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“Treat-Repair-Treat”:Management of Left Main Coronary Compression by a Pulmonary Artery Aneurysm in a Patient with Atrial Septal Defect and Significant Pulmonary Hypertension

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Congenital Heart Disease 2023年第1期18卷 67-72页

作者： Andrei George Iosifescu roxana enache Ioana Marinică Corina Radu Vlad Anton Iliescu Carol Davila University of Medicine and Pharmacy Bucharest020021Romania Department of Cardiac Surgery C.C.Iliescu Emergency Institute for Cardiovascular DiseasesBucharest022322Romania Department of Cardiology C.C.Iliescu Emergency Institute for Cardiovascular DiseasesBucharest022322Romania Department of Cardiovascular Anesthesia and Intensive Care C.C.Iliescu Emergency Institute for Cardiovascular DiseasesBucharest022322Romania

Left main coronary compression syndrome(LMCS)may complicate pulmonary artery aneurysms(PAA),usually developed in the context of pulmonary arterial hypertension(PAH).We report the case of a 51-year-old female patient with an atrial septal defect(unsuitable for device closure)complicated by a PAA generating a 90%left main *** significant PAH held us back from immediate *** specific dual PAH-targeted therapy(sildenafil and bosentan),the atrial septal defect could be closed with a unidirectional valved patch;the PAAinduced LMCS was treated by reductive *** postoperative course was ***-up showed clinical improvement,but PAH treatment was still *** three months,coronary angiography showed only an insignificant residual left main stenosis,proving that reductive pulmonary arterioplasty was effective in treating *** PAA requires further evaluation for LMCS,a dangerous but treatable ***“treat-repair-treat”strategy and shunt-closure with a unidirectional valved patch can both improve surgical prospects of LMCS with shunt-related PAH.

关键词： Atrial septal defect pulmonary arterial hypertension pulmonary artery aneurysm left main coronary compression syndrome surgery unidirectional valved patch

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Preliminary Characterization of a Cellulase Producing Bacterial Strain Isolated from a Romanian Hypersaline Lake

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Journal of Environmental Protection 2018年第10期9卷 1066-1081页

作者： Robert Marian Ruginescu roxana Cojoc Madalin enache Veronica Lazar Institute of Biology Bucharest Romanian AcademyBucharestRomania Botany-Microbiology Department Faculty of BiologyUniversity of BucharestBucharestRomania

Cellulases are a group of enzymes that are used in many biotechnological processes. Since most of the enzymes synthesised by mesophilic microorganisms are unstable in industrial environments, it is necessary to direct research towards extremophile cellulolytic microorganisms because the enzymes synthesised by them are stable and active even in harsh physicochemical conditions. In the present investigation, our aim was to isolate and identify some microbial cellulolytic strains from a hypersaline lake located in Romania and to determine their optimal growth conditions. Of a total of 25 microbial strains isolated, only one extreme halotolerant bacterial strain was able to produce an endoglucanase. Based on molecular identification, we identified this cellulolytic strain as a species of Bacillus genus, most closely related to Bacillus zhangzhouensis. Optimal growth conditions were found to be at 15°C, pH 7.5 and 2 M NaCl. Endoglucanase activity of this bacterial strain is influenced by both salinity and temperature. The most significant endoglucanase activity was detected in the presence of 3 M NaCl, after 72 h of incubation at 15°C. In this situation, the amount of glucose released from a volume of 0.5 mL of 2% (w/v) carboxymethyl cellulose substrate is equivalent to 2.05 mg. In conclusion, this study represents the first preliminary characterization of a B. zhangzhouensis strain that has the ability to degrade cellulose and that demonstrates tolerance to high salt concentrations.

关键词： Cellulases Cellulose Residues Bioconversion Cellulolytic Bacterial Strain Hypersaline Lakes Salt-Tolerant Enzymes

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