ABSTRACT
Presented herein is a clinical case report concerning successful surgical management of a rare variety of a primary tumour of the heart, i. e., a capillary haemangioma of the left atrium, simulating by the contours and localization a myxoma. The final diagnosis was verified only by histological examination. The authors describe difficulties of diagnosis of the disease involved, underlying the necessity of plastic correction for restoration of the normal anatomical configuration of the heart. This is followed by a review of the literature, reflecting a possible course of the disease, problems of diagnosis, and therapeutic policy.
Subject(s)
Cardiac Surgical Procedures/methods , Heart Atria , Heart Neoplasms , Hemangioma , Aged , Diagnosis, Differential , Female , Heart Atria/diagnostic imaging , Heart Atria/pathology , Heart Neoplasms/diagnosis , Heart Neoplasms/pathology , Heart Neoplasms/physiopathology , Heart Neoplasms/surgery , Hemangioma/diagnosis , Hemangioma/pathology , Hemangioma/physiopathology , Hemangioma/surgery , Humans , Treatment OutcomeABSTRACT
Systematised herein are the results of large-scale randomized studies, as well as own findings regarding the use of beta-adrenoblockers and statins in vascular patients. Administration of selective beta-adrenoblockers and statins appeared to decrease the cardiac-complication rate in this cohort of patients.
Subject(s)
Adrenergic beta-Antagonists/therapeutic use , Anticholesteremic Agents/therapeutic use , Cardiovascular Diseases/drug therapy , Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use , Hypolipidemic Agents/therapeutic use , Simvastatin/therapeutic use , Adrenergic beta-Antagonists/administration & dosage , Adult , Aged , Aged, 80 and over , Anticholesteremic Agents/administration & dosage , Cardiovascular Diseases/physiopathology , Double-Blind Method , Humans , Hydroxymethylglutaryl-CoA Reductase Inhibitors/administration & dosage , Hypolipidemic Agents/administration & dosage , Male , Middle Aged , Randomized Controlled Trials as Topic , Risk Factors , Simvastatin/administration & dosage , Stroke Volume , Time FactorsABSTRACT
The article deals with the findings of studying the use of rosuvastatin in patients after endured reconstructive operations on the brachiocephalic arteries and aortofemoral segment in order to prevent cardiac atherothrombotic complications. A total of thirty patients were given "Crestors" at a daily dose of 10 mg for two weeks prior to surgery and for two weeks postoperatively and were found to have a significant decrease in the average levels of total cholesterol and low-density lipoproteins, which was accompanied and followed by certain improvement in the functional state of the vascular wall, with no cardiac complications being observed in either case.
Subject(s)
Atherosclerosis/surgery , Embolism, Cholesterol/prevention & control , Fluorobenzenes/therapeutic use , Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use , Pyrimidines/therapeutic use , Sulfonamides/therapeutic use , Vascular Surgical Procedures/adverse effects , Adult , Aged , Aorta, Abdominal/surgery , Brachiocephalic Trunk/surgery , Dose-Response Relationship, Drug , Embolism, Cholesterol/etiology , Female , Fluorobenzenes/administration & dosage , Follow-Up Studies , Humans , Hydroxymethylglutaryl-CoA Reductase Inhibitors/administration & dosage , Male , Middle Aged , Postoperative Complications , Pyrimidines/administration & dosage , Rosuvastatin Calcium , Sulfonamides/administration & dosage , Time Factors , Treatment OutcomeABSTRACT
Presented herein is the authors'experience with transcutaneous laser coagulation (TLC) used for treatment of various-localization venous angiodysplasias in a total of twenty-one patients. Also described are the issues concerning the methodology involved and the course of the operational procedure. The main criteria used while analysing the outcomes of TLC were the clinical patterns and the findings of duplex scanning. Good to satisfactory results were eventually observed in 71.4% of the patients. Based on the outcomes obtained after TLC, the authors worked out the principles of appropriate practical application of laser-mediated technologies in patients presenting with venous angiodysplasias.