RESUMEN
Grade 1 open spiral fracture of left tibia in a 1.5 year-old horse was treated using a combination of 4.5 mm locking compression plate [LCP] and a dynamic compression plate applied in a neutralization manner. The open wound was managed postoperatively by regular dressing and lavage. Radiograph at 24 days post-treatment revealed callus formation and at two months complete bridging callus was observed. At the end of six months complete healing of the fracture with functional recovery of the limb was observed
RESUMEN
A 42-year-old male presented to the emergency department with acute chest pain. The electrocardiogram revealed inferior wall myocardial infarction. Emergency coronary angiography revealed total occlusion of the distal right coronary artery with thrombus. Patient was taken up for primary percutaneous coronary angioplasty with stenting of distal right coronary artery. Six hours following the procedure, the patient developed re-elevation of ST-segment in inferior leads of electrocardiogram and subsequent haemodynamic instability. Repeat coronary angiography revealed patent stent and coronary artery spasm in proximal part, which was relieved by intracoronary injection of nitroglycerine. After an hour, the patient re-developed symptoms of chest pain along with bradycardia, hypotension and ST segment elevation. Intravenous infusion of nitroglycerine did not improve the condition but produced persistent hypotension. Infusion of milrinone was then started. Over time, normalisation of electrocardiogram occurred. The patient was discharged in stable condition. This case suggests that milrinone may be effective in alleviating coronary artery spasm when the use of other agents fails.