ABSTRACT
Coronary artery anomalies are a broad group of congenital coronary artery variations. Anomalous aortic origin of a coronary artery is a variant that occurs when a coronary artery arises from an inappropriate sinus of Valsalva. While most patients are asymptomatic, these congenital variants may predispose them to symptoms or even sudden cardiac death (SCD). Unfortunately, no unified consensus exists on risk stratification or management of patients with these congenital variants. We present two unique cases of symptomatic anomalous right coronary arteries and discuss their presentations, imaging findings, and management.
ABSTRACT
Page kidney or Page phenomenon is a rare cause of hypertension that results from external compression of the kidney and renin-angiotensin-aldosterone system activation. Most cases involve trauma as the precipitating factor. Page kidney can result in severe and resistant hypertension that can be challenging to treat. We present a unique case: a patient in hypertensive emergency secondary to Page kidney caused by a spontaneous subcapsular renal hematoma.
ABSTRACT
Ascending aortic pseudoaneurysms are an infrequent but life-threatening complication of cardiac and aortic surgery. Although rare, these pseudoaneurysms can form as a complication of penetrating atherosclerotic ulcers. We report a case of a ruptured penetrating atherosclerotic ulcer repaired percutaneously with an Amplatzer Atrial Septal Occluder (Abbott, Plymouth, MN, USA).
ABSTRACT
Precise and accurate determination of hexavalent chromium in different types of solid environmental sample is regarded as a technical challenge with significant potential error if historically accepted methods are used. Microwave-assisted alkaline extraction (0.5 mol L(-1) NaOH + 0.28 mol L(-1) Na2CO3) followed by anion-exchange chromatographic separation and inductively coupled plasma mass spectrophotometric detection has been shown to provide accurate and precise results. To obtain a better understanding of potential species conversion during and/or after extraction steps, speciated isotope-dilution mass spectrometry (SIDMS) (EPA Method 6800) metrology has been successfully applied as a diagnostic tool with the modified accompanying extraction version of EPA Method 3060A. In our study, aggregate materials distributed over a large area of a major western US state were found to contain a high concentration of total chromium (195 +/- 13 to 709 +/- 19 microg g(-1)) and significant amounts of Cr6+ (141 +/- 6 to 341 +/- 29 microg g(-1)) which are at least three orders of magnitude higher than the US EPA threshold limit (0.5 microg g(-1)). Sediment samples from a major western US state, studied independently, were found to contain less (1.77 +/- 0.34 microg g(-1)) or no Cr6+ in the presence of significant total chromium.
