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Complication
Kinds of Complication Terms modified by Complication Selected AbstractsPSEUDOTUMOUR CEREBRI AS A COMPLICATION OF PARATHYROIDECTOMY IN A PATIENT UNDERGOING HAEMODIALYSISNEPHROLOGY, Issue 1 2008IRENA MAKULSKA [source] Cardiogenic Unilateral Pulmonary Edema: An Unreported Complication of a Digestive Endoscopic ProcedureCONGESTIVE HEART FAILURE, Issue 5 2009Enrique M. Baldessari MD Unilateral pulmonary edema is an uncommon clinical situation that may be difficult to distinguish from other conditions that cause lung infiltrates. Most cases occur in the right lung, and there are no reports about cardiogenic unilateral pulmonary edema as a complication of an endoscopic procedure of gastrointestinal tract. The authors describe a case of a 79-year-old woman with acute cardiac heart failure that developed soon after a diagnostic upper and lower digestive endoscopy. Continuous positive airway pressure, intravenous nitroglycerin, and furosemide treatment resulted in rapid improvement of symptoms and the progressive resolution of left-sided infiltrates on chest radiography. This case is of particular importance because of the rarity of cardiogenic unilateral edema in the left lung. This clinical finding was associated with the prolonged rest on the left side during the gastrointestinal endoscopic procedure. [source] A Rare Ischemic Complication of Ingrowing Toenail Surgery in a ChildDERMATOLOGIC SURGERY, Issue 2 2010NICOLAS RUEFF MD The authors have indicated no significant interest with commercial supporters. [source] Complication of a Polyalkylimide Implant in a Patient with Facial TraumaDERMATOLOGIC SURGERY, Issue 9 2008JORGE OCAMPO-CANDIANI MD No abstract is available for this article. [source] Nonhealing Ulcer Misinterpreted as a Complication after Varicose ExeresisDERMATOLOGIC SURGERY, Issue 5 2007VAN ANH NGUYEN MD No abstract is available for this article. [source] Letter: Unusual Complication of a Forehead FlapDERMATOLOGIC SURGERY, Issue 7 2006KANTAPPA GAJANAN MBBS No abstract is available for this article. [source] Rosacea: A Potential Complication of Expanded FlapsDERMATOLOGIC SURGERY, Issue 1 2006SILVIA SCEVOLA MD No abstract is available for this article. [source] Ocular Complication of PhotoDerm VL Therapy for Facial Port-Wine StainDERMATOLOGIC SURGERY, Issue 1 2003Florian K. P Sutter MD BACKGROUND A case of focal damage to the iris with distortion of the pupil secondary to PhotoDerm therapy in a 2-year-old boy is reported. OBJECTIVE To study ocular complication of photoDerm VL therapy for facial port-wine stain. METHODS Observatory case report. RESULTS. PhotoDerm VL therapy may damage ocular tissues. CONCLUSION Appropriate protection during the procedure is essential. [source] Areolar Cosmetic Tattoo Ink Darkening: A Complication of Q-Switched Alexandrite Laser TreatmentDERMATOLOGIC SURGERY, Issue 1 2002Sung-Eun Chang MD background and objective. Medical tattooing of the areola is widely performed in Korea. However, cosmetic tattoos containing flesh-tone, purple-red, and yellow dyes are sometimes resistant to Q-switched laser and may even become darker. method. Two Korean women in their 30s who had a mastectomy got light brown to red areolar medical tattoos but they were not satisfied with the shape and size of the tattoos. They underwent Q-switched alexandrite laser treatment with a 3 mm collimated beam at fluences of 7.5,8 J/cm2 in order to trim the irregular contour and reduce the diameter of the tattoos. results. Within 5 minutes a dark gray to black discoloration of the treated area was evident and remained dark for 6 weeks. Improvement was not noted after two further Q-switched Nd:YAG laser treatments. conclusion. Medical areolar tattoos should be approached with extra caution when attempting their removal with high-energy pulsed lasers such as Q-switched alexandrite laser and a small test site should be performed prior to treatment. [source] Embolization of Atrial Septal Occluder Device into the Pulmonary Artery: A Rare Complication and Usefulness of Live/Real Time Three-Dimensional Transthoracic EchocardiographyECHOCARDIOGRAPHY, Issue 6 2009Harvinder S. Dod M.D. Percutaneous closure of atrial septal defects (ASD) in adults has emerged as an alternative to surgery. We report a rare complication of an atrial septal occluder device embolization into the pulmonary artery which was detected by fluoroscopy and echocardiography. The potential usefulness of live/real time three-dimensional transthoracic echocardiography in the management of patients undergoing percutaneous ASD occlusion is described. (ECHOCARDIOGRAPHY, Volume 26, July 2009) [source] Left Ventricular Pseudoaneurysm Developing as a Late Complication of Coronary Artery Bypass Grafting with Apicoseptal PlicationECHOCARDIOGRAPHY, Issue 8 2005Ozcan Ozeke M.D. Left ventricular pseudoaneurysm is a false aneurysm, which results from a left ventricle rupture contained by adherent pericardium or scar tissue. The most common etiology of left ventricular pseudoaneurysm is acute myocardial infarction but one-third of pseudoaneurysms develop following surgery. We present a case report of a patient who developed a false aneurysm of the left ventricle 2 months following surgical repair of a left ventricular aneurysm with a concomitant coronary bypass. [source] Selenium Deficiency Associated with Cardiomyopathy: A Complication of the Ketogenic DietEPILEPSIA, Issue 4 2003A. G. Christina Bergqvist Summary: ,Purpose: The ketogenic diet (KD) is an efficacious treatment for intractable epilepsy, associated with infrequent side effects. The KD is known to be deficient in most vitamins and minerals and may be deficient in trace minerals. We report biochemical selenium deficiency in nine patients on the KD, including one who developed cardiomyopathy. Methods: A whole-blood selenium level was obtained on the symptomatic patient after noting the patient's poor appearance on physical examination. Children already treated and children beginning the KD were then evaluated prospectively for selenium status by measuring whole-blood or serum selenium as part of routine laboratory evaluation every 3 months. Results: The index case had no detectable whole-blood selenium. Cardiac physical examination and ECG were normal, but the echocardiogram revealed cardiomyopathy. Thirty-nine additional children had the selenium status evaluated. Eight had selenium levels below the normal range (six initially, and two developed low selenium levels on serial testing). They were referred for cardiology evaluations, which were normal. Selenium supplementation improved levels in all children. Low levels were seen in some children after only a few months of treatment. Conclusions: The nutrient adequacy of the currently used KD has not been fully evaluated. The nutrient content of KD with usual supplements may not meet Recommended Dietary Allowances (RDA) for selenium and may not provide other trace minerals in adequate amounts. At our center, selenium deficiency was found in 20% of the patients evaluated. Screening for selenium deficiency is suggested if the patient KD regimen does not meet ,75% of the RDA or if the child is symptomatic. Nutrient supplementation should provide adequate trace elements for children treated with the KD. The KD requires close monitoring of the overall nutritional status. [source] Complication of partial stylohyoidectomy for treatment of temporohyoid osteoarthropathy and an alternative surgical technique in three casesEQUINE VETERINARY JOURNAL, Issue 6 2004A. P. PEASE First page of article [source] Splenic Hematoma as a Complication of ColonoscopyJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 2 2004Bryan J. Lekas MD No abstract is available for this article. [source] Severe Hemorrhagic Complication Due to Acquired Factor V Inhibitor After Single Exposure to Bovine Thrombin ProductJOURNAL OF CARDIAC SURGERY, Issue 6 2000Michio Kajitani M.D., Ph.D. Our patient underwent emergency repair of acute aortic dissection and coronary artery bypass grafting. The patient developed leg wound infection at the saphenous vein harvest site, which was debrided and left open. Attempt to reclose the leg wound 1 month later was complicated by a life-threatening hemorrhage with markedly elevated activated partial thromboplatin time. There was no evidence of infection or disseminated intravascular coagulation, and further study identified low factor V level with positive factor V inhibitor. Treatment with plasmapheresis and steroid successfully reversed the coagulopathy. Detailed case review failed to reveal exposure to any thrombin products other than the one used for the aortic dissection repair. This case was unusual because only a single exposure to this product resulted in severe hemorrhagic complication 1 month after surgery. [source] Safe and Effective Ablation of Atrial Fibrillation: Importance of Esophageal Temperature Monitoring to Avoid Periesophageal Nerve Injury as a Complication of Pulmonary Vein IsolationJOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 1 2009TAISHI KUWAHARA M.D. Introduction: Catheter ablation on the left atrial posterior wall has been reported to potentially damage the esophagus or periesophageal vagal nerve. The aim of this study was to evaluate the efficacy of esophageal temperature monitoring (ETM) in preventing esophageal or periesophageal vagal nerve injury in patients with atrial fibrillation (AF) undergoing pulmonary vein (PV) isolation. Methods: This study included 359 patients with drug-refractory AF who underwent extensive PV isolation. The first 152 patients were treated without ETM (non-ETM) and the last 207 with ETM. In the ETM group, the esophageal temperature (ET) was measured with a deflectable temperature probe that was placed close to the ablation electrode, and the radiofrequency energy applications were stopped when the ET reached 42°C. Results: In all patients in the ETM group, the ET increased to 42°C in at least one site by 28 ± 14 seconds, mostly along the right side of the left PVs, especially near the left inferior PV. Less energy (6.3 ± 1.9 × 104 J) was required for PV isolation in the ETM group than that in the non-ETM (6.8 ± 1.9 ×104 J, P = 0.03). Gastric hypomotility owing to periesophageal nerve damage was observed in three patients in the non-ETM group, but in none in the ETM (P = 0.02). The recurrence rates of AF did not differ between the two groups (non-ETM, 29%; ETM, 27%). Conclusion: Titration of the duration of the ablation energy delivery while monitoring the ET could prevent periesophageal nerve injury due to the AF ablation, without decreasing the success rate of maintaining sinus rhythm. [source] Sinus Node Injury as a Complication of Superior Vena Cava IsolationJOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 11 2005MARY GERTRUDE ONG M.D. We report a case with SVC ectopy initiating AF; the origin and breakout point of the sinus node was inside the SVC, and the SVC ectopy was conducted through the same path as the sinus node activation to depolarize the right atrium. Injury to the sinus node happened after successful isolation of SVC. [source] Reversible Decompensated Liver Disease as a Possible Complication of Pegylated-Interferon alfa 2b and Ribavirin for Recurrent Hepatitis CJOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Issue 6 2004Sandeep Mukherjee [source] Contrast-Induced Nephropathy Remains a Serious Complication of PCIJOURNAL OF INTERVENTIONAL CARDIOLOGY, Issue 3 2007ROXANA MEHRAN MD [source] Perforation of Aortic Root as Secondary Complication after Implantation of Patent Foramen Ovale Occlusion Device in a 31-Year-Old WomanJOURNAL OF INTERVENTIONAL CARDIOLOGY, Issue 2 2006STEFAN A. LANGE M.D. Transesophageal echocardiography (TEE) revealed a 3-mm-large patent foramen ovale (PFO). No other reason for these neurological events could be found and the patient underwent percutaneous closure of the PFO with a CARDIA® Star 03/30 device without periprocedural complications. Four weeks later, the patient underwent a routine control of device without any adverse clinical symptoms. Surprisingly, echocardiography revealed a perforation of the aortic root by an umbrella strut with a small shunt from the aortic root to the right atrium. Magnetic resonance imaging (MRI) confirmed the diagnosis of device malposition. Consecutively, the patient underwent minimal invasive surgery. After removal of the single perforating strut, the bleeding lesion was closed. The patient remained free of any additional complications during the postoperative course and up until now has had uneventful follow-ups. [source] Radiation Burns as a Severe Complication of Fluoroscopically Guided Cardiological InterventionsJOURNAL OF INTERVENTIONAL CARDIOLOGY, Issue 3 2004Ch.B., RONALD E. VLIETSTRA M.B. Radiation-induced skin burns can be produced by high doses of fluoroscopic X rays. Though uncommon, such injuries can cause considerable distress to the patient and they can lead to deep ulcers requiring skin grafts. Factors that increase the chance of a burn can be readily identified and in nearly all instances they can be avoided or minimized. We discuss these issues and use case illustrations to point out how burns can be avoided. (J Interven Cardiol 2004;17:131,142) [source] Erythromycin prior to endoscopy for acute upper gastrointestinal haemorrhage: a cost-effectiveness analysisALIMENTARY PHARMACOLOGY & THERAPEUTICS, Issue 10 2007N. S. WINSTEAD Summary Background, Erythromycin is a potent stimulator of gastrointestinal motility. Recent studies have examined the use of intravenous erythromycin to clear the stomach of blood before oesophago-gastroduodenoscopy (EGD) for acute upper gastrointestinal haemorrhage (UGIH). These studies have shown clinical effectiveness. Aim, To evaluate the cost-effectiveness of this intervention. Methods, We sought to determine the cost-effectiveness of erythromycin before EGD from the payer's perspective. We found three relevant studies of erythromycin and used these data for the analysis. We obtained costs for intravenous erythromycin and charges for peptic ulcer hospitalization, EGD, surgery, and angiographic embolization. Complication rates were also incorporated from the literature. We implemented a model of health-related quality of life to measure the impact of the intervention. We created a decision-analysis tree and performed a probabilistic sensitivity analysis. Results, A strategy of erythromycin prior to EGD resulted in a cost-effective outcome in a majority of trials using willingness-to-pay figures of $0, $50 000 and $100 000 (US) per quality-adjusted life-year (QALY). Conclusion, Because of the implications for cost saving and increase in QALY, we would recommend giving erythromycin prior to EGD for UGIH. [source] Runaway Implantable Defibrillator,A Rare Complication of Radiation TherapyPACING AND CLINICAL ELECTROPHYSIOLOGY, Issue 5 2007EMEC M.D., F.A.C.C., JAN N A case of a patient with runaway implantable cardioverter defibrillator (ICD) due to radiation therapy of a lung cancer is reported. This manifested as poorly tolerated wide complex tachycardia due to inappropriate rapid ventricular pacing, The event terminated with polymorphic VT, which inhibited pacing and ceased spontaneously before ICD discharge. The likely cause was corruption of device random access memory by ionizing radiation. [source] Successful Pediatric Stenting of a Nonthrombotic Coronary Occlusion as a Complication of Radiofrequency Catheter AblationPACING AND CLINICAL ELECTROPHYSIOLOGY, Issue 6 2001GUNNAR G. STROBEL STROBEL, G.G., et al.: Successful Pediatric Stenting of a Nonthrombotic Coronary Occlusion as a Complication of Radiofrequency Catheter Ablation. This is a case of a right coronary artery occlusion complicating a RF catheter ablation of a posteroseptal accessory connection in an 8-year-old boy. After multiple balloon angioplasty attempts in the occluded vessel, only transient patency was achieved. The occlusion was successfully treated with placement of an intracoronary stent. [source] An Unusual Complication of Sinus Arrest Following Right-Sided Stellate Ganglion Block: A Case ReportPAIN PRACTICE, Issue 3 2004Ashok K. Saxena MD Abstract: We present a case of a 29-year-old female patient who had presented to us for the management of her chronic right shoulder,hand pain and developed a sinus arrest following a right-sided stellate ganglion block (RSGB). This patient on receiving a diagnostic RSGB via the anterior paratracheal (C6) approach developed sinus arrest followed by apnea and unconsciousness. On institution of resuscitative measures involving tracheal intubation, positive pressure ventilation, cardiac massage, and intravenous atropine, spontaneous cardiac activity recovered in about 3 minutes. Other signs and symptoms resolved fully in a total of 10 minutes. She had persistent postural hypotension lasting for about 24 hours requiring bed rest and was discharged about 36 hours after the procedure, without any adverse sequelae. As the sinus node is supplied by the right-sided sympathetic chain, its blockade probably resulted in unopposed parasympathetic activity leading to asystole. Available evidence of the role of right stellate ganglion in regulation of cardiac electrophysiology and functioning is also discussed. [source] Bronchiolitis Obliterans: A Rare Chronic Pulmonary Complication Associated with Stevens-Johnson SyndromePEDIATRIC DERMATOLOGY, Issue 4 2007Arzu Bakirtas M. D. We report two boys with bronchiolitis obliterans following the acute phase of Stevens-Johnson syndrome and discuss the clinical picture and treatment of persistent pulmonary complications with reference to earlier reports. [source] Purpura Fulminans Secondary to Transient Protein C Deficiency as a Complication of Chickenpox InfectionPEDIATRIC DERMATOLOGY, Issue 4 2006ALI BAY M.D. No abstract is available for this article. [source] Complication of mediastinal mass: Acquired tracheoesophageal fistula associated with T-cell lymphoblastic lymphomaPEDIATRIC PULMONOLOGY, Issue 7 2006John S. Moree MD Abstract The occurrence of a tracheoesophageal fistula (TEF) in the setting of lymphoma has only rarely been reported in the world literature. Most cases reported were associated with radiation therapy vs. chemotherapy alone. This report presents one case illustrating the difficulty encountered managing a TEF that developed while undergoing chemotherapy for T-cell lymphoblastic lymphoma. Pediatr Pulmonol. 2006; 41: 688,689. © 2006 Wiley-Liss, Inc. [source] Pinch-off Syndrome: A Rare Complication of Totally Implantable Venous DevicesTHE BREAST JOURNAL, Issue 1 2005Karl J. D'Silva MD No abstract is available for this article. [source] Pregnancy Complication and Outcome in Women with History of Allergy to Medicinal AgentsAMERICAN JOURNAL OF REPRODUCTIVE IMMUNOLOGY, Issue 2 2010Iris Ohel Citation Ohel I, Levy A, Zweig A, Holcberg G, Sheiner E. Pregnancy complication and outcome in women with history of allergy to medicinal agents. Am J Reprod Immunol 2010; 64: 152,158 Problem, Pregnancy outcome in women with a previous history of drug allergy and the role of drug allergies in adverse pregnancy outcomes is unclear. Method of study, A retrospective cohort study comparing pregnancies of women with and without history of drug allergy was conducted. Data were collected from the computerized perinatal database. A multiple logistic regression model, with background elimination, was constructed to control for confounders. Results, Of 186,443 deliveries, 4.6% (n = 8647) occurred in patients with a history of drug allergy. The following conditions were significantly associated with a history of drug allergy: advanced maternal age, recurrent abortions, fertility treatments, hypertensive disorders, and diabetes mellitus. Using multivariate analysis, with background elimination, history of drug allergy was significantly associated with intrauterine growth restriction (OR = 1.52, CI = 1.3,0.8, P < 0.001) and with preterm delivery (OR = 1.26, CI = 1.14,1.38, P < 0.001). Conclusion, A history of drug allergy is an independent risk factor for intrauterine growth restriction and preterm delivery. Further prospective studies are needed to investigate the nature of this association. [source] | ||||||||||||||||||||||||||||||||||||||||||||||