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False positive retroaortic left circumflex coronary artery in a patient with atrial septal defect
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Saurabh Kumar Gupta MD DM Anunay Gupta MD DM Sivasubramanian Ramakrishnan MD DM Shyam S. Kothari MD DM 《Echocardiography (Mount Kisco, N.Y.)》2017,34(5):799-801
Retroaortic course of coronary artery is a relative contraindication for device closure of an atrial septal defect. In this brief report, we demonstrate, for the first time, inferior aortic recess mimicking retroaortic left circumflex coronary artery in a patient with atrial septal defect. This distinction is important to avoid spurious diagnosis of anomalous coronary artery denying patient a chance of nonsurgical closure of atrial septal defect. 相似文献
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Shyam Verma Piyush Bhargav Tushar Toprani Vishal Shah 《Indian journal of dermatology》2014,59(6):609-611
Tophi are the visible dermatological signs of gout. A case of tophaceous gout in a middle-aged man with no other metabolic derangement is being presented with multiple tophi on the hands and feet overlying joints as well as on the fingers and toes. We thought it to be of educational value to demonstrate needle-like crystals of urate by polarizing microscopy. X-rays of hands and feet showed dramatic destructive changes. The patient presented with mottled hypopigmentation on anterior and posterior knees and dorsa of hands and feet where he applied hot “aankda” leaves and covered them with bandage resulting in irritant dermatitis with postinflammatory hypopigmentation. This proved to be a red herring in this case. 相似文献
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Efficacy of the Za self-expandable metal stent for palliation of malignant biliary obstruction 总被引:3,自引:0,他引:3
Varadarajulu S Tutuian R Gostout C Kozarek R Wilcox CM Cotton PB 《Journal of clinical gastroenterology》2004,38(1):77-80
BACKGROUND: The efficacy and safety of the uncoated self-expandable Za metal stent for palliation of malignant distal biliary obstruction was prospectively analyzed. METHODS: Twenty-one patients with unresectable malignant tumors involving mid to distal common bile duct who presented with obstructive jaundice underwent endoscopic implantation of an uncoated self-expandable metal stent. Technical success with stent placement, adverse events, patient survival, duration of stent patency, and device performance were analyzed. RESULTS: Endoscopic biliary stenting was successful in all patients. No adverse events were encountered. The mean follow-up period of the 21 patients was 128 days (range, 3-263): 14 died of progressive disease at mean of 81 days (range, 3-210), 3 remain alive (at days 239, 250, and 263), and 4 were lost to follow-up (at days 90, 91, 92, and 116). The mean duration of stent patency was 249 days. Tumor ingrowth was observed in one patient (5%). Minor technical problems were encountered in 3 patients: 1 proximal deployment, 1 distal deployment, and difficulty associated with the delivery system in 1. CONCLUSIONS: The Za-metal stent provided effective palliation for patients with inoperable malignant biliary tumors. Although minor technical problems were encountered with stent deployment, the overall stent patency, efficacy, and safety profile appear satisfactory. 相似文献
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Shyam S. Sharma Bir Singh Mukesh Jain Sudhir Maharshi Sandeep Nijhawan Bharat Sapra Ashok Jhajharia 《Indian journal of gastroenterology》2016,35(1):40-47