06/Nov/2024
Robotic cardiac surgery for removal of iliac venous stent embolized in the right cardiac chambers: a case report
DOI: 10.31744/einstein_journal/2024RC0943
ABSTRACT A 42-year-old female patient with a surgical history of iliac venous angioplasty with stenting developed dyspnea on exertion 9 months later. Chest computed tomography angiography revealed a fractured vascular stent in the right cardiac chamber. Doppler echocardiography confirmed that the stent was anchored by the tricuspid valve, causing mild obstruction of the right ventricular filling. The patient underwent robot-assisted cardiac surgery with stent removal, annuloplasty under general anesthesia, and cardiopulmonary bypass via an axillary incision. No sternotomy, cardioplegia, or […]
Keywords: Angioplasty; Dyspnea; Endovascular procedures; Minimally invasive surgical procedures; Robotic surgical procedures; Stents/adverse effects
19/Dec/2022
Mobile application-based oximetry: a potential tool for appropriate referral of patients with respiratory symptoms examined via telemedicine
einstein (São Paulo). 19/Dec/2022;21:eAO0025.
View Article19/Dec/2022
Mobile application-based oximetry: a potential tool for appropriate referral of patients with respiratory symptoms examined via telemedicine
DOI: 10.31744/einstein_journal/2023AO0025
Highlights The evaluated method showed moderate reproducibility when compared to the gold standard practice. This new method had a high specificity and a low sensitivity. The observed high range of SpO2 levels between the methods could lead to a wrong patient referral. The use of telemedicine to assess oxygen saturation in patient with dyspnea is a viable resource, although requiring improvement. ABSTRACT Objective To calculate the positive likelihood ratio to determine whether telemedicine is able to optimize referral to […]
Keywords: Artificial intelligence; Dyspnea; Oximetry; Referral and consultation; Respiratory tract diseases; Signs and symptoms; Telemedicine
17/Mar/2022
Fast growth rate of a right atrial myxoma
DOI: 10.31744/einstein_journal/2022RC6478
ABSTRACT Primary cardiac tumors are rare, with an incidence between 0.0017 and 0.19%, and are asymptomatic in up to 72% of cases. Approximately 75% of tumors are benign, and nearly 50% of these are myxomas. Concerning location, 75% of myxomas are in the left atrium, 15 to 20% in the right atrium, and more rarely in the ventricles. The finding of cardiac myxomas usually implies immediate surgical excision to prevent embolic events and sudden cardiac death. Reports with documented growth […]
Keywords: Dyspnea; Echocardiography; Heart atria; Heart neoplasms; Myxoma