A 76-year-old lady was referred to the respiratory clinic with a 6-month history of a discharging left chest wall sinus. She also had a 6-month history of dry cough, left chest wall pain and breathlessness. There was no history of fever, haemoptysis, weight loss or night sweats. She was a lifelong non-smoker and there was no history of asbestos exposure. Investigations showed elevated white blo...

A 55 year old female, presented with atypical chest pain of 1 hour duration. On examination her vital parameters were normal and there was no gross cardiovascular abnormality. Electrocardiogram revealed slight ST depression in infero-lateral leads. On stress test there was slight increase in ST depressions. Chest skiagram and transthoracic echocardiogram were normal. On coronary angiography, le...

CANTRELL SYNDROME IS A VERY RARE CONGENITAL DISEASE ASSOCIATING FIVE FEATURES: a midline, upper abdominal wall disorder, lower sternal abnormality, anterior diaphragmatic defect, diaphragmatic pericardial abnormality, and congenital abnormalities of the heart. In this paper, we report a case of partial Cantrell's syndrome with left ventricular diverticulum, triatrial situs solitus, ventricular ...

Recently, the incidence of Takotsubo cardiomyopathy (TTC) has been estimated to be 29.8 per million inhabitants [1]. TTC has been recognized since 1990 and is characterized by chest pain, the elevation of cardiac markers, dynamic ECG changes characterized by negative T-waves [2] or mimicking ST-segment elevation myocardial infarction in some cases, transient apical and mid-ventricular wall-moti...

Musculoskeletal tuberculosis accounts for 1-2% of all types of tuberculosis. Tubercular abscess of the chest wall accounts for 1-5% of all cases of musculoskeletal tuberculosis. Herein, we report a case of tubercular abscess of the chest wall. The occurrence of caries rib and cold abscess of the chest wall with concomitant pulmonary tuberculosis, and tubercular lympha-denitis of neck and medias...

Pectus excavatum is a deformity of the thoracic wall present in less than 1% of the population. Treatment is essentially surgical because of the size of the deformity. The most employed surgical options are the technique proposed by Ravitch and its variations and the technique proposed by Nuss. The first one is considered the conventional technique, while the Nuss procedure is minimally invasiv...

Background: The purpose of this study was to evaluate the characteristics of TomoDirect (TD) plans compared to conventional TomoHelical (TH) plans in chest wall irradiation in patients with breast cancer. Materials and Methods: TD and TH plans for only chest wall were retrospectively created for 30 patients previously treated with TH technique in our clinic. The beam angles were arranged to cov...

BACKGROUND Longitudinal systolic left ventricular contraction is complementary to the radial performance and can be assessed using tissue Doppler imaging (TDI). This study was performed to evaluate the contribution of mitral annular systolic velocities using TDI after dobutamine stress echocardiography (DSE). METHODS AND RESULTS Fifty subjects with suspected coronary artery disease and chest ...