Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Nov 1990
Case Reports[Floating right atrial thrombus as the cause of recurring pulmonary embolisms].
After an attack of pleuropneumonia a 25-year-old woman developed persistent dyspnoea due to pulmonary emboli, as demonstrated by scintigraphy. There was no clinical or phlebographic evidence of the peripheral venous system as the source. Two-dimensional echocardiography demonstrated a floating spherical tumour in the right atrium, attached to the interatrial septum and prolapsing into the right ventricle during ventricular diastole. ⋯ It proved to be myxoma-like, 3 x 3 cm in diameter. Histologically it was a thrombus without evidence of myxoma. No further thromboemboli occurred under phenprocoumon anticoagulation.
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Dtsch. Med. Wochenschr. · Oct 1990
Case Reports[Colonic carcinoma localized in the chest in enterothorax due to congenital diaphragmatic hernia].
A 51-year-old man with congenital diaphragmatic hernia and enterothorax was found to have persisting leucocytosis (25,000/microliters), diarrhoea and weight loss (20 kg). Computed tomography (CT) revealed intrahepatic space-occupying lesions. CT-directed needle biopsy demonstrated adenocarcinoma metastases. ⋯ It revealed a carcinoma of the colon located in the thorax about 10 cm oral to the left colonic flexure. Progressive ileus necessitated an ileodescendostomy for palliation. The patient died three months later while on symptomatic treatment.
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Dtsch. Med. Wochenschr. · Jun 1990
Randomized Controlled Trial Clinical Trial[Fibrinolysis therapy using APSAC in acute myocardial infarct].
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Dtsch. Med. Wochenschr. · May 1990
Review Clinical Trial[The therapy of chronic heart failure with beta-receptor blockers?].