Ventricular septal rupture is a rare and potentially fatal complication of transmural myocardial infarction. Early identification utilising transthoracic echocardiography significantly improves long term outcomes in these patients. We report on a case of a 77-year-old male who presented with signs and symptoms of cardiac failure and a loud systolic murmur. The patient underwent an initial point-of-care ultrasound which revealed evidence of a transmural myocardial infarction and a high suspicion of an apical ventricular septal rupture. A complete transthoracic echocardiogram confirmed the septal rupture diagnosis and the patient subsequently underwent surgical repair of the ventricular rupture. This case highlights the role of echocardiography in decreasing adverse outcomes in patients with ventricular septal rupture.
Carotid body tumors (CBTs) are rare neoplastic paragangliomas that are typically benign; however, 10% to 15% are malignant with local invasion and, in rare cases, metastases systemically. A 45-year-old woman with a familial history of CBT presented following a syncopal episode. Multimodal imaging confirmed the presence of bilateral CBTs. 68Gallium-DOTATATE Positron Emission Tomography (DOTATATE-PET) scans revealed distant systemic metastases in the liver and vertebra. Surgical intervention was undertaken to excise the less complex right CBT. This report presents a case of malignant CBT with systemic metastases, describing the postintervention multimodal imaging findings with a focus on the duplex ultrasound features.
Summary
The erythemal response of skin to an ultraviolet light source (290–420nm) was measured in control subjects and kindney transplant recipients treated with azathioprine/prednisone or with cyclosporine A/prednisone. There was no difference in the mean minima erythemal dose between the three groups. It is concluded that kidney transplant recipients receiving either form of immunosuppressive drug therapy are not photosensitized to a degree which is clinically detectable.
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