Current functioning of cardio-oncology units in Spain.

PURPOSE: The aim of the current survey was to describe the functioning of cardio-oncology (C-O) units in Spain. METHODS: All members of the Spanish Society of Cardiology pertaining to scientific communities related to C-O received questionnaires on the existence of specific programs at their institutions. A second, more extensive questionnaire was sent to the centers which reported C-O organization. RESULTS: We identified 56 centers with C-O programs of which 32 (62.5%) replied to the extended questionnaire. 28% of all centers reported having a multidisciplinary unit involving specialists in several areas. More than 80% of the centers developed surveillance protocols locally adapted which included advanced echocardiographic techniques (68%) or troponin (82%). CONCLUSIONS: The number of institutions with C-O programs is still limited but higher than reported in a survey in 2017. Development of multidisciplinary units of C-O should be promoted to improve the cardiovascular health of cancer patients.

[Volvulus of the wandering spleen]. / Torsiune de splina.

The volvulus of the floating spleen is a rarity generally manifestated by an acute painful abdominal syndrome located into the left flank. The preoperative diagnosis can be eased off by an abdominal ecography which shows the spleens volume and its absence from the spleenlodge. Further on, we present the case of a female patient (28 years) who during hospitalization has developed a spleen volvulus being preoperative diagnosticated and terminated by splenectomy. Referring to Abell only in 4% of all cases you can diagnosticate this preoperatively. Recent studies also mention the conservative, laparoscopical treatment which means a laparoscopical detorsion and normal dyeing of the spleen followed by a splenopexy with a tent.