In 1956 Case 1, a clerk then 30 years of age, presented with recent mild dyspepsia. He was an active man who played competition tennis regularly. His abnormally high arterial pressure had been noted some years before; on this occasion examination also disclosed coarctation of the aorta with a brachial arterial pressure of 160/ 100 mm. Hg. On August 16, 1956, the coarcted segment was resected an...

BACKGROUND Advances in robotic technology have enabled a wider range of applications for minimally invasive techniques in cardiac surgery, including mitral valve repair and coronary artery bypass grafting. With increased technical sophistication, robotic-assisted techniques can be developed for the endoscopic repair of certain congenital cardiac lesions. OBJECTIVE The purpose of this study wa...

Both insulin resistance and hyperinsulinemia have been reported to be independent risk factors for cardiovascular diseases. However, little is known regarding insulin signaling in the vascular tissues in insulin-resistant states. In this report, insulin signaling on the phosphatidylinositol 3-kinase (PI 3-kinase) and mitogen-activated protein (MAP) kinase pathways were compared in vascular tiss...

Abdominal aortic coarctation is an extremely rare vascular pathology. Its etiology can be congenital or acquired. Here we present a case of acquired infrarenal abdominal coarctation in a 66-year-old woman who complained of low back and legs pain. She had no signs of resting lower limb ischemia, with diminished distal pulses and normal blood pressure in upper and lower extremities. Magnetic reso...

abstract traumatic descending thoracic aorta pseudo aneurysms have been treated traditionally with open surgery in the past, which have had noticeable rates of mortality and morbidity. a safer method of treatment for this disease is made possible with recent progress in endovascular treatment techniques. in this article, we present three cases of traumatic descending thoracic aorta pseudo aneur...

Surgical management of placenta accreta spectrum (PAS) is, if anything, wrought with complexity. Placental invasion can be confined and relatively easy to manage or as surgically challenging a stage-IV ovarian tumour. In the most extensive cases, is equally capable encasing not only ureter but also femoral vessels obturator nerve, instead solid tumour surgeon faced mixed solid–cystic structure ...

introduction: sleep disturbance is common in patients undergoing coronary artery bypass graft surgery and has been recognized for more than 30 years. new literature suggests the importance of sleep and rest for restoration, protection and promotion of function and wellbeing of these patients. because of the importance of the role of nurses in diagnosis and treatment of sleep disorders, this stu...

aortoenteric fistula is a rare but significant clinical entity associated with high morbidity and mortality if remain untreated. clinical presentation and imaging findings may be subtle and prompt diagnosis can be difficult. herein, we present a patient who initially presented with abdominal pain and computed tomography showed an aortic aneurysm compressing duodenum without any air bubbles. one...

 Abstract Traumatic descending thoracic aorta pseudo aneurysms have been treated traditionally with open surgery in the past, which have had noticeable rates of mortality and morbidity. A safer method of treatment for this disease is made possible with recent progress in endovascular treatment techniques. In this article, we present three cases of Traumatic descending thoracic aorta pseudo aneu...