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1.
Rare Tumors ; 10: 2036361318776495, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29854355

RESUMO

Synovial sarcomas are malignant soft tissue tumors that carry a metastatic potential and portend poor prognoses. We report a very rare synovial sarcoma arising from the tibial nerve and describe its successful treatment including limb preservation. To the best of our knowledge, this is the 40th reported incident of intraneural synovial sarcoma, and only the fourth arising from the tibial nerve. Extensive resection of synovial sarcoma arising in the popliteal region is difficult, particularly when limb preservation is desired. Ours is the first reported patient treated for tibial nerve-derived synovial sarcoma whose limbs were preserved.

2.
Kyobu Geka ; 65(6): 471-4, 2012 Jun.
Artigo em Japonês | MEDLINE | ID: mdl-22647329

RESUMO

A 38-year-old man was diagnosed with acute type A aortic dissection and severe aortic regurgitation, and taken immediately to the operating room for repair of the ascending aorta using the Bentall procedure. The presence of the anomalous right coronary artery was revealed at the time of the procedure, and was repaired with single coronary button technique. Some case reports have described anomalous coronary artery in association with acute myocardiac infarction or angina pectoris. This report describes a case of anomalous coronary artery diagnosed during an emergency operation for aortic dissection.


Assuntos
Aneurisma Aórtico/cirurgia , Dissecção Aórtica/cirurgia , Anomalias dos Vasos Coronários/complicações , Adulto , Dissecção Aórtica/complicações , Aneurisma Aórtico/complicações , Emergências , Humanos , Masculino
3.
Scand Cardiovasc J ; 39(1-2): 87-90, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16097420

RESUMO

OBJECTIVE: Antegrade selective cerebral perfusion (ASCP) and retrograde cerebral perfusion (RCP) have proven to be reliable methods of brain protection during aortic surgery. These techniques are usually accompanied by systemic circulatory arrest with moderate hypothermia (24-28 degrees C) or deep hypothermia (18-24 degrees C). However, hypothermia can lead to various problems. The present study therefore reports results for thoracic aorta replacement using ASCP with mild hypothermic systemic arrest (28-32 degrees C). DESIGN: Between 1995 and 2003, 68 consecutive patients underwent repair of the ascending aorta and/or aortic arch. Mild hypothermic ASCP was utilized in 31 cases, moderate hypothermic ASCP in 20, and deep hypothermic RCP in 17. Various parameters were compared between the mild hypothermic ASCP, moderate hypothermic ASCP, and RCP. RESULTS: Hospital mortality was 10.3%, with no significant differences observed between any groups. Permanent neurological dysfunction was 8.8%, and no significant differences were observed between any groups. Mild hypothermic ASCP displayed significantly decreased transfusion volume, intubation time, and ICU stay. CONCLUSIONS: Use of ASCP with mild hypothermic systemic circulatory arrest during aortic surgery resulted in acceptable hospital mortality and neurological outcomes. ASCP with mild hypothermic arrest allows decreased transfusion volume and reduced duration of intubation and ICU stay.


Assuntos
Aneurisma da Aorta Torácica/cirurgia , Isquemia Encefálica/prevenção & controle , Hipotermia Induzida/métodos , Complicações Intraoperatórias/prevenção & controle , Procedimentos Cirúrgicos Vasculares/métodos , Idoso , Aneurisma da Aorta Torácica/diagnóstico por imagem , Isquemia Encefálica/etiologia , Circulação Cerebrovascular/fisiologia , Estudos de Coortes , Feminino , Mortalidade Hospitalar/tendências , Humanos , Masculino , Pessoa de Meia-Idade , Probabilidade , Prognóstico , Radiografia , Estudos Retrospectivos , Medição de Risco , Análise de Sobrevida , Procedimentos Cirúrgicos Torácicos/efeitos adversos , Procedimentos Cirúrgicos Torácicos/métodos , Resultado do Tratamento , Procedimentos Cirúrgicos Vasculares/efeitos adversos
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