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    ABSTRACT: A 75 year-old man with a lesion in the middle lobe of the lung was discovered to also have, during the follow-up period, a mass in the mediastinum, diagnosed as a multi-thymic cyst. Both pathologies were successfully treated with a single surgical approach by video-assisted thoracoscopy. We performed a middle VATS lobectomy with complete lymphadenectomy followed by radical thymectomy without additional incision. The postoperative course was uneventful.
    Heart Lung &amp Circulation 09/2014;
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    ABSTRACT: Objectives Acute aortic dissection is a catastrophic condition, for which emergent surgery represents mainstay of therapy. Approximately 70% of patients who survive surgery remain with a dissected distal aorta that poses them at risk of late aneurysmal degeneration, rupture, malperfusion and that often mandates secondary extensive interventions. Methods In order to improve long-term prognosis, a more extensive intervention named ‘Frozen Elephant Trunk (FET)’ has been introduced. This involves the simultaneous replacement of the aortic arch and antegrade stenting of the descending thoracic aorta (DTA). While FET, by inducing both coverage of secondary entry tears located in the proximal DTA and obliteration of the false lumen at the proximal DTA, is assumed to produce total thoracic aortic remodeling, its role in acute dissection patients remains controversial mostly due to its augmented technical complexity and increased risk of paraplegia. Results Data available in literature show that, after FET interventions, hospital death, stroke and spinal cord injury occur in 10.0%, 4.8%, 4.3% of acute dissection patients, respectively. Available long-term data are sparse but suggest that aortic remodeling with partial or complete thrombosis of the persistent false lumen can be expected in approximately 90% of cases. Conclusions The FET technique is a promising approach in acute dissection patients. While solid long-term data are warranted to validate assumed short- and long-term benefits, we believe thoughtful patient selection criteria remain crucial.
    Journal of Thoracic and Cardiovascular Surgery 08/2014;
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    ABSTRACT: To quantify in adolescents the prevalence of dysmenorrhea and other symptoms found to be suggestive of future diagnosis of endometriosis, in particular their impact on monthly absenteeism from school/work, activity impairment, and sexual life and to quantify the awareness of endometriosis in adolescents. Cross-sectional study. Academic institution. Adolescents (n = 250) aged 14-20 years referring to 3 family Counseling services. Participants completed an anonymous questionnaire. Prevalence of dysmenorrhea and absenteeism from school/work during menses. Other outcomes were impairment of daily activities, dyspareunia, and awareness of endometriosis as a pathologic condition. 68% (170/250) of the participants complain of dysmenorrhea, 12% (30/250) lose days of school/work monthly because of dysmenorrhea, 13% (33/250) complain of intermenstrual pain which limits daily activities, 27% (56/208) of the adolescents who are sexually active complain of dyspareunia, 82% (203/250) have never heard about endometriosis and 80% (200/250) would like to know more about it. A significant association was found between severe dysmenorrhea, absenteeism from school/work, and basic level of education. Absence from school/work during menses showed an adjusted odds ratio for severe dysmenorrhea about 28 times greater than those who did not declare absenteeism (95%CI 7.898-98.920, P<.000). The rates of dysmenorrhea and school absenteeism caused by dysmenorrhea are high. According to recent studies these patients are at higher risk of further development of endometriosis, whereas the knowledge of the disease is low among the adolescents investigated, so those involved with adolescents both in the health profession and particularly in schools and Family Counseling Services should be educated about endometriosis and its symptoms to reduce the significant lag time between symptoms and diagnosis.
    Journal of pediatric and adolescent gynecology 04/2014;

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British Journal of Radiology 05/1990; 63(748):251-6.
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