we report the case of a three-year-old girl who complained from dysphagia and post-prandial vomiting since she was 6months old. several diagnostic work-ups were performed for her problem. upper gi endoscopy was normal but barium swallow revealed an external pressure effect over upper part of the esophagus (figure 1) and the ct angiography of thoracic aorta showed that this external pressure eff...

background: investigators frequently encounter continuous outcomes with plenty of values clumped at zero called semi-continuous outcomes. the gensini score, one of the most widely used scoring systems for expressing coronary angiographic results, is of this type. the aim of this study was to apply two statistical approaches based on the categorization and original scale of the gensini score to ...

Hepatic arterial vascularization presents great anatomic variability. The vascular configuration described as normal is found in only 55%–75.5% of cases, which means that a large percentage of patients present an anatomic variation. Amongst them, the most frequent variation is the right hepatic artery (RHA), branch of the superior mesenteric artery (SMA). This variation can involve a single rig...

the anomalous origin of the right coronary artery (rca) as a branch from the left anterior descending artery (lad) is a very rare variation of the single coronary artery anomaly. the anomalous vessel arises from the proximal or midportion of the lad and courses anterior to the pulmonary artery trunk in most instances. in this case report, a 61-year-old woman is introduced who underwent coronary...

We report on a unique clinically and surgically significant case of multiple abdominal aorta variations. Specifically, the left inferior phrenic, left gastric and splenic artery arose in common from the left aspect of the aorta constituting a common phrenogastrosplenic trunk, while the common hepatic artery originated separately from the midline of the anterior aspect of the aorta just inferior...

the use of noninvasive assessment tools such as multi-slice ct coronary angiography (msct-ca-ca) is recently considered mainly because it offers safety, patient convenience, and faster performance. the aim of the present study was to determine the ability of msct-ca-ca for the detection of significant stenoses in the coronary arteries, in comparison to conventional invasive coronary angiography...

this study evaluated the relationship between the location of the most severe coronary artery stenosis and the subsequent acute myocardial infarction (ami). methods: of 1590 patients who were admitted with a diagnosis of ami, we identified 44 patients who had undergone previous myocardial perfusion spect. thirty-one of these patients also had previous coronary angiography. the relationship betw...