To cite: Hernandez GA, Donet JA, Schwartz M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-206462 DESCRIPTION A 64-year-old woman with a history of diabetes mellitus, hypertension and previous unsuccessful coronary angiography via femoral approach presented to the emergency room with intermittent non-exertional chest discomfort. Physical examination...

The self-expandable stainless steel stents (Gianturco, William Cook, Bjaeverskov, Denmark) used extensively in biliary ducts and the vascular system have recently been modified for use in the tracheobronchial tree. Between March 1991 and September 1992, six patients with unresectable tracheobronchial and mediastinal diseases were treated with the placement of one or more self-expanding stents u...

PARTIAL anomalous pulmoniary venous drainage wvith ani intact iinteratrial septLm associated with mitral stenosis represents an uncommon but interesting hemodynamic problem. There have been 12 such cases published in the literature, 1(0 of which three were diagnosed at autopsy.' 2 The initial clinical diagnosis has usuially been that of Lutembacher's syndrome.4 7, The present case is reported b...

A delayed pericardial effusion developed in a recipient of a cardioverter defibrillator (ICD). After an uneventful implant procedure and postoperative recovery, the patient suffered loss of appetite and fatigue, and was re-admitted to the hospital 48 days later. Her vital signs were stable and cardiac silhouette on chest roentgenogram was normal. However, blood cell counts and chemistry reveale...

Thirty-four patients with primary myocardial disease were studied and classified into three distinct types based on their left ventriculogram. Each had unique ventriculographic characteristics and findings. Type I are patients with a normal contraction pattern and an elevated left ventricular end-diastolic pressure. Type II A are patients with a hypertrophic pattern without obstruction to outfl...

A 67-year-old man was referred for further evaluation of an abnormal chest roentgenogram. Computed tomography showed a 40 × 30 mm mass in the left upper lobe. A giant bulla occupying about two-thirds of the right thorax was found compressing the adjacent lung parenchyma, shifting the mediastinum to the left. The mass was a primary lung cancer, clinical T2aN0M0, stage IB. Preoperative respirator...

Composite hemangioendothelioma is a rare vascular tumor; only 12 cases have been previously described in the extremities, tongue and axilla. We report the first case of composite hemangioendothelioma of the mediastinum in a 50-year-old woman. She was admitted to our hospital with dyspnea and cough lasting for two months. Her chest roentgenogram and computed tomography showed a 6 x 4 x 3 cm mass...

CHEST I 86 I 2 I AUGUST, 1984 251 T he patient was a 14-year-old girl admitted for evaluation of recurrent congestive heart failure. She had limited exercise tolerance and, although able to participate in sports, was fatigued easily. She also reported that her right leg was longer than her left and that her right shoe size was one halfsize larger than the left. On physical examination, the abov...

In order to compare the etiology, clinical manifestations, and prognosis of patients acquiring nosocomial pneumonia, we studied and compared sixty normal hosts who acquired nosocomial pneumonia during Jan 1, 1989-Dec 31, 1991 (group I) with seventy-two immunocompromised patients with nosocomial pneumonia who were admitted during 1984-1992 (group II). Both groups were similar in some patterns, e...

#{176}From the Departments of Pediatrics and Diagnostic Radiology, Yale University School of Medicine and Yale-New Haven Hospital, New Haven. O*US Public Health Service Fellow, supported by Training Grant NIH (No. 5-T01-AD-00177). Reprint requests: Dr. Hellenbrarjd, 333 Cedar Street, New Haven 06510 holosystolic murmur at the left lower sternal border radiating to the left axilla and to the rig...