BACKGROUND Ablation of ventricular arrhythmias (VA) can be limited by intramural substrate not amenable to endocardial or epicardial ablation. Feasibility of irrigated needle ablation has been shown, but optimal means of identifying targets is not clear. We analyzed intramural needle electrograms in relation to endocardial electrograms. METHODS AND RESULTS Eight sequential patients (mean age,...

Antisera to the intermediate filaments vimentin and desmin react with fixed paraffin embedded tissue. Benign uterine myomas contain both classes of filaments. Gastrointestinal "smooth muscle tumours" however often lack desmin even when they appear histologically benign. In the sarcomas examined vimentin was the only class of intermediate filament present. The diagnostic and histogenetic implica...

Intramural hematoma of the colon is rare: only 27 cases have been reported in the literature in the last 20 years. Blunt abdominal trauma, anticoagulant therapy and blood dyscrasia are the common causes 1-10. Cases of uncertain origin are extremely uncommon 11. Symptoms and clinic signs are not specific, presenting usually as bowel occlusion 2-3,11. Therefore, intramural hematoma of the colon r...

Esophagic Intramural Hematoma is an uncommon clinical condition, with a prognosis which is essentially benign. On most cases, a predisposing or precipitating factor may be seen, with the most common ones being the history of esophagic instrumentation, food impactations and thrombocytopenia. In the following manuscript, the authors present the case of a 54-years-old male with history of valve re...

CONTEXT Uterine myomas are benign tumors that mostly occur in women of reproductive age at a frequency ranging from 20 to 25%. The symptoms are increased menstrual flow, pain and compressive signs. New treatments have been proposed and uterine artery embolization is one of them. OBJECTIVE To evaluate the effects of treatment by embolization of the uterine artery, in women with symptomatic myo...

Leiomyomas or fibroids are the most common benign pelvic tumors in females that grow monoclonally from smooth muscle cells of uterus. Such occur nearly half women over age 35 years, with increased prevalence during reproductive phase due to hormone-stimulated growth. At 50 years age, 80% African and almost 70% Caucasian have fibroids. Following 8 such case scenerios uterus having different pres...

While myomas are accurately diagnosed via pelvic imaging such as ultrasound (US) or magnetic resonance imaging (MRI), the gold standard for endometriosis diagnosis is surgical visualization or biopsy [2]. However, there are useful imaging techniques like enhanced MRI and endoanal US for patients with suspected rectovaginal endometriosis which give an accurate picture of the whole pelvic disease...

Operating room fires occur very rarely. Nevertheless, a disaster can complicate almost any kind of surgery. The majority of operating room fires result from the use of alcohol- based surgical preparation solutions, electro-surgical equipment, or flammable drapes in an oxygen-rich environment. We report a patient with an ovarian cyst and uterine myomas who suffered a flame burn while undergoing ...

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• Limited research: Although there has been extensive analysis of the accumulation of retirement assets in the United States, limited research has been done on how quickly Americans use their assets in retirement. Utilizing data from the Health and Retirement Study (HRS), this Issue Brief examines those currently between ages 65 and 75 to determine their levels of wealth in retirement, how thos...