• Title/Summary/Keyword: Venous

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Venous Free Flap with Interposition Bypass Graft for Arteriovenous Fistula Preservation: A Case Report

  • Cyril Awaida;Marion Aribert;Natalie Weger;Kendall Keck;Andrei Odobescu
    • Archives of Plastic Surgery
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    • v.50 no.6
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    • pp.568-572
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    • 2023
  • Cutaneous squamous cell carcinoma (CSCC) overlying an arteriovenous fistula (AVF) is rare and presents unique challenges. This case report describes a method of fistula preservation after CSCC excision using a flow-through venous free flap. The saphenous vein of the venous flap was used as flow-through segment for AVF preservation. The flap was inserted along the dorsal aspect of the forearm wound and microvascular anastomosis of the arterial inflow was completed using a vein just proximal to the radiocephalic fistula anastomosis. Venous outflow was established by creating an end-to-end vascular anastomosis between the cephalic vein and the greater saphenous vein. A separate subcutaneous vein was used to provide a low-pressure outflow for the flap to avoid congestion. This case demonstrates an option for AVF preservation that has not been previously described. It also highlights the importance of a multidisciplinary approach for the safe treatment of CSCCs overlying AVFs.

Comparison of C-reactive Protein between Capillary and Venous Blood in Children (소아에 있어서 C-반응성 단백의 모세혈 및 정맥혈 검사의 비교평가)

  • Jin, Ji Hoon;Jung, Soo Ho;Hong, Young Jin;Son, Byong Kwan;Kim, Soon Ki
    • Pediatric Infection and Vaccine
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    • v.17 no.2
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    • pp.101-107
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    • 2010
  • Purpose : In evaluation of patients, laboratory results are crucial in determination of a treatment plan. Obtaining venous blood from infants and children is a difficult procedure. Substitution of a capillary blood sample for a venous blood sample has been suggested. However, there are few studies showing mutual correlation between C-reactive protein (CRP) results in capillary and venous blood. This study was designed to determine whether the result of the capillary sample is the same as the result of the venous blood sample. Methods : After informed consent, a pair of venous and fingertip capillary blood samples were simultaneously collected from 100 children. The LC-178CRPTM was used for analysis of capillary blood and the Hitachi 7180 automatic hematology analyzer was used for analysis of venous blood. We compared CRP of both venous and capillary blood samples. Results were analyzed by crosstabulation analysis, simple regression analysis and the Bland Altman Plot method. Results : A close correlation (90.63%) was observed between capillary and venous blood analyzed by crosstabulation analysis. CRP results were similar between the two groups and showed a high coefficient correlation ($\beta$=1.3434, $R^2$=0.9888, P<0.0001) when analyzed by a simple regression model. The average value in venous blood was also higher compared to capillary blood. According to Bland Altman Plot analysis, lab results were measured at a 95% confidence interval. Conclusion : CRP results from capillary blood showed close correlation with venous blood sampling. At present, venous blood sampling is the preferred method. However, due to difficulty in venous blood sampling, capillary sampling could be considered as an alternative technique for use with children.

A Surgical Experience of Adult TOF with Anomalous Systemic Venous Return (체정맥 이상환류를 동반한 성인 활로씨 4증후군의 치험 1례)

  • 유환국
    • Journal of Chest Surgery
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    • v.24 no.11
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    • pp.1154-1159
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    • 1991
  • Anomalous systemic venous return to the right atrium is clinically innocuous and cause no functional disturbances or physiologic abnormalities by themselves and consequently require no treatment but may be surgical importance. We experienced a case of adult TOF combined with anomalous systemic venous drainage. Rudimentary right SVC with draining left sided vertical vein and IVC with separately drained left vein was revealed at operation time. With the bicaval cannulation, large sucker was used for drainage of blood from the left hepatic vein. Postoperative angiocardiogram showed above findings and combined double inferior vena cava at lumbar level.

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Partial Anormalous Pulmonary Venous Return with Scimitar Sign (Scimitar 징후를 동반한 부분폐정맥환류이상 -1례보고-)

  • 권종범
    • Journal of Chest Surgery
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    • v.33 no.10
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    • pp.827-829
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    • 2000
  • We experienced a case of partial anomalous pulmonary venous return from righ lung to inferior vena cava, which combined with Scimitar sign in 18 years old female patient. Diagnostic procedures were simple chest x-ray chest CT, and cardiac catheterization. We redirected the anomalous venous flow from inferior vena cava to left atrium through the intracardiac tunnel which was made with autologous pericardium. Postoperative course was not eventful.

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Cor Triatriatum Associated with Total Anomalous Pulmonary Venous Connection: A Rare but Plausible Combination

  • Lee, Jun Oh;Park, Chun Soo
    • Journal of Chest Surgery
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    • v.54 no.2
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    • pp.143-145
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    • 2021
  • In a newborn in whom cor triatriatum was missed on echocardiography, infracardiac total anomalous pulmonary venous connection was successfully repaired with the aid of cardiac computed tomography (CT). In rare combinations, as in this case, an accurate diagnosis prior to surgery, which is of vital importance for successful repair, can be made through a high index of suspicion and the use of a supplemental imaging modality such as CT.

Cor Triatriatum Associated with Atrial Septal Defect and Partial Anomalous Pulmonary Venous Return: Report of A Case (부분 폐정맥 환류이상과 심방중격 결손증을 동반한 삼중방심의 치험 1례)

  • 이철주
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.440-445
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    • 1985
  • Cor triatriatum is a variant of abnormal connection between the pulmonary vein and true left atrium, which is separated from accessory left atrium receiving pulmonary venous blood flow by fibromuscular diaphragm. Usually it is diagnosed after operation because difficulty in visualization of the diaphragm by conventional diagnostic tools. We experienced a rare entity of congenital heart disease diagnosed as car triatriatum with atrial septal defect and partial anomalous pulmonary venous return after completing operation, which was diagnosed as ASD with PAPVR preoperatively. Anomalous right pulmonary venous opening was located at right atrium, secundum type defect of atrial septum was present, and dual chambered left atrium without connection was also seen. Excision of the diaphragm and wide patch repair of ASD including right pulmonary vein were performed with good postoperative results. Herewith, we report this case with review of literatures.

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Fatal Septic Internal Jugular Vein-Sigmoid Sinus Thrombosis Associated with a Malpositioned Central Venous Catheter

  • Seung, Won-Bae;Kim, Dae-Yong;Kim, Jin-Wook;Park, Yong-Seok
    • Journal of Korean Neurosurgical Society
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    • v.53 no.3
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    • pp.183-186
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    • 2013
  • Septic internal jugular vein-sigmoid sinus thrombosis (IJV-SST) associated with a malpositioned central venous catheter is a rare condition. It is potentially life-threatening and necessitates early diagnosis and rapid administration of appropriate medications. Unfortunately, it is difficult to diagnose due to vague clinical presentations. Several studies such as CT, MRI, and cerebral angiography should be performed and carefully examined to help make the diagnosis. We report a case of septic IJV-SST due to a malpositioned central venous catheter.

A Case of Pial Arteriovenous Fistula with Giant Venous Aneurysm and Multiple Varices Treated with Coil Embolization

  • Oh, Hyuk-Jin;Yoon, Seok-Mann;Kim, Sung-Ho;Shim, Jai-Joon
    • Journal of Korean Neurosurgical Society
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    • v.50 no.3
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    • pp.248-251
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    • 2011
  • Intracranial pial arteriovenous fistulas (AVFs) are rare vascular lesions of the brain. These lesions consist of one or more arterial connection to a single venous channel without true intervening nidus. A 24-year-old woman visited to our hospital because of headache, vomiting, dizziness and memory disturbance that persisted for three days. She complained several times of drop attack because of sudden weakness on both leg. Cerebral angiograms demonstrated a giant venous aneurysm on right frontal lobe beyond the genu of corpus callosum, multiple varices on both frontal lobes fed by azygos anterior cerebral artery, and markedly dilated draining vein into superior sagittal sinus, suggesting single channel pial AVF with multiple varices. Transarterial coil embolization of giant aneurysm and fistulous portion resulted in complete disappearance of pial AVF without complication.

A Case of Spinal Cord Injury Due to Spinal Arterio-Venous malformation (척수혈관기형(脊髓血管畸形)에 의한 척수손상환자(脊髓損傷患者) 1례(例)에 대한 증례(證例) 보고(報告))

  • Sohn, Sung-chul;Hwang, Min-seob;Yoon, Jong-hwa;Kim, Kap-sung
    • Journal of Acupuncture Research
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    • v.19 no.5
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    • pp.247-257
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    • 2002
  • By process of treatment for a case which diagnosed as spinal cord injury due to spinal arterio-venous malformation and admitted from the 19th, April, 2001 to the 15th, October, 2001, the results are as follows. Methods : The treatment of patient who is diagnosed as spinal cord injury due to spinal arterio-venous malformation by walking abreast of several kinds of oriental medical treatment with rehabilitative therapy. Results : The treatment was taken to the patient upgraded Frankel scale B to D and Cord motor index 61point to 88point.

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A Case of An Incidentally Diagnosed Adrenal Venous Malformation in A Child (소아에서 우연히 발견된 부신의 낭종성 종괴에서 진단된 정맥성 혈관기형)

  • Boo, Yoon-Jung;Lee, Eun-Hee;Lee, Kwang-Chul;Won, Nam-Hee
    • Advances in pediatric surgery
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    • v.19 no.2
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    • pp.140-144
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    • 2013
  • Adrenal venous malformation is an uncommon disease. We report a case of an incidentally diagnosed adrenal cystic mass during an evaluation for gastritis in a child. A 14-year-old girl admitted to our pediatric department for epigastric pain. After the gastroscopy, she was diagnosed with hemorrhagic gastritis. A 5.5 cm-sized cystic mass was incidentally found adjacent to her left adrenal gland during an ultrasound examination for evaluating her abdominal symptoms. She underwent laparoscopic surgery for the diagnosis and treatment of this cystic mass, which was confirmed to be venous malformation at pathologic diagnosis.