Ugeskrift for laeger
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Ugeskrift for laeger · Apr 2009
[Percutaneous aortic valve replacement - initial experience and results].
Aortic stenosis (AS) is the most common heart valvular disease and with progressive disease morbidity and mortality are substantial. The standard treatment in symptomatic patients is surgical valve replacement. However, one third of the patients with severe AS are inoperable due to advanced age and comorbidity. The aim of this study was to evaluate the results of percutaneous aortic valve replacement - a new treatment modality for patients with inoperable AS. ⋯ Implantation of a percutaneous aortic valve can be achieved in patients with inoperable AS and may become a very important therapeutic modality for this group of patients. These first results from Copenhagen University Hospital are promising and in concordance with international experience.
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Ugeskrift for laeger · Apr 2009
[Minimally invasive transapical aortic valve implantation. A multidisciplinary procedure for heart surgeons, cardiologists and thoracic anaesthesiologists].
The preliminary results of a new emerging technology for minimally invasive transapical aortic valve implantation for high risk patients with aortic stenosis is discussed and the potential for broader based application of this promising approach is put into perspective.
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Ugeskrift for laeger · Mar 2009
Case Reports[Aspiration of dental foreign body during dental visit].
We present a case of foreign body aspiration, the diagnosis of which was delayed until one and a half month after the event. Usually foreign body aspiration leads to acute symptoms, but these may be absent, especially in elderly patients, which delays and complicates diagnosis. Late complications such as pneumonia and atelectasis may be fatal, predominantly in the elderly population. Therefore, a chest x-ray should be performed on suspicion of foreign body aspiration.
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Anterior tarsal tunnel syndrome is a rare entrapment neuropathy of the deep peroneal nerve beneath the extensor retinaculum of the ankle. It may be rare because it is underrecognized clinically. ⋯ A surgical decompression of the anterior tarsal tunnel was performed, and at the check three months later the symptoms where gone. One year after, there were still no symptoms.