A 61-year-old patient with a 20-year history of permanent pacemaker implantation and half--a-year cardiac resynchronization therapy using a left ventricular lead placed via surgical approach was admitted for extraction of an old coiled right ventricular lead, which triggered ventricular arrhythmia and created a risk of pulmonary embolism. The lead was extracted via the left femoral vein in two ...

OBJECTIVE The purpose of this study was to determine the prevalence of femoral vein duplication and the incidence of bilateral anomalies in a normal cohort of patients presenting with varicose veins. METHODS Two hundred and forty patients underwent bilateral lower limb deep venous ultrasound examination with particular attention to the femoropopliteal segment. RESULTS The incidence of femor...

We report on a successful configuration strategy of extracorporeal membrane oxygenation(ECMO) in two consecutive cases of acute lung injury. A 60-year-old woman with Streptococcus pneumoniae infection and a 22-year-old man with hemothorax were admitted to our hospital with failing lungs. Although treatment with a ventilator was started, oxygenation could not be maintained. ECMO with a femoro-fe...

BACKGROUND Deep venous thrombosis (DVT) or pulmonary embolism (PE) is a rare, but not exceptional presentation of soft tissue sarcomas (STSs). Due to the remarkable difference in the incidence between DVT or PE and STSs, this type of STS presentation is usually associated with a considerable delay in tumor diagnosis and treatment. CASE PRESENTATION We describe two cases of STS who presented w...

Transseptal (TS) access to the left atrium (LA) is obtained routinely via right femoral vein approach.1 Alternative approaches have been reported occasionally.2,3 A 66-year-old female patient was referred to our institution for wide QRS complex tachycardia workout. She had no angina or heart failure, although severely depressed left ventricular function was described on echocardiography. Multip...

INTRODUCTION : Neuroma formation is a major problem in nerve surgery and consensus about its prevention has not been reached. It has been suggested that vein covering can reduce neuroma formation in transected nerves. In this article, the Authors propose an easy and novel method of covering by nerve stump capping with a free vein graft. METHODS : Neuroma-like lesions were created on the rat t...

a 32-year-old female patient with previous bentall operation and mitral valve repair surgery due to severe aortic insufficiency, mitral valve insufficiency, and ascending aortic aneurysm was admitted to our hospital with serious dyspnea, fatigue, and mild chest pain. two-dimensional echocardiography demonstrated a markedly dilated basal aorta and cardiac chambers. thoracic computed tomography s...

PURPOSE The objective was to check if 520 days in confinement (MARS 500), may affect the main peripheral arterial diameter and wall thickness and the main vein size. METHOD Common carotid (CC) femoral artery (FA) portal vein (PV), jugular (JG), femoral vein (FV) and tibial vein were assessed during MARS 500 by echography, performed by the subjects. A hand free volumic echographic capture meth...

Case Report A 64-year-old woman with a 3-year history of drug refractory paroxysmal atrial fibrillation was referred to our hospital for catheter ablation. Preprocedual echocardiography and enhanced computed tomography (CT) revealed no structural heart disease or anatomic anomalies (Figure 1A). Catheter ablation of the atrial fibrillation was performed under conscious sedation. Two 8.5-F long s...

BACKGROUND In 2010, the Melody transcatheter pulmonary valve (TPV) received Food and Drug Administration approval for treatment of dysfunctional right ventricular outflow tract conduits in patients ≥30 kg. Limited data are available regarding use of this device in smaller patients. METHODS AND RESULTS We evaluated technical and short-term clinical outcomes of 25 patients <30 kg (10 patients <...