Biomedical subjects
Publications and source records attributed to R Castrodeza Sanz.
Unilateral diaphragmatic paralysis is rare and usually due to interrupted phrenic nerve conduction of impulses. The idiopathic form is the most common and viral infection has been suggested as the cause. Generally, clinical repercussions are few but may be severe in some cases. We report a case of unilateral diaphragmatic paralysis that was successfully treated by plication of the diaphragm affected.
Aorto-bronchial fistula is a rare but associated with a height rare of mortality. Although most reported cases are secondary to infectious aneurysms, cases arising after surgery to correct congenital cardiovascular abnormalities have recently been described. We report the case of a 41-year-old patient with recurrent hemoptysis and a history of Fallot's tetralogy corrected in childhood. Given such a case of hemoptysis in a patient with a history of cardiovascular surgery, the correct diagnostic approach includes fiberoptic bronchoscopy, helicoidal CAT and/or NMR, and aortography. Diagnostic confirmation should be followed soon by corrective surgery.
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Infrahepatic interruption of the inferior cava vein, is a rare congenital anomaly, usually associated with congenital heart and abdominal diseases. The systemic venous flow is accommodated by the dilated azygos. This dilated azygos arch accounts for the right paratracheal or mediastinal mass, and may be misinterpreted as a neoplasm. We report a case with this congenital vascular anomaly, associated with another of tracheobronchial tree.
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