Chest
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BronchiectasisSESSION TYPE: Slide PresentationsPRESENTED ON: Saturday, March 22, 2014 at 09:00 AM - 10:00 AMPURPOSE: Evaluation of morbidity and risk factors for mortality in hospitalized patients with acute exacerbation of bronchiectasis. ⋯ The following authors have nothing to disclose: Maria João Oliveira, Daniel Vaz, Daniel Coutinho, Margarida Dias, Maria do Céu BritoNo Product/Research Disclosure Information.
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Pulmonary Hypertension Posters IISESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: The prevalence of PAH in patients with IPF is not well known. There has been no prospective study to date. The purpose of our study was to know the prevalence of PAH in patients with IPF at any stage of severity ⋯ 60 patients (18 women, age at diagnosis 64 years) were included and 56 completed the study protocol. Patient characteristics: FVC 64%, DLCO 41%, 6MWT 357 meters, systolic pulmonary arterial pressure 46 mmHg. 17 patients showed a systolic pulmonary artery pressure greater than 40 mmHg and in 14 of them PAH was confirmed by right heart catheterization with a mean pulmonary arterial pressure of 28.6 mmHg. When comparing various clinical and functional parameters between patients with and without PAH significant differences were seen in FVC, FEV1, DLCO, 6MWT and Functional Class. In a multivariate analysis DLCO was associated with the presence of PAHCONCLUSIONS: PAH is not infrequent in patients with IPF (around 26%).Patients with more severe disease are more likely to develop PAH. A marked decrease in DLCO is independently associated with the presence of PAHCLINICAL IMPLICATIONS: PAH is a devastating disease with prognostic and therapeutic implications in patients with IPF. To know the prevalence and associated factors in very important for a better management of this patients because we now have effective treatments in PAHDISCLOSURE: The following authors have nothing to disclose: Adolfo Villar, Julio Ancochea, Antonio XaubetNo Product/Research Disclosure Information.
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Surgery Case Report Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Chest-wall osteonecrosis is a rare surgical complication. It is mostly seen after radiotherapy. There are several options for its repair, but we always must assure first there is no infection, that can compromise the placement of prosthetic materials. And in that case, we should avoid the use of posthetic materials and look for different options. Vaacum-assisted therapy (VAC) can be a very usefull tool. ⋯ Simple closure was possible due to timely indication of VAC therapy, with close and continuous follow-up of the patient. Nevertheless we are used or not to use prosthetic materials in chest wall reconstruction, or we prefer any of the different surgical techniques available, the most important thing is to think carefully on each step we take in the treatment of our patients. We also should always remember about team work. That will always help us to provide our patients the best options available in our means.Reference #1: O'Connor J, Kells A, Henry S, Scalea T. Vacuum-Assisted Closure for the Treatment of Complex Chest Wounds. The Annals of Thoracic Surgery. April 2005;Vol 79;Issue 4;1196-1200.Reference #2: M Makboul, M Ayyad. Is myocutaneous flap alone sufficient for reconstruction of chest wall osteoradionecrosis? Interactive CardioVascular and Thoracic Surgery 2012;15;447-451. doi:10.1093/icvts/ivs146DISCLOSURE: The following authors have nothing to disclose: José González García, Sebastian Peñafiel, Eugenia Libreros Niño, Diana Baquero Velandia, Carlos Jordá AragónNo Product/Research Disclosure Information.
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COPD PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: To develop and validate a new index to predict mortality, hospital readmission and their combination to 3 and 12 months in patients hospitalized for AECOPD. ⋯ The following authors have nothing to disclose: Jordi Juanola Pla, Pedro Almagro Mena, Joan B Soriano, Francico Cabrera, Ramon Boixeda, Maria Belen Alonso Ortiz, Cristina Murio, Jesus Diez, Bienvenido Barreiro, Josep Lluis HerediaNo Product/Research Disclosure Information.
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Cancer Case Report Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Organizing Pneumonia is a rare immune disorder characterized by granulation tissue that obstructs small bronchioles and extends into the distal alveolar ducts and alveoli. Though many causes have been described in literature, its association with lymphoma is rare. ⋯ The following authors have nothing to disclose: Vishesh Paul, Jay Lipshitz, Michael BergmanNo Product/Research Disclosure Information.