Human Anatomy: Inferior Vena Cava Elegant Biliary Atresia Lulu, Lovely Inferior Vena Cava inferior vena caval hiatus inferior vena cava organ system inferior vena cava us inferior vena cava injury inferior vena cava greenfield filter
Objective: The purpose of this study was to determine whether a relationship exists between the inferior vena cava diameter (IVCD) or the superior vena cava diameter (SVCD) measured at the point of entry into the right atrium using transesophageal echocardiography (TEE) and the central venous pressure (CVP) under different experimental conditions. Design: Prospective study. Setting: University hospital, single institution. Participants: Seventy patients undergoing elective cardiac surgery. Interventions: CVP, lVCD, and SVCD were measured in a 2-dimensional, long-axis midesophageal bicaval view at end-diastole with electrocardiographic synchronization. Data were recorded during suspended ventilation, before and after leg elevation, and at different levels of positive end-expiratory pressure (0, 5, and 10 cmH(2)O). Measurements and Main Results: The relationship between lVCD and CVP had 2 portions: A first (CVP <= 11 mmHg) in which the lVCD showed a strong correlation with the CVP (R = 0.801, p < ...
Background: Testicular Mixed Germ Cell Tumour (MGCTS) is a rarely reported. En bloc vena caval resection of involved tumours or extensive thrombosis c..
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Central venous pressure (CVP) and right atrial pressure (RAP) are important parameters in the complete hemodynamic assessment of a patient. Sonographic measurement of the inferior vena cava (IVC) diameter is a non-invasive method of estimating these parameters, but there are limited data summarizing its diagnostic accuracy across multiple studies. We performed a comprehensive review of the existing literature to examine the diagnostic accuracy and clinical utility of sonographic measurement of IVC diameter as a method for assessing CVP and RAP. We performed a systematic search using PubMed of clinical studies comparing sonographic evaluation of IVC diameter and collapsibility against gold standard measurements of CVP and RAP. We included clinical studies that were performed in adults, used current imaging techniques, and were published in English. Twenty one clinical studies were identified that compared sonographic assessment of IVC diameter with CVP and RAP and met all inclusion criteria. Despite
Leiomyosarcoma (LMS) of inferior vena cava is a rare and aggressive tumor, arising from the smooth muscle cells in the vessel wall. A large complete surgical resection is the essential treatment. The need of vascular reconstruction is not always mandatory. It s above all to understand the place of the reconstruction with artificial vascular patch prosthetics of vena cave after a large resection of the tumor. We rapport two cases of LMS of inferior vena cava in two women who underwent successful large resection of tumor and lower segment of inferior vena cava. In first case, reconstruction of the inferior vena cava was not performed because of the development of venous collaterals derivation. In the second case reconstruction was done using Dacron interposition graft. The necessity of a large resection in management of primary leiomyosarcoma of vena cave makes sometimes unavoidable the sacrifice of a portion of the vena. Indeed, a better comprehension of the development of venous derivation may render
Contrast echocardiography was used before cardiac catheterisation in 37 patients with atrial septal defect and a left-to-right shunt and in 18 patients with a raised right atrial and ventricular pressure to assess the contrast echo effect in the inferior vena cava. Using two dimensional contrast apical echocardiography we found a negative contrast echo effect within the right atrium in many but not all patients with atrial defect. Contrast echoes entering the inferior vena cava during presystole or early to mid-diastole were detected in patients with heart disease causing raised right atrial and ventricular pressures and also in all patients with atrial septal defect. No contrast echo effect in the inferior vena cava was detected in 10 normal subjects. The sensitivity of this contrast pattern in the inferior vena cava in diagnosing atrial septal defect was 100%. When other conditions causing raised right atrial pressure were excluded, the specificity and predictive accuracy were 100% for both. ...
09 Feb 2016. Renal cell carcinoma can sometimes spread to the inferior vena cava (IVC), the bodys largest vein, posing a threat to the heart and brain.. Robotic nephrectomy for inferior vena cava tumour thrombus has favourable outcomes in selected patients compared with open surgery, which can have a high rate of complications, report surgeons in The Journal of Urology.. Renal vein surgery can often be managed with minimally invasive laparoscopic techniques, but this is not typically advisable for an IVC thrombus (a fibrous clot), which is surgically far more complex with potentially fatal complications that can occur in the course of removing the thrombus and reconstructing the IVC.. The first known procedure using robotic surgery of renal tumours with IVC tumour thrombi was performed in 2008.. Experts from nine leading U.S. medical centers report here on their combined experience of 32 cases since 2008.. Each surgeon performed between one and ten procedures for IVC tumour thrombi which ranged ...
Heart 1 Superior Vena Cava Inferior Vena Cava 2 Right Atrium 3 Oxygen poor blood 2 Right Atrium 3 Tricuspid Valve 4 Right Ventricle Rt Lung Lt Lung 5 Pulmonary Valve 5) Pulmonary Valve 2) Right Atrium 3) Tricuspid Valve 4) Right Ventricle Oxygen poor blood 1) Inferior Vena Cava 2
A 46-year-old man presented with swelling of the lower limbs of 1-year duration. The patient was diagnosed Budd-Chiari syndrome, with a web in the inferior vena cava (IVC) in 1996 (A), treated with percutaneous transluminal angioplasty with Inoue balloon (B). Examination revealed edema and varicosities of both legs, with ascites (D). Abdominal computed tomography (C) and IVC angiography (E, Online Video 1) showed a calcified web with a pseudoaneurysm. Through the right femoral vein, a 6-F multipurpose catheter was passed into the IVC, the lesion was crossed with a Terumo guidewire (Terumo, Leuven, Belgium), and the web was dilated with a 24-cm3 Inoue balloon (Online Video 2). Post-percutaneous transluminal angioplasty shoot showed a residual lesion with a pseudoaneurysm. A PS-5014 stent mounted on 20/40-mm Atlas balloon (Bard Peripheral Vascular, Inc., Tempe, Arizona) was positioned across the web. When the proximal end of the stent was released, the stent migrated into the right atrium (E, ...
A case of renal cell carcinoma extending into the left side of a double inferior vena cava is presented. En bloc excision of the left inferior vena cava and left kidney was performed without complications. Recognition of various venous anomalies, inc
Inferior vena cava aka Vena cava inferior in the latin terminology and part of structures seen on the thoracic surface of the diaphragm. Learn more now!
The hydration state of a dialysis patient reflects the balance between fluid overload, normovolemia and underhydration. The goal of the treatment is a fluid balance that is close to normal. The weight after dialysis in which this is achieved is the so called "dry weight". However, there is no single parameter to define the adequate dry body weight of a dialysis patient. In the assessment of dry body weight in dialysis-dependent children one must rely on careful and repeated clinical observation. Bioimpedance analysis and inferior vena cava diameter (IVCD) have been evaluated and utilized in adults as noninvasive parameters for the assessment of dry weight and extracellular volume. Since there are no data available for normal children, we performed a prospective study to establish reference standards for a pediatric population (111 females and 95 males, aged 6.8-16 years). We found strong correlations of both resistance (BIA) and IVCD with age, height, weight, and, in particular, with body ...
A congenitally absent Inferior Vena Cava (IVC) is a rare anomaly that is recognised to be associated with idiopathic Deep Venous Thrombosis (DVT), particularly in the young. It may not be apparent until later in life. Retrospectively, as discussed in this case, there can be clues indicating the presence of such an anomaly from a young age. However, it is not clear whether early recognition of this condition would affect the prognosis and treatment. A 54 year old gentleman was admitted with 3 weeks of abdominal pain and localised swelling over the right flank. Examination revealed palpable snake-like tortuous, tender lumps on the abdominal wall. Past history revealed chronic non-healing venous leg ulcers, and varicose veins necessitating varicose vein ligation at a very young age. The ulcers eventually needed skin grafting. During this, current admission he was investigated and diagnosed with Deep Vein Thrombosis (DVT). CT scan, performed to search for intra-abdominal cancer, revealed absence of the
Health problems attributed to the IVC are most often associated with it being compressed (ruptures are rare because it has a low intraluminal pressure). Typical sources of external pressure are an enlarged aorta (abdominal aortic aneurysm), the gravid uterus (aortocaval compression syndrome) and abdominal malignancies, such as colorectal cancer, renal cell carcinoma and ovarian cancer. Since the inferior vena cava is primarily a right-sided structure, unconscious pregnant females should be turned on to their left side (the recovery position), to relieve pressure on it and facilitate venous return. In rare cases, straining associated with defecation can lead to restricted blood flow through the IVC and result in syncope (fainting).[1] Occlusion of the IVC is rare, but considered life-threatening and is an emergency. It is associated with deep vein thrombosis, IVC filters, liver transplantation and instrumentation (e.g. catheter in the femoral vein).[2] ...
Sarosiek et al reviewed the medical records of patients with inferior vena cava filters at Boston Medical Center to determine patient demographics and the date
TY - JOUR. T1 - Re. T2 - Radical nephrectomy and inferior vena cava thrombectomy: Outcomes in a lower volume practice. AU - Jenkins, Lawrence C.. AU - Gorin, Michael. AU - Ciancio, Gaetano. PY - 2011/12/1. Y1 - 2011/12/1. UR - http://www.scopus.com/inward/record.url?scp=80155203780&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=80155203780&partnerID=8YFLogxK. U2 - 10.1016/j.eururo.2011.08.068. DO - 10.1016/j.eururo.2011.08.068. M3 - Comment/debate. VL - 60. SP - 1305. EP - 1306. JO - European Urology. JF - European Urology. SN - 0302-2838. IS - 6. ER - ...
Transposition of inferior vena-cava (also known as left sided IVC) refers to a variant course of the inferior vena cava. It is the most common anomaly of IVC and occurs due to persistence of left supracardinal vein. Diagnosis of left sided IVC i...
Global Market Watch:Global Inferior Vena Cava (IVC) Filters sector is projected to reach US$435 million by 2016. The North America accounts for nearly 39% (2015) ...
Duplication of the inferior vena cava is a relatively rare vascular anomaly, but this caval abnormality needs to be recognized, especially in association with renal anomalies like crossed fused ectopia or circumaortic renal collar 1-2. Epidemiol...
inferior vena cava definition: The large vein which returns blood from reduced extremities, together with pelvic and abdominal organs, off to the right atrium associated with the heart.; receives blood…
... ransducer placed in the anterior median line and right anterior axillary line -
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Total body water is different in men than in women, and it decreases with aging (Table 21-1). Approximately 50-60% of total body weight is water; two-thirds (40% of body weight) is intracellular, while one-third (20% of body weight) is extracellular. One-fourth of extracellular fluid (5% of body weight) is intravascular. Water may be lost from either or both compartments (intracellular and extracellular). Changes in total body water content are best evaluated by documenting changes in body weight. Effective circulating volume may be assessed by physical examination (eg, blood pressure, pulse, jugular venous distention). Quantitative measurements of effective circulating volume and intravascular volume may be invasive (ie, central venous pressure or pulmonary wedge pressure) or noninvasive (ie, inferior vena cava diameter and right atrial pressure by echocardiography) but still require careful interpretation. ...
Inferior Vena Cava learn with complete stomach Liver LONGITUDINAL photos 1. Longitudinal picture of the left lobe of the liver to incorporate the inferior margin and the aorta. Left lobe Anterior enhanced Bowel Pancreas physique Inferior Aorta backbone Diaphragm Posterior L A B E L E D : LIVER TRV LT LOBE eighty three Splenic vein Splenic artery 2. Longitudinal photo of the left lobe of the liver to incorporate the diaphragm and caudate lobe. Anterior Hepatic vein enhanced Left lobe Ligamentum venosum Inferior Inferior vena cava Splenic vein Diaphragm Caudate lobe Posterior L A B E L E D : LIVER SAG LT LOBE eighty four 3. Longitudinal photograph of the perfect lobe of the liver to incorporate the inferior vena cava the place it passes throughout the liver. correct lobe Hepatic Hepatic vein vein Anterior Portal vein belly Inferior more advantageous Bowel IVC Diaphragm correct lobe Caudate lobe correct renal artery Posterior L A B E L E D : LIVER SAG RT LOBE eighty five 4. Longitudinal snapshot ...
Infrarenal aorta and vena cava The vena cava is easily compressible with the transducer, and it bears impressions from adjacent organs. The aorta has a circular cross section, whereas the vena cava is somewhat flattenedLiveJournal Tags: Ultrasound images Infrarenal aorta and vena cava,The normal ultrasound images of the Infrarenal aorta and vena cava ...
In the fetus, the ductus venosus (Arantius duct after Julius Caesar Aranzi) shunts a portion of the left umbilical vein blood flow directly to the inferior vena cava. Thus, it allows oxygenated blood from the placenta to bypass the liver. Compared to the 50% shunting of umbilical blood through the ductus venosus found in animal experiments, the degree of shunting in the human fetus under physiological conditions is considerably less, 30% at 20 weeks, which decreases to 18% at 32 weeks, suggesting a higher priority of the fetal liver than previously realized. In conjunction with the other fetal shunts, the foramen ovale and ductus arteriosus, it plays a critical role in preferentially shunting oxygenated blood to the fetal brain. It is a part of fetal circulation. The pathway of fetal umbilical venous flow is umbilical vein to left portal vein to ductus venosus to inferior vena cava and eventually the right atrium. This anatomic course is important in the assessment of neonatal umbilical venous ...
In randomized trials of moderate-intensity warfarin (INR, 2.0 to 3.0) in patients with nonvalvular atrial fibrillation versus untreated control subjects, the typical annual incidence of major bleeding was between 1.0% and 1.5% in the warfarin groups and 0.5% to 1.0% in the control groups.Determining therapeutic protocol for acute and chronic DVT. By Mark J.The least complicated approach is to stop oral anticoagulants and perform elective surgery when the INR has returned to the normal range.. Complications of superior versus inferior vena cava occlusion in infants receiving central total parenteral nutrition.One-month versus six-month therapy with oral anticoagulants after symptomatic deep vein thrombosis.Clinical trials in acute DVT evaluating the effect of thrombolytic therapy on subsequent development of postthrombotic syndrome have produced equivocal results, 55 although on balance, it is probable that the incidence of clinical symptoms is reduced in patients who receive thrombolysis. ...
The study also found that 77% of Celect filters migrated out of position. Migration was often associated with vein penetration. Vein penetration is a well-recognized side effect of cone-shaped filters - and especially the Celect. In another study, researchers blamed a stiff leg in the Celect filter for frequent vein penetrations.. The problem is that the walls of the inferior vena cava are incredibly thin because it carries blood under very low blood pressure. The vein also flexes as it pulsates with blood, which is why it is so common for perforations to occur as the filters legs dig into the vein.. Filter tilt is another well-recognized risk of Celect IVC filters. The legs create a relatively stable base, but the hook at the tip floats freely without support. Over time, IVC filters tend to move to a more stable position - often tilting with the hook digging into the wall of the vein. It is a common reason for failed retrievals.. Cook Medical is accused of selling a defective medical device ...
The right atrium is thin. It is composed of an auricle, overlapping the origin of the aorta, and the main portion, called the sinus of the atrium. The openings of the right atrium are: the superior vena cava, the inferior vena cava, and the coronary sinus. The superior vena cava is located in the upper anterior part, bringing blood from the head, neck, upper extremities, and upper part of the thorax. The direction of the blood is toward the ventricular opening. The inferior vena cava is directed upward and medially at the lower part of the atrium. It hugs the diaphragm; the direction of the blood is toward the auricular septum. The orifice of the coronary sinus is situated between the preceding two and a little toward the ventricular opening. From it flows most of the venous blood collected from the heart by the cardiac veins. At its orifice is a fold of the lining membrane of the heart, the endocardium, which is called the valve of the coronary sinus ...
Blood that is lacking oxygen is said to be deoxygenated. This blood has just exchanged oxygen for carbon dioxide across cell membranes, and now contains mostly carbon dioxide. Deoxygenated blood enters the right atrium through the superior vena cava and the inferior vena cava.. Superior means higher, and inferior means lower, so the superior vena cava is at the top of the right atrium, and the inferior vena cava enters the bottom of the right atrium.. From the right atrium, the deoxygenated blood drains into the right ventricle through the right atrioventricular (AV) valve, which is so named because it is between the atrium and the ventricle. This valve is also referred to as the tricuspid valve because it has three flaps in its structure. When the ventricles contract, the AV valve closes off the opening between the ventricle and the atrium so that blood does not flow back up into the atrium.. As the right ventricle contracts, it forces the deoxygenated blood through the pulmonary semilunar ...
Definition of vena cava, superior in the Definitions.net dictionary. Meaning of vena cava, superior. What does vena cava, superior mean? Information and translations of vena cava, superior in the most comprehensive dictionary definitions resource on the web.
The role of leukocytes in deep vein thrombosis (DVT) resolution is incompletely understood. We determined how depletion of lysozyme positive (LysM + ) cells and a switched-off type 1 immune response influences thrombus resolution. DVT was induced in 12-week-old male mice by inferior vena cava (IVC) stenosis. Toxin mediated depletion of myeloid cells improved thrombus resolution in mice with Cre-inducible expression of the diphtheria toxin receptor in LysM + cells. This correlated with decreased CD45 + cells, a population shift of Gr-1 + to Gr-1 - CD11b + myelomonocytic cells (flow cytometry) and an increase in CC-chemokine ligand 2, interleukin-4 and interleukin-10 mRNA expressions ...
2014 Elsevier Inc. All rights reserved. We present a case of a neonate with Shone complex in addition to the underdevelopment of the right ventricle associated with dysplasia and stenosis of the tricuspid valve. Because of lack of effective surgical options, the patient was transplanted at the age of 8 days. A gradient was noted in the postoperative period across the inferior vena cava anastomosis. At reoperation, a prominent myxomatous Eustachian valve was resected. We believe the large Eustachian valve was likely responsible for the right-sided pathology ...
a large vein that is a branch of the vena cava and returns blood to the heart from the lower parts of the body including the legs and the internal organs below the lungs ...
Approach and Results-Thrombus was induced in the inferior vena cava of mice. These mice were treated with axitinib (50 mg/kg per day), 2-methoxyestradiol (2ME, 150 mg/kg per day), or vehicle control. Thrombus size, recanalization, neovascularization, inflammatory cell content, and collagen content were assessed after axitinib (days 3, 10, 17) and 2ME (day 10 only) treatment (n=6/group). Axitinib treatment resulted in reduced thrombus resolution (P,0.002) and vein recanalization (P,0.001) compared with vehicle-treated controls. This was associated with inhibition of organization as seen through reduced thrombus neovascularization (P,0.0001) and collagen (P,0.0001) content, as well as reduced macrophage accumulation in the thrombus (P,0.001). Treatment with a second antiangiogenic agent, 2ME, mirrored these findings, with a similar order of magnitude of effect of treatment over vehicle control in all of the parameters measured, with the exception of neutrophil content, which was significantly ...
The anastomosis itself is usually accomplished by a continuous suture of fine, nonabsorbable suture material on atraumatic needles. Two angle sutures of 00000 arterial synthetic material are placed with knots tied on the outside (Figure 14). Both the portal vein and the inferior vena cava are very fragile. It is therefore necessary to use the utmost caution during the suturing process to avoid trauma to these vein walls. This caution should apply not only to the surgeon doing the actual suturing but equally, if not more, to the assistant holding the clamps. A very slight shearing force created by shifting the vascular clamps in relation to each other may easily disrupt a partly completed anastomosis. Leaks from the anastomotic site, particularly along the left side of the anastomosis, may be difficult to expose for subsequent resuturing. The anastomosis is completed (Figures 15 and 16) and the occluding clamps are released one at a time to check the adequacy of the suture line. Although the ...
Since hemodynamic factors have been implicated in the localization and pathogenesis of atherosclerosis, the effect of hemodynamic stress on endothelium was investigated. The endothelium of the inferior vena cava of 24 rabbits with aortocaval fistulas was stained in situ and examined by the Hautchen technique at postoperative intervals ranging from 1 to 50 weeks. Cell counts revealed that, in the anastomosed vein of the fistula, an initially high frequency of abnormal cells decreased 3-12 weeks postoperatively but rose again within 20-50 weeks to levels significantly higher than those in either normal venous endothelium or sham-operated veins. An originally high mitotic index at 1-2 weeks decreased with time but still remained significantly larger than that observed in sham-operated rabbits. In most rabbits with arteriovenous shunts, a small area of the inferior vena cava near the fistula was devoid of endothelium, covered with a thin deposit of mural thrombi, and considered to be a jet lesion. ...
Severe damage to large venous vessels from multiple trauma or accidental complications from surgery can cause massive bleeding resulting in death. Especially in the thin-walled vena cava abundant with blood, a tear in a small laceration soon widens, requiring a difficult and specialized technique of vascular surgery to be fixed. We made a model of massive bleeding by making a 7 mm incision in the inferior vena cava of a rabbit, and succeeded in closing the cut and achieving a complete hemostasis by applying nanosheets to the opening. We succeeded in hemorrhage arrest through application of the nanosheets in all tests, and there was no apparent deformity to the treated area such as constriction and aneurysms, or adhesion. Even if slight bleeding remains after nanosheet application, bleeding was completely arrested by multi-overlapping. We expect that nanosheets, where application only can easily control and stop bleeding in injuries to large vessels will be useful in sudden vascular injuries such ...
The fetal circulatory system uses 3 shunts. These are small passages that direct blood that needs to be oxygenated. The purpose of these shunts is to bypass certain body parts - in particular, the lungs and liver - that are not fully developed while the fetus is still in the womb. The shunts that bypass the lungs are called the foramen ovale. These shunts move blood from the right atrium of the heart to the left atrium. The ductus arteriosus moves blood from the pulmonary artery to the aorta. Oxygen and nutrients from the mothers blood are transferred across the placenta to the fetus. The enriched blood flows through the umbilical cord to the liver and splits into 3 branches. The blood then reaches the inferior vena cava, a major vein connected to the heart. Most of this blood is sent through the ductus venosus. This is also a shunt that passes highly oxygenated blood through the liver to the inferior vena cava and then to the right atrium of the heart. A small amount of this blood goes ...
The fetal circulatory system uses three shunts, which are small passages that direct blood that needs to be oxygenated. The purpose of these shunts is to bypass certain body parts - in particular, the lungs and liver - that are not fully developed while the fetus is still in the womb. The shunts that bypass the lungs are called the foramen ovale, which moves blood from the right atrium of the heart to the left atrium, and the ductus arteriosus, which moves blood from the pulmonary artery to the aorta.. Oxygen and nutrients from the mothers blood are transferred across the placenta to the fetus. The enriched blood flows through the umbilical cord to the liver and splits into three branches. The blood then reaches the inferior vena cava, a major vein connected to the heart. Most of this blood is sent through the ductus venosus, also a shunt that passes highly oxygenated blood through the liver to the inferior vena cava and then to the right atrium of the heart. A small amount of this blood goes ...
Additional legal news and lawsuit information on IVC Flter lawsuits and how a personal injury attorney can help you file a lawsuit.
What is the difference between Aorta and Vena Cava? Aorta is an artery whereas Vena Cava is referred to the two large veins which carry deoxygenated blood from
Morbidity and mortality attributable to hypertension are higher in black essential hypertensive (EH) compared with white EH patients, possibly related to differential effects on vascular injury and repair. Although circulating endothelial progenitor cells (EPCs) preserve endothelial integrity, inflammatory endothelial cells (IECs) detach from sites of injury and represent markers of vascular damage. We hypothesized that blood levels of IECs and inflammatory markers would be higher in black EH compared with white EH patients. Inferior vena cava and renal vein levels of CD34+/KDR+ (EPC) and VAP-1+ (IEC) cells were measured by fluorescence-activated cell sorting in white EH and black EH patients under fixed sodium intake and blockade of the renin-angiotensin system, and compared with systemic levels in normotensive control subjects (n=19 each). Renal vein and inferior vena cava levels of inflammatory cytokines and EPC homing factors were measured by Luminex. Blood pressure, serum creatinine, ...
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Venous aneurysm, especially of the IVC, is very rare, and its etiology, risk factors and prognosis are poorly understood. Inflammatory disease, thrombosis, trauma and long-standing right heart failure are possible risk factors. It may also be the result of embryonic malformation. Clinical presentation is variable and it may be a chance finding in asymptomatic patients.. CT, magnetic resonance angiography and venography provide detailed images of the aneurysmal structure. Surgery is indicated for all such patients if symptomatic, but an incidental diagnosis in an asymptomatic patient is a challenging situation.. Ethical disclosuresProtection of human and animal subjects. The authors declare that no experiments were performed on humans or animals for this study.. Confidentiality of data. The authors declare that no patient data appear in this article.. Right to privacy and informed consent. The authors declare that no patient data appear in this article.. Conflicts of interest. The authors have no ...
A woman presented with back pain, and when biopsied, she was found to have an inferior vena cava leiomyosarcoma - specifically involving the infrahepatic vena cava, the origin of the left renal vein, and the hilum of the right kidney. After undergoing preoperative proton beam radiation, the patient has her tumor resected en bloc by Dr. Vagefi and Dr. Haynes. They will also reconstruct the vena cava with a ringed synthetic graft covered by an omental pedicle flap ...
Though endovascular interventions for venous obstructive lesions have evolved, chronic total occlusions are difficult to negotiate. We are describing our experience of su..
Jenkins, KJ et al. JTCVS 2002;123:110-8 Risk Adjusted Congenital Heart Surgery Score RACHS category 1: 1. Secundum ASD 2. Aortopexy ...
CASE SUMMARY A 35-year-old male presented to the emergency department with gunshot wounds to the head and chest. The patient was intubated to help maintain h...