surgery for noninvasive thymic epithelial tumors (TETs), but we sometimes experience cases requiring combined resection of adjacent structures. We develop and validate machine learning models to predict combined resection based on preoperative contrast-enhanced computed tomography (CT).

Methods: This study included 212 patients with TETs (140 in the training cohort and 72 in the validation cohort) who underwent radical surgery.

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A non-functional middle mediastinal paraganglioma is a rare entity. We describe a case of a 67-year-old woman with a diagnosis of a big mediastinal paraganglioma by endobronchial ultrasound transbronchial needle aspiration after chest CT and 18F-fluorodeoxyglucose positron-emission tomography. The nine centimeter in length tumor was located between the superior vena cava and the posterior portion of the ascending aorta, compressing the left atrium and the trachea and main left bronchus, posteriorly, surrounding the right pulmonary artery.

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