-
[show abstract]
[hide abstract]
ABSTRACT: Renovascular hypertension is usually due to an atherosclerotic artery stenosis or a fibromuscular dysplasia. We describe an uncommon cause of renal ischemia. A 66-year-old woman was admitted for severe hypertension. During her stay, she presented an acute myocardial infarction with normal coronary angiography. After a flank pain, a contrast-enhanced abdominal computed tomography scan was performed which revealed a stenosis of the left main renal artery. However, renal angiography displayed a thrombosis. Transesophageal echocardiography showed a mobile mass attached to the mitral valve. A diagnosis of renal artery thrombosis and acute myocardial infarction both resulting from a cardiac tumour embolism was established.
The Canadian journal of cardiology 04/2012; 28(3):397.e1-3. · 3.36 Impact Factor
-
Gilles Barone-Rochette,
Caroline Augier, Mathieu Rodière,
Adrien Jankowski,
Frédéric Thony,
Gilbert Ferretti,
Carole Saunier,
Sylvie Lantuejoul,
Olivier Chavanon,
Daniel Fagret,
Gérald Vanzetto,
Jean-Philippe Baguet
International journal of cardiology 04/2012; 157(2):298-300. · 7.08 Impact Factor
-
Jean-Philippe Baguet,
Laetitia Boggetto-Graham,
Frédéric Thony,
Gilles Barone-Rochette, Mathieu Rodière,
Jean-Louis Pépin,
Hélène Pierre,
Séverine Baguet,
Olivier Ormezzano,
Estelle Vautrin,
Olivier Chavanon
International journal of cardiology 12/2011; 155(2):307-8. · 7.08 Impact Factor
-
Archives of cardiovascular diseases 04/2011; 104(4):263-4. · 0.66 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: To evaluate the diagnostic accuracy of percutaneous computed tomography (CT)-guided coaxial core needle biopsy in patients with nonresolving pulmonary focal air space consolidations and negative fiberoptic bronchoscopy results.
From 1997 to 2005, 23 patients (11 woman, 12 men; age range, 45 to 81 y; mean age, 66 y) presenting with nonresolving pneumonia persisting more than 8 weeks (mean, 22 wk; range, 8 to 40 wk) with negative fiberscopic results, underwent coaxial percutaneous biopsy using an automated core needle (18-gauge) under CT guidance. Histologic and bacteriologic evaluations were obtained. The final diagnosis was confirmed by surgical pathology, culture results, or clinical follow-up.
Specimens adequate for histopathologic evaluations were obtained in 20 (87%) cases. Final diagnoses were lung cancer (n=15) and benign diseases (infectious pneumonia, 3; lipoid pneumonia, 1; Erdheim Chester disease: 1; and nonspecific chronic pneumonia, 3). Diagnostic yield of core needle biopsy was 78% (18 of 23). The sensitivity and specificity for malignancy were 87% and 100%, respectively. Immediate pneumothorax was present in 11 patients of cases, but only 2 patients required pleural drainage.
CT-guided lung biopsy using a core needle biopsy provides a high degree of diagnostic accuracy and allows specific characterization of nonresolving pulmonary focal air space consolidation.
Journal of Thoracic Imaging 03/2008; 23(1):7-12. · 0.98 Impact Factor
