Arteriovenous fistulas of the thoracic wall may produce murmurs and thrills which suggest an intrathoracic vascular abnormality. Congenital arteriovenous fistulas in the plecordial region, the site of the fistula in the case here reported, may be confused with anomalies of the heart and great vessels. The differential diagnosis of blood vessel tumors of the chest wall is discussed. Occasionally...

t akotsubo cardiomyopathy (tcm), also known as stress-induced cardiomyopathy, is a clinical syndrome of transient left ventricular (lv) apical wall motion abnormality with relative preservation of the basal heart segments in the absence of any significant atherosclerosis. recurrence of this condition is rare. we report a postmenopausal woman, who experienced two episodes of tcm within 4 months ...

primary sternal osteomyelitis is a rare clinical entity generally caused by staphylococcus aureus or pseudomonas aeruginosa.although rare it carries significant morbidity including spread to mediastinal structures and even mortality. diagnosis is generally made on clinical suspicion in a patient with and anterior chest pain and swelling, fever and raised inflammatory markers. management is gene...

Hydatid cyst is a parasitic disease that is endemic in Mediterranean areas, South America, North Africa, Australia, and Iran. Although the liver and lung are the most common involved organs, but the other organs in human body also can be involved by hydatid cyst. Chest wall involvement by hydatid cyst is a rare condition, which may be misdiagnosed as chest wall tumor in the endemic areas. Herei...

Thoracic actinomycosis is a well described entity. The clinical spectrum is broad, ranging from the asymptomatic patient with an abnormality on chest radiography to the chronically ill patient with fever, weight loss, and skin lesions from sinus tracts draining a lung abscess. Here we report a more unusual presentation, a patient with a chest wall lesion and right handed weakness found to be se...

Chest wall surgery is a new specialty, which comes from the traditional thoracic but it has characteristics. Because chest must consider appearance of wall, can be regarded as plastic surgery. In addition, because every kind disease involves changes bony structures also orthopedics. The concepts and orthopedics have injected thinking into played positive role in its final healthy development. T...

To define the role of portable two-dimensional echocardiography (2-D echo) in the immediate diagnosis of acute chest pain syndrome, 80 consecutive patients were studied. Adequate 2-D echo studies were obtained in 65 (81%). Thirty-three patients had clinical evidence of transmural or nontransmural acute myocardial infarction (AMI), 18 of whom had nondiagnostic initial ECGs. Thirty-two did not ha...

The paper presents the possibility of using ultrasonography in the diagnosis of a congenital rib anomaly in the form of bifid rib. Bifid rib is a rare congenital abnormality of anterior chest wall. It manifests as a chest "lump." Such lesions are detected during a routine physical examination or chest X-ray which is often performed for other reasons. The overall prevalence of bifid rib is estim...

Introduction In a normovolemic patient, low cardiac output after cardiac surgery may be a result of myocardial ischaemia and/ or pericardial tamponade. However, without any objective evidence of ischaemia alongwith no signs of pericardial tamponade or regional wall motion abnormality on transthoracic echocardiogram (TTE), the diagnosis remains ambiguous. Computed tomography (CT scan) of the che...