Bilateral isolated coronary ostial stenosis following mediastinal therapy
Division of Cardiac Surgery, Royal Victoria Hospital, Belfast, Northern Ireland, UK.Asian cardiovascular & thoracic annals 04/2004; 12(1):78-80. DOI: 10.1177/021849230401200119
Isolated coronary ostial narrowing is rare and may represent a separate disease entity from atherosclerotic coronary artery disease. The case of a 41-year-old female with no coronary risk factors who developed severe bilateral isolated coronary ostial stenosis following mantle radiotherapy for Hodgkin's disease is described. She underwent urgent coronary artery bypass grafting and has remained well for 3 years.
Article: Recurrent Pulmonary Artery Sarcoma[Show abstract] [Hide abstract]
ABSTRACT: Pulmonary artery sarcomas are a diagnostic and therapeutic challenge. Most patients are initially thought to have pulmonary emboli, and during embolectomy, a sarcoma is found. Given the significant morbidity and mortality of cardiac sarcomas, an aggressive strategy for resection is indicated, as this leads to benefits in disease-free and overall survival. Imaging tests and clinical signs and symptoms may assist in accurate preoperative determination of pulmonary artery sarcoma. We present an interesting case of a patient with pulmonary artery sarcoma who underwent successful re-resection, along with a brief discussion regarding preoperative imaging and the surgical resection of these tumors.Journal of Cardiac Surgery 11/2006; 21(6):587-9. DOI:10.1111/j.1540-8191.2006.00309.x · 0.89 Impact Factor
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ABSTRACT: Behcet's disease is an autoimmune multisystemic disorder based on vasculitis. In this disease, the most important predictor of morbidity and mortality is the vascular complications. Appropriate surgical interventions are critical and must be planned strategically. Here, we will describe a very rare complication of the disease; spontaneous aortic pseudoaneurysm in a 33-year-old patient.Journal of Cardiac Surgery 11/2006; 21(6):589-91. DOI:10.1111/j.1540-8191.2006.00310.x · 0.89 Impact Factor
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ABSTRACT: A 27-year-old female presented with dyspnea, fatigue, and exertional angina is found to have hypertrophic cardiomyopathy with marked hypertrophy of the papillary muscles, apex, septum, and lateral wall of the left ventricle. Also, small left ventricular cavity and systolic anterior movement of anterior mitral leaflet were observed at the echocardiography. The Doppler echocardiography revealed severe peak gradients at the left ventricle outflow tract (105 mmHg) and mid-ventricle (80 mmHg). At the operation, septal myectomy and anterior papillary muscle resection in addition to mitral valve replacement was performed. Surgical treatment gave an excellent clinical result. Control Doppler echocardiograms revealed no left ventricular outflow tract gradient, although mid-ventricular gradient was persistent. The good results were still present 18 months after the operation.Journal of Cardiac Surgery 11/2006; 21(6):591-3; discussion 593. DOI:10.1111/j.1540-8191.2006.00311.x · 0.89 Impact Factor
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