Patients with SS have a high overall survival. Survival probability was lower in patients with associated CHDs and in patients with pulmonary hypertension. Surgical treatment of SS is beneficial in reducing symptoms, however, given the significant risk of post-operative scimitar drainage stenosis/occlusion, it should be tailored to a comprehensive haemodynamic evaluation and to the patient's age.
Abstract. Diabetic foot infection is a frequent complication in long-standing
diabetes mellitus. For antimicrobial therapy of this infection, both the
optimal duration and the route of administration are often based more on
expert opinion than on published evidence. We reviewed the scientific
literature, specifically seeking prospective trials, and aimed at addressing
two clinical issues: (1) shortening the currently recommended antibiotic
duration and (2) using oral (rather than parenteral) therapy, especially
after the patient has undergone debridement and revascularization. We also
reviewed some older key articles that are critical to our understanding of the
treatment of these infections, particularly with respect to diabetic foot osteomyelitis.
Our conclusion is that the maximum duration of antibiotic therapy for
osteomyelitis should be no more than to 4–6 weeks and might even be shorter
in selected cases. In the future, in addition to conducting randomized trials and propagating national and international guidance, we should also explore
innovative strategies, such as intraosseous antibiotic agents and
bacteriophages.
Takotsubo cardiomypathy is a very rare cardiovascular syndrome leading to myocardial infarction and left ventricular dysfunction in the absence of a detectable coronary artery lesion. It is accepted as reversible left ventricular asynergy occuring typically after an intrinsic adrenergic hyperstimulation. In this report we present Takotsubo cardiomyopathy in a 75-year-old patient with multiple autoimmune disorders.
We report the case of a 32-year-old male patient with symptoms of cerebrovascular accident manifesting with dysarthria. A transesophageal echocardiogram showed a floating mass localized in the ascending aorta, and a multislice computed tomography evaluation confirmed the diagnosis. With a comprehensive assessment of the mass, we decided on surgical intervention. A pedunculated and fragile mass was seen just near the right coronary ostium. The measured dimensions were 7.7 x 1.0 x 1.5 cm. The removed mass has been analyzed histopathologically and found to be the cause of the neurologic findings with an uncertain underlying etiology.
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