Cardiovascular and interventional radiology
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Cardiovasc Intervent Radiol · May 1992
Case ReportsSpontaneous splenic rupture associated with thrombolytic therapy and/or concomitant heparin anticoagulation.
Two cases of spontaneous splenic rupture in connection with thrombolytic therapy and concomitant heparin anticoagulation are reported. One patient was being treated for peripheral arterial graft occlusion using intraarterial urokinase, the other received intravenous infusion of streptokinase for acute myocardial infarction. ⋯ Although rare, previous reports of spontaneous splenic rupture associated with thrombolytic therapy and/or anticoagulation have been reported. Splenic rupture as a complication of thrombolytic therapy and/or anticoagulation should be considered when unexplained abdominal symptoms, hypotension, or blood loss is encountered.
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Cardiovasc Intervent Radiol · Nov 1991
Case ReportsMassive hemoptysis from a pulmonary sequestration controlled by embolization of aberrant pulmonary arteries: case report.
A case of massive hemoptysis due to pulmonary sequestration is presented. Initially, the diagnosis of sequestration was unsuspected and bronchial artery embolization was done for management of hemoptysis from the left lower lobe, but 4 days later massive hemoptysis recurred. ⋯ Embolization of the aberrant artery from the celiac trunk and the left inferior phrenic artery resulted in complete hemostasis until elective surgical ligation of the two arteries was performed 2 months later. The massive hemoptysis from a pulmonary sequestration could only be controlled after embolization of the transdiaphragmatic aberrant pulmonary arteries.
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The authors encountered a patient with an indwelling central venous catheter who presented with pulmonary edema after the catheter hub was disconnected. Pulmonary arteriography demonstrated diffuse peripheral vasoconstriction, decreased arterial-to-venous transit time, and arterial occlusions. The former two findings allowed the authors to prospectively suggest the diagnosis of pulmonary air embolism.
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Cardiovasc Intervent Radiol · Dec 1990
Case ReportsAcute traumatic dissection of the common iliac arteries with spontaneous healing: case report.
Acute dissection of the abdominal aorta or common iliac arteries after blunt trauma is a very rare injury. We present an unusual case of acute traumatic dissection of the common iliac arteries. To our knowledge, this is the first reported case of acute traumatic dissection of the iliac arteries with ultimate spontaneous healing.
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Cardiovasc Intervent Radiol · Apr 1990
Case ReportsAortic dissection presenting as spinal cord ischemia with a false-negative aortogram.
This article presents a case of type III aortic dissection presenting as a spinal cord syndrome with a prospectively negative initial aortogram. The patient serendipitously illustrates a multimodality approach to aortic dissection imaging. The advantages and disadvantages of conventional radiography, aortography, computed tomography, echocardiography, and magnetic resonance imaging are discussed.