The diagnosis of a wandering accessory spleen (WAS) may prove delicate. It is nevertheless most important in three clinical scenarios. First, the nodule can mimic a lymphadenopathy or an abdominal tumor, second, the WAS can occasionally trigger symptoms in case of torsion, rupture or hemorrhage, third, its existence must be recognized when the functional splenic tissue must be surgically resect...

Thirty-five consecutive patients with an overt accessory pathway, all but two suffering from arrhythmia (atrial fibrillation, reciprocating tachycardia, or both), underwent attempted transcatheter ablation (fulguration) of their accessory pathway. Thirty-three patients had been treated with a mean of 2.3 +/- 1.4 antiarrhythmic drugs. A standard bipolar catheter was positioned on the internal su...

A well-designed open space that encourages outdoor activity and social communication is a community asset that could potentially contribute to the health of local residents and social harmony of the community. Numerous factors may influence the use of each single space and may result in a variety of visitors. Compared with previous studies that focused on accessibility, this study highlights th...

Right hepatic artery (RHA) is a branch of the common artery; however, there are cases documented in literature showing anatomical variations. Accessory RHA an incidental finding during hepatobiliary and pancreatic surgery. This should be identified, carefully separated, preserved these surgeries. We encounter variation while doing Whipple’s procedure 61-year-old patient diagnosed with carcinoma...

dependent protein kinase A 3 Summary The flagellum of a mammalian spermatozoon consists of an axoneme surrounded in distinct regions by accessory structures known as the fibrous sheath, outer dense fibers, and the mitochondrial sheath. While the characterization of individual proteins has provided clues about the roles of these accessory structures, a more complete understanding of flagellar fu...

BACKGROUND Several investigators have recently ablated electrophysiologically mapped accessory connections in the adult human myocardium by using radiofrequency current. To examine the effectiveness and safety of radiofrequency current for ablation of accessory connections in children, 20 consecutive patients (age, 3-18 years) with preexcitation and/or supraventricular tachycardia were evaluate...

Urethral duplication is a rare congenital anomaly. We report a 6-year-old male with type IIA2 (Y-type) using Effmann's classification. The accessory urethra, in which a urinary stone existed, arose from the posterior urethra to the scrotum. Because of recurrent urinary tract infection and urinary discharge from the accessory urethra, surgical removal of the accessory urethra through a scrotal i...

OBJECTIVE To evaluate the possible blink reflex responses in facial muscles reinnervated by the accessory nerve. METHOD Eleven patients with a complete facial palsy were submitted to a surgical repair by an accessory facial nerve anastomosis (AFA). In this pathological group, blink reflex was studied by means of percutaneous electrical stimulation of the supraorbital nerve and recording from ...

OBJECTIVE To determine preoperatively, by analysing asynchronous left ventricular wall motion, whether to approach through the right ventricle or the left ventricle when carrying out catheter ablation of the accessory pathway in Wolff-Parkinson-White syndrome, especially in patients with the pathway located on the septum. METHODS 73 patients with manifest Wolff-Parkinson-White syndrome who un...

BACKGROUND Rapid anterograde conduction in the setting of ventricular preexcitation is associated with an increased risk of sudden cardiac death. The effect of isoproterenol in this setting is unclear, particularly in younger anesthetized patients. The aim of this study was to determine the effect of isoproterenol on accessory-pathway conduction in children undergoing general anesthesia and its...