scholarly journals Unanticipated intra-operative finding of pulmonary artery tumour thromboembolism during radical nephrectomy and caval thrombectomy: Case report and management

2013 ◽  
Vol 7 (5-6) ◽  
pp. 381
Author(s):  
Rajan Sharda ◽  
Raymond Deutscher ◽  
Chris Christodoulou ◽  
David Horne ◽  
Darren H. Freed ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Pulmonary Artery ◽  
Radical Nephrectomy ◽  
Multidisciplinary Approach ◽  
Asymptomatic Patient ◽  
Chest Computed Tomography ◽  
Tumour Thrombus ◽  
Pulmonary Artery Tumor ◽  
Extent Of Disease

We report a case of an unanticipated intra-operative transesophageal echocardiography (TEE) finding of pulmonary artery thromboembolism in a 72yr woman being prepared for radical nephrectomy and caval thrombectomy.  Intra-operative TEE performed to evaluate the extent of caval thrombus found the presence of pulmonary artery tumor thromboembolism in an otherwise asymptomatic patient after induction and prior to commencing surgery.  A chest Computed Tomography (CT) scan confirmed a large saddle tumor thromboembolus.   A multidisciplinary approach was utilized to facilitate radical nephrectomy with caval thrombectomy and pulmonary artery thromboembolectomy.  This case shows the importance of adequate perioperative imaging and utilization of intra-operative TEE to evaluate the extent of disease. To our knowledge, we are the first to present a case of RCC with cava tumour thrombus in which the pulmonary artery tumour thromboembolism was detected incidentally on intraoperative TEE.

scholarly journals Noninvasive Demonstration of Dual Coronary Artery Fistulas to Main Pulmonary Artery with 64-Slice Multidetector-Computed Tomography: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Yoshiki Noda ◽  
Ryo Matsutera ◽  
Yoshinori Yasuoka ◽  
Haruhiko Abe ◽  
Hidenori Adachi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Multidetector Computed Tomography ◽  
Coronary Sinus ◽  
Transthoracic Echocardiography ◽  
Adult Population ◽  
Main Pulmonary Artery ◽  
Coronary Artery Fistulas

Coronary artery fistulas, including coronary pulmonary fistulas, are usually discovered accidently among the adult population when undergoing invasive coronary angiographies. We report here a 58-year-old woman with dual fistulas originating from the left anterior descending coronary artery and right coronary sinus to the main pulmonary artery, demonstrating noninvasively with multidetector-computed tomography (MDCT) and transthoracic echocardiography (TTE).

scholarly journals Cardiac Computed Tomography Angiography for Imaging Coronary Arteriovenous Malformation: a Case Report

2014 ◽  
Vol 60 (1) ◽  
pp. 22-24
Author(s):  
Suciu Zsuzsanna ◽  
Jakó Beáta ◽  
Benedek Theodora ◽  
Benedek I
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Arteriovenous Malformation ◽  
Computed Tomography Angiography ◽  
Cardiac Computed Tomography ◽  
Main Pulmonary Artery ◽  
Cardiac Computed Tomography Angiography ◽  
Ionic Contrast

Abstract Background: Coronary arteriovenous malformation is a rare congenital disease consisting mainly in a direct communication between a coronary artery and any one of the four cardiac chambers, coronary sinus, pulmonary arteries or veins. This disease can lead to various cardiovascular events, their severity depending on the degree of the malformation. Case report: We present the case of a 56-year-old male patient, who was admitted to our institution with dyspnea, palpitation and chest pain, having a history of hypertension and hyperlipidemia, and an abnormal electrocardiogram. Physical examination did not reveal any alterations and the cardiac enzymes were in normal ranges. Cardiac computed tomography was performed before any other invasive studies, with a 64-row scanner (Somatom Sensation multislice 64 equipment, Siemens) after intravenous administration of non-ionic contrast material. CT scan revealed a large (2-2.5 mm) coronary fistula originating from the LAD to the main pulmonary artery, and multiple significant atherosclerotic coronary lesions. Coronary angiography confirmed the arteriovenous malformation between LAD and pulmonary artery, associated with three vascular coronary artery disease. Conclusions: Cardiac computed tomography angiography can help for a non-invasive diagnosis of the coronary artery malformations, in the same time revealing anatomic details which can be particulary useful for choosing the appropriate management strategy (surgical planning, interventional treatment or optimum medical treatment)

Primary idiopathic chylopericardium: a case report

2012 ◽  
Vol 23 (5) ◽  
pp. 773-775 ◽  
Author(s):  
Jian X. Tan ◽  
Yalin Fu ◽  
Jie Chen
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Pericardial Effusion ◽  
Rare Disease ◽  
Chest Wall ◽  
Thoracic Duct ◽  
Catheter Drainage ◽  
Pericardial Window ◽  
Chest Computed Tomography ◽  
Surgical Ligation

AbstractPrimary idiopathic chylopericardium is a rare disease, particularly in children. We report the case of a 5-year-old male child who presented with cough and dyspnoea. Bulging of the chest wall and distant heart sounds suggested the diagnosis of a pericardial effusion, which was confirmed on a chest computed tomography. Pericardial drainage confirmed the diagnosis of a chylopericardium. After the failure of continuous catheter drainage, surgical ligation of the thoracic duct and the creation of a pericardial window were performed under thoracoscopy.

scholarly journals Interstitial Lung Disease in a 10-year-Old Child: A Case Report

2019 ◽  
Vol 31 (2) ◽  
pp. 73-76
Author(s):  
Md Belal Uddin ◽  
Md Belal Hossain ◽  
Khalilur Rahman ◽  
Nigar Sultana ◽  
Md Manirul Haque Tarafder ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
High Resolution ◽  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Rare Diseases ◽  
Respiratory Symptoms ◽  
Imaging Technique ◽  
Histological Diagnosis ◽  
Chest Computed Tomography

Interstitial lung disease is rare diseases in children. Respiratory symptoms appear progressively, are often subtle and diagnosis is often delayed by many months after onset. The histological diagnosis is confirmatory but high-resolution chest computed tomography is the most sensitive imaging technique for demonstrating and identifying interstitial lung disease. Interstitial lung disease in children mostly is idiopathic though it may be caused by several conditions. TAJ 2018; 31(2): 73-79

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