ABSTRACT
Abnormal systemic-to-pulmonary-artery anastomoses can exist in many pathological conditions and result in a left-to-right shunt. Three such conditions are (a) congenital abnormalities, e.g., pulmonary vein atresia, (b) acquired states, e.g., chronic bronchiectasis, and (c) post-surgical states, e.g., a Mustard procedure for complete transposition. Regardless of the etiology, the anastomosis and resulting shunt produce increased oxygen saturation in the ipsilateral pulmonary artery. Four cases are presented, with emphasis on the angiographic and hemodynamic findings.
Subject(s)
Bronchiectasis/diagnostic imaging , Collateral Circulation , Lung/blood supply , Pulmonary Circulation , Thrombosis/diagnostic imaging , Adult , Angiography , Bronchial Arteries , Bronchiectasis/physiopathology , Child, Preschool , Female , Humans , Infant , Lung/diagnostic imaging , Male , Microcirculation , Pulmonary Artery , Pulmonary Veins , Regional Blood Flow , Thrombosis/physiopathology , Vascular ResistanceABSTRACT
Syphilitic aortitis can cause formation of fusiform or saccular aneurysms of the ascending aorta or transverse arch. The authors report 3 cases in which a saccular aneurysm developed at the origin of the innominate artery and was seen as a mediastinal mass on the chest radiograph.
Subject(s)
Aneurysm/etiology , Brachiocephalic Trunk , Syphilis, Cardiovascular/complications , Adult , Aged , Aorta, Thoracic , Aortic Aneurysm/diagnostic imaging , Aortic Aneurysm/etiology , Female , Humans , Male , Middle Aged , Radiography , Retrospective StudiesSubject(s)
Catheterization/methods , Cholelithiasis/therapy , Aged , Cholelithiasis/diagnostic imaging , Female , Humans , Middle Aged , RadiographyABSTRACT
Three patients with tuberculosis, all manifesting monarticular joint involvement, among 845 renal allograft recipients at the University of Minnesota are reported on. Clinical symptoms, methods of diagnosis, and optimal antibiotic regimes are discussed. The physician must suspect tuberculous joint disease when confronted with monarticular swelling and pain in the transplant recipient.
Subject(s)
Kidney Transplantation , Postoperative Complications , Tuberculosis, Osteoarticular/etiology , Adult , Aged , Female , Humans , Middle Aged , Transplantation, HomologousABSTRACT
Stierlin (11) recently examined owning and disowning in the parent-child relationship from a psychoanalytic-developmental perspective. This paper examines the same phenomena from a structural viewpoint, deriving implications for the conduct of therapy.
Subject(s)
Dependency, Psychological , Individuation , Parent-Child Relations , Personality Development , Personality , Psychoanalytic Theory , Female , Humans , Male , Marriage , Object Attachment , ProjectionABSTRACT
The paper examines two related concepts utilized by two different schools of family therapy. Any family seen to be "enmeshed" is also seen as "fused," and vice versa. The difference in the level of focus, on the "system containing the individuals" (structural) or the "individual in the system" (fusion), determines the difference in therapeutic approach of these two schools.
