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Transcatheter closure of ventricular septal defect in patients with aortic valve prolapse and mild aortic regurgitation:feasibility and preliminary outcome

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Asian Pacific Journal of Tropical Medicine 2015年第4期8卷 315-318页

作者： Guan-Liang Chen Hai-Tao Li Hai-Rong Li Zhi-Wei Zhang Zhujiang Hospital Affiliated to Southern Medical University Department of Pediatric Cardiology Guangdong Cardiovascular InstituteGuangdong Academy of Medical ScienceGuangdong General Hospital Department of Cardiology Hainan General Hospital

Objective:To evaluate the feasibility,safety and efficacy of transcathcter closure of ventricular septal defect(VSD)in patients with aortic valve prolapse(AVP)and mild aortic regurgitation(AR).Methods:Between January 2008 and July 2014,transcatheter closure of VSD was attempted in 65 ***:The total intermediate closure successful rate in all subjects was 96.9%.During the perioperative period,no death,major bleeding,pericardial tamponade,occluder dislodgement,residual shunt or hemolysis *** procedures had been forced to suspend due to significant aggregation of device related aortic regurgitation,three cases of transient complete left bundle branch block occurred but did not *** 1-year followup,no patients had residual shunts and ***,grade of residual AR were relieved in 61.9%(39/63)cases and degree of AVP were ameliorated in 36.5%(23/63)patients;Conclusions:Transcatheter closure VSD in selected patients with AVP and mild AR is technically feasible and highly *** term safety and efficacy needs to be assessed.

关键词： Transcatheter closure Ventricular septal defect Aortic valve prolapsed Aortic regurgitation

Huge Intravaginal Pedunculated Fibroid Embolization and Resectoscopy—A Case Report and Review of Literature

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Surgical Science 2019年第7期10卷 222-228页

作者： Hirides Petros Karygiannis Michalis Tsoumbis Athanasios Hirides Savvas Athens Medical Center Marousi Greece

Background: Submucosal fibroids account for approximately 15 - 20 percent of total fibroids. Rarely, they prolapse. Common size is 2 - 6 cm, because larger fibroids are unlikely to fit through the cervix. Larger fibroids are associated with significant bleeding and pose a surgical challenge. Case Presentation: We present a 38-year-old woman nulliparous with an intravaginal pedunculated fibroid, 12 cm in diameter. She presented with metrorrhagia and an intense malodorous vaginal discharge, irresponsive to oral therapy. The patient had a history of resectoscopic fibroid enucleation, 7 months earlier, followed by insertion of an (intra-uterine device) IUD. There was no uterine prolapse. Management involved bilateral uterine artery embolization, followed by hysteroscopic excision with rigid resectoscope. The fibroid was “delivered” transvaginally intact. The uterus was preserved. The IUD was partly buried within the mass. Blood loss was negligible. Patient recovery was quick and uneventful. At 6-months follow up, pelvic anatomy has been restored. Conclusion: Large pedunculated fibroids are very rare. Embolization of uterine arteries has proven a valuable tool in challenging gynecologic operations. In our case, not only it prevented massive bleeding during excision, but also allowed a fertility-sparing minimally invasive management.

关键词： Pedunculated Fibroid prolapsed Leiomyoma Uterine Artery Embolization Hysteroscopy

Strangulated ileal trans-coloanal-anastomotic hernia:A complication of Altemeier's procedure previously never reported

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World Journal of Gastroenterology 2013年第5期19卷 776-777页

作者： Maria Di Lena Emanuele Angarano Ivana Giannini Altomarino Guglielmi Donato Francesco Altomare Department of Emergency and Organ Transplantation University"Aldo Moro"of Bari70124 BariItaly

A postoperative complication after Altemeier operation, so far never reported,is described in a 42 years old mentally disabled patient with external full thickness rectal prolapse who usually had prolonged straining at *** 6 d from perineal rectosigmoidectomy, the patient,was discharged free of *** days later he was readmitted in emergency for stran-gulated perineal trans-anastomotic ileal hernia that occurred at home during efforts to *** clinical feature required an emergency operation for repositioning the ileal loops into the abdomen,resection of the necrotic ileum,and end *** outcome of the second operation was free of complication and the patient was discharged on the 6th postoperative *** conclusion,after Altemeier operation prolonged straining at defecation should be carefully

关键词： Rectal prolapsed Perineal rectosigmoidectomy Altemeier’s procedure Complication Hernia

VENTRICULAR SEPTAL DEFECT ASSOCIATED WITH AORTIC VALVE PROLAPSE IN CHINESE CHILDREN——A PROSPECTIVE ASCENDING AORTOGRAM STUDY OF 550 PATIENTS

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Medical Bulletin of Shanghai Jiaotong University 1993年第1期16卷 75-78页

作者：朱铭黄廉溪 Department of Radiology Xinhua HospitalSSMU

From April 1985 to April 1991, ascending aortograms were peformed in 550consecutive children with I/SD. The locations of VSD were subpulmonary in 121,perimembranous in 420, and muscular in 9 cases. Seventy-eight cases (14.2%) were associ-ated with aortic valve prolapse (male 57,female 21), 38 without AR and 40 with AR,which occured in 54 (44.6%)subpulmonary VSD, 24 (5.7%) in perimembranous *** of the VSD with aortic prolapse were functionally small. Ascending aortogram andleft ventriculogram (RAO view) can demonstrate aortic prolapse.

关键词： ventricular septal defect prolapsed aortic valve aortic regurgitation

Case of rectal angioleiomyoma in a female patient

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World Journal of Gastroenterology 2013年第13期19卷 2114-2117页

作者： Goran Z Stanojevi Dragan S Mihailovi Milica D Nestorovi Milan D Radojkovi Milan M Jovanovi Miroslav P Stojanovi Branko B Brankovi General Surgery Clinic Ni Clinical CentreFaculty of MedicineUniversity of Ni18000 NiSerbia Institute of Pathology NiClinical CentreFaculty of MedicineUniversity of Ni18000 NiSerbia

Angioleiomyoma represents a benign stromal tumor, which usually occurs in the subcutaneous tissue of the extremities, although its occurrence in the gastrointestinal tract is very rare. A case of rectal angioleiomyoma in a 40 year-old female patient is described here. Six months earlier, the patient suffered from periodical prolapse of an oval tumor from the anus, along with difficulties in bowel movement. A transanal extirpation of the tumor was performed. This is the first reported case in the English literature of a patient presenting with prolapsed angioleiomyoma of the rectum. During the immediate postoperative period, as well as 6 mo later, the patient had an unremarkable postoperative recovery.

关键词： prolapsed tumor Angioleiomyoma Rectum Leiomyoma