Total antioxidant stress and total oxidant stress levels in geriatric patients with open heart

Onuk, Zinet Asuman Arslan; Karslı, Bilge; Bora, Arslan

doi:10.5455/medscience.2018.07.8857

Cited by 1 publication

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“…Improvement in OS, forced vital capacity, forced expiratory volume in the first minute, and chest wall compliance in patients with gigantomastia after reduction mammoplasty have been documented. 12 13 Our patient improved very quickly. Her PASP reduced 23% compared with presurgical measure.…”

Section: Discussionmentioning

confidence: 76%

Gigantomastia as a Cause of Pulmonary Hypertension

et al. 2022

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Reduction mammaplasty is the gold standard treatment for gigantomastia. We report one female patient with juvenile gigantomastia associated with severe pulmonary hypertension where her pulmonary pressure decreased significantly after the surgery, improving her quality of life. A 22-year-old female patient with gigantomastia since 10 years old, tricuspid regurgitation, and pulmonary thromboembolism antecedent was admitted to the emergency department. Her oxygen saturation was 89%. Acute heart failure management was initiated. An echocardiogram reported left ventricle ejection fraction (LVEF) of 70% with severe right heart dilation, contractile dysfunction, and arterial pulmonary pressure (PASP) of 110 mm Hg. A multidisciplinary team considered gigantomastia could generate a restrictive pattern, so a Thorek reduction mammoplasty with Wise pattern was performed. Presurgical measurements were: sternal notch to nipple-areola complex, right 59 cm, left 56 cm. Three days after surgery, the patient could breathe without oxygen support. In the outpatient follow-up, patient referred reduction of her respiratory symptoms and marked improvement in her quality of life. Six months after surgery, a control echocardiogram showed a LVEF of 62% and PASP of 85 mm Hg. Pulmonary hypertension may be present in patients with gigantomastia. Reduction mammoplasty may be a feasible alternative to improve the cardiac signs and symptoms in patients with medical refractory management.

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Section: Discussionmentioning

confidence: 76%