A 37-year-old man came to the hospital with a 1 week history of intermittent epigastric pain. Physical examination revealed elevated blood pressure (155/99 mmHg). The imaging analyses incidentally revealed turbulent blood flow and a cystic lesion with a diameter of 2.46 cm, which was confirmed as a saccular aneurysm on the basis of the computed tomography images (Figure 1). The patient refused ...

This article reports a 74-year-old man came to the emergency department with complaint blood in urine, urinary tract symptom such as nocturia, frequency urgency, and cloudy urine. Physical examination showed suprapubic area was hard on palpation. The abdominal X-ray of patient an opaque stone bladder. An ultrasound scan multiple bladder longest 1.59 cm size. Bilateral kidney cyst prostate enlar...

A pair of hypertensive identical twins are reported, one of whom was non-compliant with her antihypertension medication, and after a subarachnoid haemorrhage was found to have multiple cerebral aneurysms. The other asymptomatic compliant twin was noted to have only a single small cerebral aneurysm. As both identical twins are likely to share the same cerebral vascular architecture it is suggest...

Renal sympathetic hyperactivity is seminal in the maintenance and progression of hypertension. Catheter-based renal sympathetic denervation has been shown to significantly reduce blood pressure (BP) in patients with hypertension. Durability of effect beyond 1 year using this novel technique has never been reported. A cohort of 45 patients with resistant hypertension (systolic BP 160 mm Hg on 3 ...

Renal sympathetic hyperactivity is seminal in the maintenance and progression of hypertension. Catheter-based renal sympathetic denervation has been shown to significantly reduce blood pressure (BP) in patients with hypertension. Durability of effect beyond 1 year using this novel technique has never been reported. A cohort of 45 patients with resistant hypertension (systolic BP 160 mm Hg on 3 ...

OBJECTIVES To test the hypothesis that endovascular stents used with dilation of coarctation of the aorta (CoA) improve late outcomes. Balloon dilation for CoA has been limited by concerns over the risk for acute dissection, late restenosis, or aneurysm formation. DESIGN All patients seen with CoA between November 1994 and September 1997 underwent attempted stent implantation. Follow up was o...