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Biomedical subjects

J Hadrami

Publications and source records attributed to J Hadrami.

7 recordsLinked to original sources
PubMed1998

[Aneurysm of the iliac artery in an elderly subject. Role of treatment with covered endoprosthesis].

BACKGROUND: Coated stents can be an alternative to open surgery for arterial aneurysms, particularly in patients with high operative risk. CASE REPORT: A 90-year-old man with advanced stage cardiopathy developed a 52 mm aneurysm of the iliac artery. Perioperative imaging (arteriography with marked catheter, CT-scan and endovascular ultrasonography) provided a precise description. The material used (PTFE coated thermal memory endoprosthesis, balloon in the hypogastric) provided effective exclusion. DISCUSSION: Endovascular treatment can be a useful alternative to open surgery for arterial aneurysm in the very elderly.

Aged↗
PubMed1998

[Pulmonary textiloma revealed by hemoptysis 12 years after thoracotomy].

INTRODUCTION: Pulmonary textiloma or retained surgical sponge is rare but can have detrimental consequences. Its diagnosis is difficult, even when using computerized tomography (CT) scan and is always a medical and legal problem. EXEGESIS: We report the case of a 46-year-old man with a history of pulmonary tuberculosis diagnosed by thoracotomy in 1986, who was admitted to hospital for hemoptysis. CT scan showed the existence of a pulmonary lesion. Clinical, radiological and fiberoptic endoscopy features mimicked an abscess or bronchiectasis. The patient underwent left inferior lobectomy. Anatomical findings led to the diagnosis of textiloma. CONCLUSION: This case shows the difficult in diagnosing pulmonary textiloma, even when using CT scan. Textiloma should be considered when an atypical pulmonary mass is found in a patient with past history of thoracotomy.

Follow-Up Studies↗
PubMed1998

[Multi-plane transesophageal echocardiography in cardiac angiosarcoma. Apropos of a case].

The authors report the case of a right atrial angiosarcoma extending to the right ventricle, presenting with a massive pericardial effusion, in a 30 year old man. The patient underwent surgical ablation of the tumour with right atrial reconstruction, tricuspid valvuloplasty, plicature of the right ventricle and a right coronary artery bypass graft with complementary chemotherapy. This case illustrates the decisive contribution of multiplane transoesophageal echocardiography in the preoperative investigation, providing accurate information about the site and extension of the tumour, and even about the malignant character of the pathology. Magnetic resonance imaging, though useful, did not provide any further information in this case. Unfortunately, thoracic CT scan, performed 15 days after surgery, showed the presence of pulmonary metastases, confirming the very poor prognosis of these tumours.

Adult↗
PubMed1996

[Spontaneous rupture of the ascending aorta disclosing inflammatory arteritis].

The authors report the case of a 74 year old man with no known medical history who died of spontaneous rupture of the thoracic aorta due to giant cell arteritis. The description of the macro and microscopic lesions confirmed the severity of the disease of the large arteries and explained the cause of death. The authors emphasize the clinical features of this case and discuss its place in the classification of aortitis. The type, incidence and severity of the aortic disease in inflammatory arteritis are also analysed. Spontaneous rupture of the aorta without dissection or aneurysm formation does not seem to have been previously reported and could be the mechanism of some cases of sudden death.

Aged↗