We describe our experience with a patient who had metastasized pulmonary artery sarcoma, but survived 7 years after diagnosis. A 61-year-old man was diagnosed with pulmonary artery intimal sarcoma after resection of metastatic tumours to the bilateral lungs. The primary lesion in the pulmonary artery trunk extending into the bilateral branches was treated by tumour endoarterectomy followed by c...

background : there is little evidence about the role of zafirlukast (a highly selective ltd4 antagonist) in chronic obstructive pulmonary disease (copd). the zafirlukast can reduce the need for short-acting rescue β2 agonists, produce fewer exacerbations of asthma and increased quality of life as possible benefits treatment for asthma. the aim of our study was to evaluate the effects of zafirlu...

conclusions although we found a trend towards decreasing spah and improving 6mwd, no statistically significant shift were detected in our outcomes due to inadequate sample size. patients and methods a registered (irct201108257411n1), triple-blind, randomized controlled trial was performed in rasoule akram hospital, tehran, from 2009 to 2011. forty five patients with secondary pulmonary hyperten...

background and purpose: chronic obstructive pulmonary disease (copd) has been recognized as a risk factor for invasive aspergillosis. airway colonization by aspergillus species is a common feature of chronic pulmonary diseases. nowadays, the incidence of copd has increased in critically ill patients. the aim of the present study was to isolate and identify aspergillus colonies in the respirator...

conclusions we found statistical differences in pct levels that would differentiate cap from acute exacerbation of copd in the ed setting. further studies are required to verify this finding. methods this cross-sectional prospective descriptive study was performed in the emergency department (ed) on patients with cap and acute exacerbation of copd. a total of 53 patients were included in this s...

introduction: corticosteroids are routinely used in management of chronic obstructive pulmonary disease (copd) exacerbation. the main purpose of present study was to compare the efficacy of methyl prednisolone (mp) and dexamethasone (dxm) for this purpose. methods: adult copd patients entered the present clinical trial. all patients received standard treatment on admission and were then divided...

Annuloaortic ectasia is a relatively rare diagnosis. Herein, we report an unusual case of an annuloaortic ectasia with asymmetric dilatation of the right coronary bulb mimicking a membranous ventricular septal defect (VSD) with Eisenmenger reaction by transthoracic echocardiography. Aortic angiography showed a dilated aortic root and moderate aortic regurgitation. Right cardiac catheterization,...

Secondary tumours of the heart are common, and where death is due to cancer the rate is 6-2 per cent (Willis, 1934). However, primary cardiac neoplasms are much rarer, occurring only about once in 60,000 necropsies (Cecil-Loeb Textbook of Medicine, 1963). About 35 per cent of primary heart tumours are myxomas, the remainder being angiomas, rhabdomyomas, leiomyomas, and their malignant counterpa...

Chronic obstructive pulmonary disease (COPD) and chronic cardiovascular disease, such as coronary artery disease, congestive heart failure, and cardiac arrhythmias, have a strong influence on each other, and systemic inflammation has been considered as the main linkage between them. On the other hand, airflow limitation may markedly affect lung mechanics in terms of static and dynamic hyperinfl...

conclusions the right ventricular outflow tract palliation in children with cyanotic chd leads to long-term favorable outcome regarding improvement in oxygen saturation, increase in z score of both left and right pulmonary arteries and also considerable decrease in spell. also, death and complications are rare following rvot palliation. background the right ventricular outflow tract (rvot) pall...