Primary cardiac tumors are rare with an incidence ranging from 0.001% to 0.03% in autopsy series. The prognosis of cardiac sarcomas remains poor because it proliferates rapidly, and distant metastases are often found at diagnosis. We present a case of liposarcoma in the atrium of the heart as case report
Primary cardiac tumors are rare with an incidence ranging from 0.001% to 0.03% in autopsy series. The prognosis of cardiac sarcomas remains poor because it proliferates rapidly, and distant metastases are often found at diagnosis. We present a case of liposarcoma in the atrium of the heart as case report and same time,we do a literature review about it.Case Report: We present the case of a 30-year-old female with a significant tumor of cardiac liposarcoma, with chief complaint of dyspnea, tachycardia and heart failure even angina pectoris.Conclusion: The diagnostician?s differential diagnosis must be broad when encountering common chief complaints, such as tachycardia, heart failure and angina pectoris. Full article
Guilherme H. Oliveira, MD*; Sadeer G. Al-Kindi, MD*; Christopher Hoimes, DO; Soon J. Park, MD Characteristics and Survival of Malignant Cardiac Tumors A 40-Year Analysis of >500 Patients (Circulation. 2015;132:2395-2402. DOI: 10.1161/CIRCULATIONAHA.115.016418.)
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Objective: To evaluate the relationship between operative approach, operative time, and SSI rate. Methods: Inpatient database review identified patients undergoing 5 common procedures from 1/2010-12/2011. Patients were stratified into laparoscopic or open approaches. The main outcome measure was the relationship between operative time and SSI by approach. Results: 226,006 patients
Objective: To evaluate the relationship between operative approach, operative time, and SSI rate. Methods: Inpatient database review identified patients undergoing 5 common procedures from 1/2010-12/2011. Patients were stratified into laparoscopic or open approaches. The main outcome measure was the relationship between operative time and SSI by approach. Results: 226,006 patients were evaluated- 28.2% open and 71.8% laparoscopic. Mean overall operative time was significantly shorter laparoscopically (p<0.001). Laparoscopy was associated with significantly lower costs and shorter length of stay (LOS) overall and for each procedure(p<0.0001). Multivariate analysis found SSI increased directly with operative time: for every 30-minute increase, SSI risk increased by 12%. Operative approach was an independent risk factor for SSI: open surgery increased SSI risk by 78%. A direct relationship between open procedures, operative time, and SSI risk was found. Conclusions: Laparoscopy has overall shorter operative time and improved outcomes in SSI rate, LOS, and total costs for common surgical procedures. As operative time and approach were independent risk factors for SSI, the use of laparoscopy and operative time are valuable quality measures. Full article
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The aneurysm is a complex phenomenon which is affected by different factors, such as the biological diseases and the blood flow parameters. The wall shear stress and pressure are the main factors in the establishment and growth of cerebral aneurysm. The circle of Willis is a prevalent location for aneurysm.
The aneurysm is a complex phenomenon which is affected by different factors, such as the biological diseases and the blood flow parameters. The wall shear stress and pressure are the main factors in the establishment and growth of cerebral aneurysm. The circle of Willis is a prevalent location for aneurysm. On the other hand, the anomalies of circle of Willis cause variations in flow field pattern and also the wall shear stress and pressure. In the present study, the effects of some anomalies in the flow pattern are investigated using three dimensional simulation of the Circle of Willis. The simulations are conducted using commercial ANSYS FLUENT. The obtained results show the major anomalies cause increase wall shear stress and pressure on the wall of circle of Willis. This factor can lead to increase the risk of aneurysm. Full article
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Introduction: Traumatic pulmonary parenchymal cavitary lesions (TPPCs) are pulmonary pseudocysts raiding secondary to lung contusion. Method: To provide an overview of the etiology, presentation, diagnosis and treatment of TPPCs, and to discuss this in the context of a cohort of 12 retrospectively reviewed patients with TPPCs presenting to Sahlgrenska University
Introduction: Traumatic pulmonary parenchymal cavitary lesions (TPPCs) are pulmonary pseudocysts raiding secondary to lung contusion. Method: To provide an overview of the etiology, presentation, diagnosis and treatment of TPPCs, and to discuss this in the context of a cohort of 12 retrospectively reviewed patients with TPPCs presenting to Sahlgrenska University Hospital, Gothenburg, Sweden, from January 2014 to December 2016. Between January 2014 and December 2016, a total of twelve trauma patients presented to Sahlgrenska University Hospital with TPPC following blunt trauma.Results: TPPCs are of limited clinical consequence. Inexperienced clinicians may treat these inappropriately. A Computed Tomography (CT) scan is the investigation of choice. Treatment is symptomatic. Intervention is indicated only in case of complications. Full article
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Central vein stenosis is a rare complication that occurs after central venous port placement. We report a case of chyle withdrawal from a central venous port in a patient receiving chemotherapy for stage IV rectal cancer. Dilated thoracic duct terminal and innominate vein stenosis both were clearly shown in the
Central vein stenosis is a rare complication that occurs after central venous port placement. We report a case of chyle withdrawal from a central venous port in a patient receiving chemotherapy for stage IV rectal cancer. Dilated thoracic duct terminal and innominate vein stenosis both were clearly shown in the angiography results, and innominate vein stenosis was resolved by performing percutaneous transluminal angioplasty. Full article
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