• Contrast-enhanced CT revealed a cephalocaudally continuous multifocal cystic lesion from the posterior mediastinum to the retroperitoneum at the level of the 8th thoracic vertebra to the 2nd lumbar vertebra. (springeropen.com)
  • The inferior border of the pleura extends laterally from the xiphisternal joint, crosses rib 8 in the midclavicular line and rib 10 in the midaxillary line, and then proceeds toward the spine of the 12th thoracic vertebra (see fig. 22-2 ). (dartmouth.edu)
  • The second deviation is at the level of the seventh thoracic vertebra, where the esophagus shifts slightly to the right of the spine. (sts.org)
  • Coronary artery wall shear stress is associated with progression and transformation of atherosclerotic plaque and arterial remodeling in patients with coronary artery disease. (medscape.com)
  • Arterial revascularization in primary coronary artery bypass grafting: direct comparison of 4 strategies-results of the Stand-in-Y Mammary Study. (jamanetwork.com)
  • Arterial blood gas levels (through an indwelling line [eg, umbilical arterial catheter or preductal peripheral arterial line]): To assess the pH, partial pressure of carbon dioxide (PaCO 2 ) and the partial pressure of oxygen (PaO 2 ) which might be higher in the preductal arterial line. (medscape.com)
  • Eighty percent of arterial BE produce early symptoms due to obstruction of distal arteries and hence require early endovascular or surgical removal. (springeropen.com)
  • Arterial tortuosity involving cerebral vessels, the aorta, and/or iliac arteries has also been reported (Granadillo et al. (nih.gov)
  • Transcatheter arterial chemoembolization (TACE) via the inferior phrenic artery has been recognized to have its own therapeutic role without causing serious procedural complications. (biomedcentral.com)
  • Transcatheter arterial chemoembolization (TACE) via the right inferior phrenic artery. (biomedcentral.com)
  • The treatment goals for patients with coronary artery atherosclerosis are to relieve symptoms of coronary artery disease (CAD) and to prevent future cardiac events, such as unstable angina, AMI, and death. (medscape.com)
  • CT in the prone position suggested that the tumor could be resected from the thoracic cavity to the caudal side, and bilateral thoracoscopic surgery was performed in the prone position. (springeropen.com)
  • The two lungs and their pleural sacs are situated in the thoracic cavity (figs. 22-1 and 22-2 ). (dartmouth.edu)
  • Each lung is attached by its root and pulmonary ligament to the heart and trachea but is otherwise free in the thoracic cavity. (dartmouth.edu)
  • The patient was unable to undergo surgical exploration, and a follow-up CT scan after 2 months revealed progression of the right diaphragmatic perforation with massive herniation of omental fat into the thoracic cavity. (biomedcentral.com)
  • Large, multicenter randomized trials of various pharmacologic modalities have recently achieved great success in the treatment of patients with coronary artery atherosclerosis. (medscape.com)
  • Atherosclerosis is the principal cause of coronary artery disease (CAD), in which atherosclerotic changes are present within the walls of the coronary arteries. (medscape.com)
  • Coronary artery atherosclerosis is the single most common cause of death in men and women in the United States. (medscape.com)
  • In regard to venous BE, 83% travel in the direction of venous blood flow into a bigger proximal vein, right heart, or pulmonary arteries while a minority (15%) are carried distally by gravity. (springeropen.com)
  • The largest tumor, measuring 6.2 × 8.7 × 8.8 cm, surrounded the descending aorta, a portion of the transverse aortic arch, the main pulmonary artery, and the right and left main pulmonary arteries. (allenpress.com)
  • A 77-year-old male was referred to our hospital for follow-up computed tomography (CT) of prostate cancer, which revealed a mediastinal tumor and fatty low-density along the posterior mediastinum of the para-aortic artery with a slightly high-density component. (springeropen.com)
  • The sympathetic trunks and first thoracic nerves are found posterior to the cupola. (dartmouth.edu)
  • A left ventricular vent was placed through the left atrial appendage and this demonstrated the mitral valve in the normal expected location, with the absence of veins on the left posterior wall of the left atrium. (fortunejournals.com)
  • A 49-year-old female following transesophageal echocardiogram (TEE) to investigate an undiagnosed cardiac murmur and progressive dyspnea on exertion was found to have isolated left-sided anomalous pulmonary venous connection of all veins draining into the coronary sinus. (fortunejournals.com)
  • The left internal mammary artery is typically used as a pedicled graft to the left anterior descending coronary artery. (msdmanuals.com)
  • Tension developing at the suture line of the side-to-side coronary anastomosis and/or blood accumulation within the space around the graft conveyed significant risk of coronary artery dehiscence, pseudo-aneurysm formation and reoperation 1, 2 . (jsurgery.com)
  • We have previously presented a method for performing coronary artery bypass graft operation on the beating heart without cardiopulmonary bypass (CPB). (medicus.ru)
  • coronary artery bypass graft operation has been shown to be a safe and feasible procedure with the potential benefits of reduced operative bleeding and myocardial damage without prolonging intraoperative support or total operating time. (medicus.ru)
  • The segmental RMAs supplying the thoracic and lumbar spinal cord can be unilateral, bilateral, or multiple. (thejns.org)
  • We report a case of a thoracic duct cyst extending from the caudal aspect of the left main bronchus to the left renal artery that was safely and completely resected via bilateral thoracoscopic surgery in the prone position. (springeropen.com)
  • Problems encountered with these techniques include bleeding from the proximal conduit implant site and reattached coronary artery origins, suture line disruption, coronary artery distortion and late development of pseudoaneurysms 6-14 . (jsurgery.com)
  • Cardiac screening with electrocardiography, stress echocardiography, or myocardial perfusion imaging: advice for high-value care from the American College of Physicians. (medscape.com)
  • On completion of the vascular anastomoses, the aorta is unclamped, allowing the coronary arteries to be perfused by oxygenated blood, which typically restores cardiac activity. (msdmanuals.com)
  • Cardiac gunshot wounds with bullet embolism (BE) into the pulmonary artery are rare. (springeropen.com)
  • Most pulmonary BE follow injuries of peripheral veins without concomitant cardiac injury. (springeropen.com)
  • Herein, we describe a case of cardiac gunshot injury in which the bullet migrated from right atrium through the inferior vena cava down to right internal iliac vein and back to the left pulmonary artery. (springeropen.com)
  • The aim of this paper was to identify and characterize all the segmental radiculomedullary arteries (RMAs) that supply the thoracic and lumbar spinal cord. (thejns.org)
  • Twenty-two AKAs (81%) originated from a left thoracic or a left lumbar radicular branch, and 5 (19%) arose from the right. (thejns.org)
  • In blunt traumatic cases, hemothorax typically occurs when rib fracture damages the intercostal vessels or the intraparenchymal pulmonary vessel, while in penetrating trauma, hemothorax occurs due to injuries directly affecting blood vessels in the thoracic wall, lung parenchyma, or the heart. (wikipedia.org)
  • TACE is based on the fact that the liver parenchyma receives a dual blood supply from the hepatic artery and the portal vein, whereas HCCs are supplied exclusively by the hepatic artery [ 2 ]. (biomedcentral.com)
  • A repeat chest CT scan showed the bullet in the left lower lobe pulmonary artery. (springeropen.com)
  • a Axial CT scan performed 16 months before the current presentation shows an enhancing tumor (white arrow) in the right hepatic lobe and adjacent inferior phrenic artery (black arrows). (biomedcentral.com)
  • Most patients have thoracic aortic aneurysm involving the ascending aorta and/or aortic root, but cerebral and iliac arteries can be affected, and abdominal aortic aneurysm has been observed. (nih.gov)
  • SYNTAX Study: TAXUS Drug-Eluting Stent Versus Coronary Artery Bypass Surgery for the Treatment of Narrowed Arteries. (medscape.com)
  • Iatrogenic hemothorax can occur as a complication of heart and lung surgery, for example the rupture of lung arteries caused by the placement of catheters, thoracotomy, thoracostomy, or thoracentesis. (wikipedia.org)
  • Although there have been reports of acute respiratory deterioration occurring in patients with IPF after thoracic surgery [ 6 ] and bronchoalveolar lavage [ 3 ], there are currently no known risk factors for acute exacerbations. (ersjournals.com)
  • Neck veins may be flat and breathing sounds reduced. (wikipedia.org)
  • Thoracic duct cysts can occur anywhere along the pathway from the abdominal cisterna chyli to the subclavian and internal jugular veins of the neck [ 1 ]. (springeropen.com)
  • This lesion was treated with stent placement in the left anterior descending coronary artery, as observed in the right panel. (medscape.com)
  • Preductal and postductal oxygen saturation measurements via pulse oximetry will often show a 10% or higher gradient difference, which is dependent on the magnitude of left-to-right shunting at the foramen ovale (with preductual saturations being higher). (medscape.com)
  • The relationships to the cervical and thoracic vertebrae as radiologic landmarks are indicated on the left of the figure. (sts.org)
  • Herein, we present a very rare case of bullet embolism from the right atrium (RA) to right internal iliac vein and back to right heart and left pulmonary artery in which the patient survived trans-thoracic extraction of the bullet from left lower pulmonary lobar artery. (springeropen.com)
  • The suspicion for PAPVR was confirmed with transesophageal echocardiography and coronary CT angiogram that collectively demonstrated all three left pulmonary veins draining into the coronary sinus (Figure 1). (fortunejournals.com)
  • No other structural or valvular abnormalities were noted, coronary arteries were normally oriented, right sided veins entered the left atrium at expected locations. (fortunejournals.com)
  • A 9 mm debakey dilator was introduced into the coronary sinus to stent it open, and unroofing of the coronary sinus to the orifice of the left veins was completed (Figure 2). (fortunejournals.com)
  • The coronary sinus was unroofed creating a longitudinal tunnel to facilitate generous drainage of the left sided veins. (fortunejournals.com)
  • The diagnosis of a thoracic duct cyst was made based on a high triglyceride level of 1310 mg/dL on examination of the milky-white cyst fluid. (springeropen.com)
  • The patient underwent TACE via the right inferior phrenic artery 3 months prior and was discharged without specific complications. (biomedcentral.com)
  • Although TACE via the inferior phrenic artery is a relatively safe procedure, it can be associated with rare but serious complications after repeated procedures. (biomedcentral.com)
  • We report a case of diaphragmatic perforation after repeated TACE sessions conducted via the right inferior phrenic artery. (biomedcentral.com)
  • The inferior phrenic artery is one of the most frequently involved extrahepatic collateral vessels. (biomedcentral.com)
  • Note that the inferior phrenic artery originates in the right renal artery. (biomedcentral.com)
  • Based on the surgical findings, the tumor was diagnosed as a thoracic duct cyst rather than a lipoma. (springeropen.com)
  • The costal pleura is separated from the sternum, costal cartilages, ribs, and muscles by a loose connective tissue termed endothoracic fascia, which provides a natural cleavage plane for surgical separation of the pleura from the thoracic wall. (dartmouth.edu)
  • Magnetic resonance imaging revealed a high-intensity T2-weighted image, which led to a radiological diagnosis of lipoma or well-differentiated liposarcoma (Fig. 2 ). (springeropen.com)
  • Hence, diagnosis requires a high degree of clinical awareness. (springeropen.com)
  • In this case study, we present the clinical diagnosis and treatment of a 17-year-old male with unresectable high-grade spindle cell sarcoma involving the mediastinum and pericardium. (allenpress.com)
  • Multiple AKAs or additional RMAs supplying a single anterior spinal artery are common and should be considered when dealing with the spinal cord at the thoracolumbar level. (thejns.org)
  • High-risk subgroups, in particular, can be targeted for early intervention. (medscape.com)
  • The pleura lines the thoracic wall and diaphragm, where it is known as the parietal pleura. (dartmouth.edu)
  • On the other hand, the two pleural layers tend to be separated by the elasticity of (1) the thoracic wall (directed outward) and (2) the lungs (stretched by inspiration). (dartmouth.edu)
  • Magnetic resonance imaging revealed a T2-weighted image with high intensity. (springeropen.com)
  • However, the rate may be higher given the prevalence of lower velocity weapons and lower kinetic energy [ 7 ]. (springeropen.com)
  • Their highest point is 2 to 3 cm or more above the level of the medial third of the clavicle. (dartmouth.edu)
  • At the level of the hamatum, the ulnar artery is located in front of the tip of the hamulus, where it is exposed to shocks on the palm of the hand. (springer.com)
  • The Bayesian analysis also showed that RenalGuard had a high probability of ranking first for all the secondary outcomes. (bvsalud.org)
  • Before initiation of CPB, the patient is given a very high dose of heparin to prevent clotting in the bypass circuit. (msdmanuals.com)
  • Manzi S, Meilahn EN, Rairie JE, Conte CG, Medsger TA Jr, Jansen-McWilliams L. Age-specific incidence rates of myocardial infarction and angina in women with systemic lupus erythematosus: comparison with the Framingham Study. (medscape.com)
  • All three categories have the potential to affect major arteries and result in death by blood loss. (wikipedia.org)