Coronaro Cameral Fistula: Literature Review, Diagnosis and Management, about a Case

A coronary fistula is defined as a direct connection between a coronary artery and a heart chamber, great vessel, or other vascular structure that "bypasses" the myocardial capillary bed. This is a rare pathology that is usually not discovered until later in life, and exceptionally not during childhood. We report the case of a young patient who was hospitalized for chest pain and shortness of breath and who was found to have a coronary fistula on angiography. A 66-year-old patient. Hypertension on dual therapy for 16 years and diabetes on OAD (Oral Antidiabetic) for 4 years. He was hospitalized with typical angina pectoris and dyspnea, and the stress test was positive. Laboratory examination revealed a good general condition with NYHA stage 3 dyspneic angina pectoris extending to the upper extremities and no evidence of heart failure. Looking at the balance, we see a slight increase in troponin. ECG returns to regular sinus rhythm, with electrical LVH (left ventricular hypertrophy) and ambient negative waves, no rhythm or conduction abnormalities. Transthoracic echocardiography (TTE) reverses hypertensive heart disease with good global and partial contractility without significant valvular disease associated with systolic pulmonary arterial pressure (SPAP) at 35 mmHg. Coronary angiography is performed and shows evidence of minor involvement of the central CX artery and a coronary camera fistula from the first diagonal artery draining into the left ventricle. Management was about optimizing medical care. The patient received an appointment and was declared discharged. Coronary camera fistulae are rare, found in approximately 0.3% of coronary angiographic studies performed. Most are congenital and may occur primarily due to trauma, erosive infection of the vessel wall, or iatrogenicity during transluminal coronary angioplasty, myocardial biopsy, or valve replacement. In many cases, simple but complex forms can be described. The gold standard for confirming the diagnosis remains coronary angiography, which highlights both the affected arteries and drainage sites. Cardiac scanners occupy an increasingly important position, especially as they provide morphologically accurate information. Surgical or percutaneous treatment of the fistula with a coil is recommended in symptomatic adult patients, especially those with significant or complicated right-to-left shunts. The authors suggest treatment with ?-blockers when multiple sinusoidal fistulas associated with ventricular wall hypertrophy are present. Close monitoring is recommended for asymptomatic small fistula. Corneal fistula is a rare congenital or acquired condition that is mostly asymptomatic and discovered in adulthood. Coronary angiography and heart scan can be used to confirm the diagnosis. Treatment is usually surgical or endovascular. However, in some cases, drug treatment with beta-blockers may help.

Histological and Histochemical Characterization of the Midgut of Healthy Aedes aegypti Larvae

Aedes aegypti (Diptera, Culicidae) is the predominant mosquito vector of several arboviruses such as dengue fever, yellow fever, chikungunya and zika. The larval stage is the major period of feeding and growth of these insects. Many of the products tested for Ae. aegypti control are ingested by the larvae in their natural environment or under laboratory conditions. In some situations, the identification of tissue lesions caused by the ingestion of such products serves as the primary way to understand their mechanism of action and confirm their effectiveness. Therefore, we aimed to conduct studies on the histological and histochemical characteristics of Ae. aegypti larvae in order to contribute to a better understanding of the pathogenicity caused by chemical or biological products for larval control. Therefore, we characterized tissues in the midgut of healthy Ae. aegypti larvae and present high quality images. These images are intended for comparison with results of morphohistochemical studies testing the effect of control substances in mosquito larvae.

Femmes et psychiatrie

Les activites regulieres de prise en charge au niveau du pavillon de consultations psychiatriques du Centre Hospitalier de Fann peuvent constituer un repere en matiere de pathologie psychiatrique de la femme au Senegal. Une etude portant sur l'annee 1990 essaie de mettre en evidence cette pathologie et d'en faire une approche epidemiologique et psyhopathologique. Les resultats obtenus et leurs commentaires peuvent etre une source d'eclairage non negligeable dans ce domaine complexe de la medecine qu'est la psychiatrie