Subject(s)
Aorta/surgery , Aortic Aneurysm/diagnostic imaging , Aortic Aneurysm/surgery , Axillary Artery , Axillary Vein , Cardiopulmonary Bypass/methods , Catheterization/methods , Computed Tomography Angiography , Vascular Surgical Procedures/methods , Adult , Aortic Valve/surgery , Axillary Artery/diagnostic imaging , Axillary Vein/diagnostic imaging , Blood Vessel Prosthesis Implantation/methods , Echocardiography , Heart Valve Prosthesis Implantation/methods , Humans , Male , Treatment OutcomeABSTRACT
Hyperimmunoglobulin E syndrome (HIES) is an immunodeficiency disorder that manifests itself by affecting more than one system. Arterial aneurysms are among the significant complications associated with HIES. Surgical procedures for patients with such aneurysms are uncommon. In this study, we aim to present the case and surgical repair of a male child who was previously diagnosed with HIES and presented with rapidly expanding ascending aortic aneurysm.
Subject(s)
Aortic Aneurysm, Thoracic/surgery , Job Syndrome/complications , Vascular Surgical Procedures/methods , Aortic Aneurysm, Thoracic/diagnosis , Aortic Aneurysm, Thoracic/etiology , Child , Echocardiography , Humans , Job Syndrome/surgery , Male , Tomography, X-Ray ComputedABSTRACT
Currently, right axillary artery cannulation and unilateral antegrade cerebral perfusion through the same cannula are preferred choices for acute type A aortic dissection repair. However, the existence of an aberrant right subclavian artery can jeopardize cerebral perfusion through the right axillary artery cannula. In this study, we intended to explain the repair of acute type A aortic dissection using right axillary artery cannulation in a patient with aberrant right subclavian artery.
Subject(s)
Aneurysm/complications , Aortic Aneurysm, Thoracic/surgery , Aortic Dissection/surgery , Cardiovascular Abnormalities/complications , Catheterization/methods , Deglutition Disorders/complications , Vascular Surgical Procedures/methods , Aneurysm/diagnostic imaging , Aortic Dissection/complications , Aortic Dissection/diagnostic imaging , Aortic Aneurysm, Thoracic/complications , Aortic Aneurysm, Thoracic/diagnostic imaging , Axillary Artery , Cardiovascular Abnormalities/diagnostic imaging , Deglutition Disorders/diagnostic imaging , Humans , Male , Middle Aged , Subclavian Artery/abnormalities , Subclavian Artery/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
Effects of electromagnetic energy radiated from mobile phones (MPs) on heart is one of the research interests. The current study was designed to investigate the effects of electromagnetic radiation (EMR) from third-generation (3G) MP on the heart rate (HR), blood pressure (BP) and ECG parameters and also to investigate whether exogenous melatonin can exert any protective effect on these parameters. In this study 36 rats were randomized and evenly categorized into 4 groups: group 1 (3G-EMR exposed); group 2 (3G-EMR exposed + melatonin); group 3 (control) and group 4 (control + melatonin). The rats in groups 1 and 2 were exposed to 3G-specific MP's EMR for 20 days (40 min/day; 20 min active (speech position) and 20 min passive (listening position)). Group 2 was also administered with melatonin for 20 days (5 mg/kg daily during the experimental period). ECG signals were recorded from cannulated carotid artery both before and after the experiment, and BP and HR were calculated on 1st, 3rd and 5th min of recordings. ECG signals were processed and statistically evaluated. In our experience, the obtained results did not show significant differences in the BP, HR and ECG parameters among the groups both before and after the experiment. Melatonin, also, did not exhibit any additional effects, neither beneficial nor hazardous, on the heart hemodynamics of rats. Therefore, the strategy (noncontact) of using a 3G MP could be the reason for ineffectiveness; and use of 3G MP, in this perspective, seems to be safer compared to the ones used in close contact with the head. However, further study is needed for standardization of such an assumption.
Subject(s)
Blood Pressure/radiation effects , Cell Phone , Electrocardiography/radiation effects , Electromagnetic Radiation , Heart Rate/radiation effects , Analysis of Variance , Animals , Antioxidants/pharmacology , Blood Pressure/drug effects , Body Weight/drug effects , Body Weight/radiation effects , Electrocardiography/drug effects , Heart Rate/drug effects , Male , Melatonin/pharmacology , Rats , Rats, Wistar , Statistics, NonparametricABSTRACT
High origin ulnar artery from the brachial artery is rare and lies superficially in the forearm. Its reported frequency ranges from 0.17% to 2%. Pseudoaneurysms of peripheral arteries are very rare, and mostly these are the result of penetrating injuries. Here, we report a case pseudoaneurysm of high origin ulnar artery from the brachial artery and its surgical approach method.
Subject(s)
Aneurysm, False/etiology , Ulnar Artery/injuries , Wounds, Stab/complications , Adult , Aneurysm, False/diagnostic imaging , Aneurysm, False/surgery , Humans , Ligation , Male , Radiography , Saphenous Vein/transplantation , Treatment Outcome , Ulnar Artery/abnormalities , Ulnar Artery/diagnostic imaging , Ulnar Artery/surgery , Vascular GraftingABSTRACT
A reduction in QT dispersion (QTd) has been previously shown in patients receiving thrombolytics and undergoing coronary artery bypass grafting (CABG). The purpose of the present study was to investigate changes occurring in corrected QT intervals or QT dispersion after CABG and concomitant aneurysmectomy in the same session. The study population included 43 patients with coronary artery disease with left ventricular aneurysm (LVA). The control group included 32 patients with coronary artery disease without LVA. The study patients underwent CABG and aneurysmectomy in the same surgical session. Corrected maximum and minimum QT interval duration (QTcmax and QTcmin) and corrected QT dispersion (QTcd) were measured in the study patients before and after surgery. QTcmax and QTcd in the patients with LVA were significantly higher than in the patients without LVA (P < .001 and P < .001, respectively). QTcmax and QTcd in the patients with LVA were significantly shortened after surgery (P < .001 and P < .001, respectively). This study showed that QTcmax and QTcd values are significantly reduced after CABG and concomitant aneurysmectomy. We have suggested that coronary revascularization and left ventricular reconstruction in the same session have beneficial effects on QT interval duration and dispersion.
