[A rare cause of gynecomastia in a more than 70-year-old man. Case report and differential diagnostic considerations]. / Seltene Ursache einer Gynäkomastie eines über 70jährigen Mannes. Kasuistik und differentialdiagnostische Uberlegungen.

Gynecomastia in elderly men is relatively common and may be caused by age-related endocrinal and metabolic disorders, the use of certain drugs, or specific medical conditions. We report here on the rare case of a 77-year-old man in whom gynecomastia was one of the major symptoms of a bronchial carcinoma which had metastasized to the mediastinum. The differential diagnosis of the condition is described in detail.

[Atresia of the left-sided atrioventricular connection with single ventricle and transposition of great vessels in a adult patients]. / Atresie der linksseitigen atrioventrikulären Verbindung mit singulärem Ventrikel und Transposition der grossen Arterien bei einer erwachsenen Patientin.

Mitral atresia is an extremely rare congenital anomaly in which survival into adulthood is an exception. Without treatment most patients with this anomaly will die in early childhood and only few reach adolescence or early adulthood. The here described patient with mitral atresia, atrial septal defect, single ventricle and transposition of the great arteries survived to age 24 years. She died as consequence of massive cerebral embolism of a thrombus in her left atrium.