BackgroundPrimary cardiac lymphoma is one of the rarest tumours of the heart. It belongs to the extra-nodal non-Hodgkin’s lymphomas. The most common type of this tumour is diffuse large B cell lymphoma. Usually, right atrium and right ventricle are involved. This tumour is fatal unless diagnosed and treated in time. In this article two female patients who were diagnosed with primary cardiac lymphoma and treated at our clinic are described. The first patient went to remission after the treatment, while the second patient died. The goals of this article are to show the difficulties of diagnosing and treating this disease, the role of cardiac surgery in its treatment and to raise awareness of this disease.Case reportsIn this article two female patients who were diagnosed with primary cardiac lymphoma and treated at our clinic are described. The first patient went to remission after the treatment, while the second patient died.ConclusionsPrimary cardiac lymphoma is a very rare disease. At the moment the most effective treatment is chemotherapy. Palliative surgery may be necessary to correct hemodynamics when venous blood flow to the lungs is disturbed.
Cardiomyoplasty is a method for managing patients with dilated cardiomyopathy. We evaluated the means of carbon fiber electrode stimulation of the nerve to the latissimus dorsi muscle (LDM) in dogs to increase skeletal muscle contractility. Histochemical examination of biopsies of muscle electrically conditioned by a single pulse stimulator via the thoracodorsal nerve demonstrated transformation of muscle into fatigue resistant slow fibers without damage to muscle or nerve tissue. Canine experiments confirmed that carbon fibers are one of the best electrodes for chronic LDM stimulation. Between 1988 and 1992, we operated on ten patients, New York Heart Association (NYHA) Class III (4 patients) and Class IV (6 patients), with a mean left ventricular ejection fraction (LVEF) of 23%. The indications for cardiomyoplasty were idiopathic (7 patients) and ischemic (3 patients) cardiomyopathy refractory to maximum medical therapy. The operative procedure was performed via median sternotomy (5 patients) and left thoracotomy (5 patients). There was one operative mortality and two additional deaths during the late follow-up period. The mean postoperative LVEF increased to 27%. Functional class, quality-of-life, and ventricular performance were improved after cardiomyoplasty. Two of the surviving patients are in NYHA Class I, four in Class II, and one in Class III.
Osteoporozinis stuburo lûþis po ðirdies operacijos ISSN 1392-0995, ISSN 1648-9942 (online) LIETUVOS CHIRURGIJA Lithuanian Surgery 2007, 5(3), p. 435-437
ÁvadasOsteoporozë yra labai daþna vyresnio amþiaus þmoniø liga, taèiau tik nedidelë dalis pomenopauzinio amþiaus moterø ir vyresnio amþiaus þmoniø gauna tiesiogiai osteoporoziniø lûþiø rizikà maþinantá gydymà. Kaulø mineralinio tankio matavimas leidþia diagnozuoti ir pradëti gydyti osteoporozae dar prieð atsirandant klinikiniams padariniams (kaulø lûþiams) [1].Apraðome atvejá, kai slanksteliø osteoporozë buvo diagnozuota vëlai. Pooperacinis laikotarpis komplikavosi stuburo smegenø paþeidimo klinika, kuri sukëlë ávairiø komplikacijø, ir ligonë mirë.
Osteoporozinis stuburo slanksteliø lûþis po ðirdies operacijos Vertebral bone breaks after heart surgery
Kaestutis Ðalèius, Gintaras Turkevièius, Vytë Valerija Maneikienë
Vilniaus universiteto ligoninës Santariðkiø klinikø Ðirdies chirurgijos centras, Santariðkiø g. 2, LT-08661 VilniusOsteoporozinis stuburo slanksteliø lûþis, ávykaes po ðirdies operacijos, yra kazuistinis atvejis. Apraðome torokalinës stuburo dalies spontaniná lûþimà, kurio padarinys -stuburo smegenø paþeidimas 61 metø ligonei po ðirdies operacijos.
Pagrindiniai þodþiai: voþtuvø protezavimas, osteoporozëOsteoporotic vertebral break after heart surgery is a very rare complication. We report a case of 61-year-old woman who was diagnosed with later spontaneous backbone break after heart surgery.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.