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First diagnosis of severe coarctation of the aorta necessitating percutaneous intervention during pregnancy: a case report.

Eur Heart J Case Rep

October 2024

Antwerp Surgical Training, Anatomy and Research Center (ASTARC), University of Antwerp, Universiteitsplein 1, 2610 Antwerpen, Belgium.

Article Synopsis
  • - Coarctation of the aorta (CoA) is a congenital heart defect found in 3-4 in every 10,000 births, often undiagnosed until adulthood, posing significant risks during pregnancy, including maternal and fetal complications.
  • - A case involved a 21-year-old pregnant woman with undiagnosed severe CoA, presenting with high blood pressure and a significant heart murmur, along with weak lower extremity pulses, indicating serious cardiovascular issues.
  • - After medical management, her condition required an endovascular procedure to place a stent at 23 weeks' gestation, which successfully improved blood flow and placental health, highlighting the need for careful monitoring and intervention in similar cases.
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Bilateral first rib fractures with multi-organ complications: A case report and literature review.

Heliyon

June 2024

Department of Urology, The First College of Clinical Medical Science, China Three Gorges University, Yichang Central People's Hospital, Yichang, Hubei, China.

Background: Bilateral first rib fractures are rare. This article presented the diagnosis and treatment of a case of bilateral first rib fractures with multi-organ complications and discussed the injury mechanism.

Case Presentation: A 15-year-old girl fell off a motorcycle.

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Application of Intelligent Ultrasound in Real-Time Monitoring of Postoperative Analgesic Nerve Block.

Contrast Media Mol Imaging

April 2022

Department of Anesthesiology and Perioperative Medicine, Xi'an People's Hospital (Xi'an Fourth Hospital), Xi'an 710004, Shaanxi, China.

In order to monitor the effect of nerve block in postoperative analgesia more accurately, this paper puts forward the application research of ultrasonic real-time intelligent monitoring of nerve block in postoperative analgesia. Ultrasonic real-time intelligent monitoring of nerve block in upper limb surgery, lower limb surgery, and abdominal surgery combined with the nerve stimulator. The experiments show that there are 5 cases of adverse reactions when the nerve stimulator is only used, but no adverse reactions occur when combined with ultrasound-guided block.

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Ultrasound-Guided Regional Anesthesia Under Sedation for Radical Mastectomy in an SAS Patient: A Case Report.

Front Oncol

June 2021

Department of Anesthesiology, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, China.

Radical mastectomy is commonly performed under general anesthesia, and regional block is often used as assisted or postoperative analgesia. We herein report a case of successful radical mastectomy with severe aortic stenosis (SAS) by using ultrasound-guided regional anesthesia under sedation. A 66-year-old female with an American Society of Anesthesiology physical status IV; limited functional capacity with <4 metabolic equivalents; a lump (10 cm × 8 cm) in the right breast with skin breakage and infection; and a history of hypertension, diabetes, atrial fibrillation, and SAS, underwent lump-resection and rapid pathological examination by biopsy.

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Context: Well-established human anatomy labs with access to expert faculty are exceedingly valuable tools to medical student education. In this manuscript, we detail an infero-lateral subclavicular lipoma which was discovered as a result of the utilization of both those labs and expert faculty. This lipoma may have caused brachial plexopathy or may serve as an unusual cause of neurologic thoracic outlet syndrome (NTOS) due to the location of the mass.

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