this is a case presentation of a 26-year-old woman with a moderate-sized atrial septal secundum defect (17mm) who underwent catheterism, during which an amplatzer septal occluder number 26 was inserted successfully. on the second postoperative day, she deteriorated and a clinical examination showed a typical tamponade. after a percutaneous aspiration of the pericardial cavity and transient impr...

VACTERL association is a cipher used to describe cluster of conditions wherein there seemingly unexplainable non-random specific birth defects multiple organ systems. It includes vertebral anomalies (V), anal (A), cardiac (C), tracheoesophageal fistula (TEF), renal (R) or radial bone (R), and limb (L). At least three these seven malformations need be present constitute the association. Other co...

FGFR2 is a membrane-spanning tyrosine kinase that serves as a high affinity receptor for several members of the fibroblast growth factor (FGF) family. To explore functions of FGF/FGFR2 signals in development, we have mutated FGFR2 by deleting the entire immunoglobin-like domain III of the receptor. We showed that murine FGFR2 is essential for chorioallantoic fusion and placenta trophoblast cell...

OBJECTIVES To evaluate the potential for limb salvage using the Ilizarov method to simultaneously treat bone and soft-tissue defects of the leg without flap coverage. DESIGN Retrospective study. SETTING Level I trauma centers at 4 academic university medical centers. PATIENTS/PARTICIPANTS Twenty-five patients with bone and soft-tissue defects associated with tibial fractures and nonunions...

Anosognosia (denial of weakness) and "anosognosic phenomena" (other abnormal attitudes to a weak limb) were studied in 100 acute hemiplegics. Both conditions were associated with lesions of either hemisphere. Apathy, visual field defect, and impaired picture identification were particularly prominent in anosognosia. A failure to integrate information from one side of the body was regarded as fu...

Abstract
 Popliteal artery occlusion is a rare vascular complication after blunt knee trauma and may lead to limb loss if diagnosis delayed. Development of collateral pathways misguide the surgeon in planning surgeries for defect reconstruction. We report case patient with popliteal resulting from dislocation fall height, which developed anteromedial ankle following orthopedic surgery. Aft...

We present two transesophageal echocardiographic images of a patient with acute myocardial infarction, demonstrating a large thrombus attached to the thoracic aortic wall, considered to be a complication of intra-aortic balloon pumping. The patient had received the device because of hemodynamic instability due to an infarct-related ventricular septal defect. Clinical manifestations which led to...

Thoracoschisis is a rare condition. A female newborn presented with right-sided thoracoschisis, associated with diaphragmatic hernia and protrusion of an accessory liver lobe through the chest wall defect along with deformity of the right forearm and hand duplication. Diagnosed as part of the limb-body wall complex (LBWC), management included resection of the exteriorized liver lobe followed by...