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Iordanova E, Miteva P, Dakova D, Chamati H, Yankov G, Georgieva DA, Kovachev LM. Linear and Nonlinear Optics of Broad-Band Laser Pulses: Diffraction. ACS Omega 2024; 9:20648-20657. [PMID: 38764665 PMCID: PMC11097181 DOI: 10.1021/acsomega.4c02996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Revised: 04/14/2024] [Accepted: 04/18/2024] [Indexed: 05/21/2024]
Abstract
The typical spectrally limited laser pulse in the near-infrared region is narrow-band up to 40-50 fs. Its spectral width Δk is much smaller than the carrying wavenumber k0 (Δk ≪ k0) . For such kinds of pulses, on distances of a few diffraction lengths, the diffraction is of a Fresnel's type and their evolution can be described correctly in the frame of the well-known paraxial evolution equation. The technology established in 1985 of amplification through chirping of laser pulses triggered remarkable progress in laser optics along with the construction of femtosecond (fs) laser facilities producing high intensity fields of the order of 1015-1021 W/cm2. However, the duration of the pulse was quickly shortened from picoseconds down to 5-6 fs, which have a broad-band nature (Δk ∼ k0). The linear and nonlinear propagation dynamics of broad-band pulses is quite different form their narrow-band counterparts. Here, we review the appropriate theoretical approach to study the evolution of the pulse. Moreover, we shed light on the different diffraction regimes inherent to both narrow-band and broad-band laser pulses and compare them to unveil the main differences. Using this very method, in subsequent papers, we will investigate the influence of the dispersion and nonlinearity on the laser pulse propagation in isotropic media.
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Affiliation(s)
- Ekaterina Iordanova
- Institute
of Solid State Physics, Bulgarian Academy
of Sciences, 72 Tzarigradsko
Chaussée, 1784 Sofia, Bulgaria
| | - Pavlina Miteva
- Institute
of Electronics, Bulgarian Academy of Sciences, 72 Tzarigradsko Chaussée, 1784 Sofia, Bulgaria
| | - Diana Dakova
- Physics
and Technology Faculty, University of Plovdiv
“Paisii Hilendarski”, 24 Tsar Asen Straße, 4000 Plovdiv, Bulgaria
| | - Hassan Chamati
- Institute
of Solid State Physics, Bulgarian Academy
of Sciences, 72 Tzarigradsko
Chaussée, 1784 Sofia, Bulgaria
| | - Georgi Yankov
- Institute
of Solid State Physics, Bulgarian Academy
of Sciences, 72 Tzarigradsko
Chaussée, 1784 Sofia, Bulgaria
| | - Daniela A. Georgieva
- Faculty
of Applied Mathematics and Computer Science, Technical University of Sofia, 8 Kliment Ohridski Boulevard, 1000 Sofia, Bulgaria
| | - Lubomir M. Kovachev
- Institute
of Electronics, Bulgarian Academy of Sciences, 72 Tzarigradsko Chaussée, 1784 Sofia, Bulgaria
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Yankov G, Alexieva M, Ivanova S, Yankova S, Mekov E. A giant synovial sarcoma of the left lung. Folia Med (Plovdiv) 2024; 66:277-281. [PMID: 38690825 DOI: 10.3897/folmed.66.e104433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Accepted: 06/01/2023] [Indexed: 05/03/2024] Open
Abstract
Primary pulmonary synovial sarcoma is an extremely rare and aggressive neoplasm that primarily affects young people and has a poor prognosis. Establishing this diagnosis requires the exclusion of a wide number of other neoplasms with multimodal clinical, imaging, histological, immunohistochemical, and cytogenetic assessment. We present a case of synovial sarcoma of the left lung in a 44-year-old man, diagnosed immunohistochemically after left lower lobectomy with atypical resection of the 5th segment. Imaging, diagnostic workup, histological and immunohistochemical characteristics, surgical treatment, and prognosis are discussed.
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Yankov G, Alexieva M, Mekov E, Petkov R. Resection and a rare type of reconstruction of the superior vena cava with the left brachiocephalic vein. Folia Med (Plovdiv) 2024; 66:142-146. [PMID: 38426478 DOI: 10.3897/folmed.66.e102981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Accepted: 06/13/2023] [Indexed: 03/02/2024] Open
Abstract
Resection and reconstruction of the superior vena cava (SVC) are required in a selected group of patients with anterior mediastinal tumors and lung neoplasms. We present the case of a 63-year-old woman who underwent invasive type B2 thymoma resection and a rare type of reconstruction of the superior vena cava using a patch of the left brachiocephalic vein (LBV). The various types of reconstruction of the superior vena cava are discussed.
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Manchev G, Gegouskov V, Kornovski V, Yankov G, Goranovska V, Ilieva V, Petrova V. Can Open Distal Repair Be Safely Used in All Patients with Type A Acute Aortic Dissection? Ann Thorac Cardiovasc Surg 2024; 30:n/a. [PMID: 37730310 PMCID: PMC10902668 DOI: 10.5761/atcs.oa.23-00086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/22/2023] Open
Abstract
PURPOSE The distal suture line during aortic dissection repair can be performed by a closed technique or by an open technique. This study presents a retrospective comparison of both methods regarding their postoperative outcomes. PATIENTS AND METHODS 120 patients who underwent surgery for acute aortic dissection type A were divided into two groups. In group A (n = 81), open distal anastomosis was performed under hypothermic circulatory arrest and selective cerebral perfusion. In group B (n = 39), distal anastomosis was performed with the aorta cross-clamped under mildly hypothermic cardiopulmonary bypass. Primary outcomes were operative mortality, neurologic morbidity, and long-term survival. RESULTS Hospital mortality (17.3% for the open group vs. 12.8% for the closed group, p = 0.53), permanent neurologic dysfunction (8.7% vs. 8.3%, p = 1.0), and temporary neurologic dysfunction (31.9% vs. 22.2%, p = 0.298) were not significantly different between groups. No significant difference in actuarial 5- and 10-year survival was observed (88% vs. 86% and 53 vs. 73%, respectively, p = 0.396). After propensity-score adjustment, the technique of distal aortic repair was not found to be a predictor of the primary outcomes. CONCLUSION We conclude that the open repair can be used in most if not all cases of surgical repair of type A acute aortic dissection.
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Affiliation(s)
- Georgi Manchev
- Department of Cardiac Surgery, St. Anna University Hospital, Sofia, Bulgaria
- Medical University Pleven, Pleven, Bulgaria
| | - Vassil Gegouskov
- Department of Cardiac Surgery, St. Anna University Hospital, Sofia, Bulgaria
- Medical University Pleven, Pleven, Bulgaria
| | - Vladimir Kornovski
- Department of Cardiac Surgery, Heart and Brain University Hospital, Burgas, Bulgaria
| | - Georgi Yankov
- Department of Thoracic Surgery, Ivan Rilski University Hospital, Sofia, Bulgaria
| | - Valya Goranovska
- Department of Cardiac Surgery, St. Anna University Hospital, Sofia, Bulgaria
- Medical University Pleven, Pleven, Bulgaria
| | - Vicktoria Ilieva
- Department of Anesthesia and Intensive Care, Ivan Rilski University Hospital, Sofia, Bulgaria
| | - Vicktoria Petrova
- Department of Anesthesia and Intensive Care, Ivan Rilski University Hospital, Sofia, Bulgaria
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Yankov G, Alexieva M, Valev D, Mekov E. Development of organized pleural empyema as a result of occult foreign body aspiration. Folia Med (Plovdiv) 2023; 65:1000-1004. [PMID: 38351791 DOI: 10.3897/folmed.65.e91076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Accepted: 08/29/2022] [Indexed: 02/16/2024] Open
Abstract
Foreign body (FB) aspiration is a rare incident in adults. Many patients cannot recall the episode of aspiration and are hospitalized with complications of an endobronchial FB.
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Affiliation(s)
| | | | - Dinko Valev
- Medical University of Varna, Sofia, Bulgaria
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Yankov G, Alexieva M, Ivanova S, Yanev N. A rare case of recurrent mediastinal malignant paraganglioma of thyroid origin: a case report. Folia Med (Plovdiv) 2023; 65:828-833. [PMID: 38351767 DOI: 10.3897/folmed.65.e93864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 09/30/2022] [Indexed: 02/16/2024] Open
Abstract
Paraganglioma is a neuroendocrine tumor that originates from extraadrenal chromaffin cells. Primary thyroid paraganglioma is an extremely rare neoplasm. In this study, an exceptionally uncommon case of recurrent mediastinal malignant paraganglioma with primary origin from thyroid gland is presented. Median resternotomy, resection of left brachiocephalic vein, and extirpation of the mediastinal tumor were performed successfully. Commonly, it is preoperatively misdiagnosed and has unpredictable biological behavior. Incorrect diagnosis results in disastrous consequences for the patient, and consequently, correct pre- and postoperative diagnoses promise an optimal treatment plan and good prognosis. Long-term follow-up is indicated in all patients due to the risk of recurrence and distant metastases.
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Yankov G, Alexieva M, Yankova S, Mekov E. A metachronous second primary lung cancer after laryngectomy for laryngeal carcinoma. Folia Med (Plovdiv) 2023; 65:671-674. [PMID: 37655389 DOI: 10.3897/folmed.65.e85074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Accepted: 06/10/2022] [Indexed: 09/02/2023] Open
Abstract
A combination of laryngeal carcinoma and subsequent primary lung cancer is rare yet important in terms of therapeutic strategy and prognosis.
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Alexieva M, Yankov G. Anterior chest wall resection and reconstruction due to recurrent chondrosarcoma: a case report. Folia Med (Plovdiv) 2023; 65:321-325. [PMID: 37144320 DOI: 10.3897/folmed.65.e77385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2021] [Accepted: 02/09/2022] [Indexed: 05/06/2023] Open
Abstract
Chest wall chondrosarcoma is a rare malignant tumor with aggressive biological behavior. The only available treatment for primary or recurrent chondrosarcoma consists of radical surgical resection because of its well-known chemo- and radioresistance. Repeated resection for recurrent chondrosarcoma is challenging because of the altered anatomy, scarring, harvested muscles, and close proximity to vital thoracic organs. We present an uncommon case of recurrent chest wall chondrosarcoma resected in the Department of Thoracic Surgery, which we reconstructed with Symbotex mesh and reinforced by omentoplasty. In addition, we created a brief review of the prevalence, diagnostics, surgical treatment, reconstructive options, and prognosis for this condition.
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Yankov G, Karatodorov S, Mihailov V, Tankova V, Nedyalkov N, Iordanova E. Damage Threshold in Ablation Regime Induced by Femtosecond Laser Irradiation on Transparent Media. C R Acad Bulg Sci 2023. [DOI: 10.7546/crabs.2023.03.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
Abstract
The current work is a case study of ongoing in-depth extensive fundamental research on the plasma formation and relaxation dynamics in transparent media induced by mid- and short-wavelength infrared laser pulses. The experimental investigation is performed on a 35 fs-laser system setup. The working parameters such as laser energy and the number of pulses are varied. The experimental measurements are applied on borosilicate glass samples doped with gold nanoparticles. The effects of the applied laser pulses and their consequence on laser-induced ablation damage thresholds are investigated and discussed. The results from this case study provide valuable information and a deeper understanding plasma formation and dynamics induced by femtosecond infrared laser pulses in solid transparent glass media.
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Yankov G, Stankova N, Iordanova E. The Effect of Femtosecond Laser Pulse Irradiation on the Properties of Advanced Medical Grade PDMS Polymer. C R Acad Bulg Sci 2023. [DOI: 10.7546/crabs.2023.02.01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/27/2023]
Abstract
The study investigates the effect of the femtosecond laser pulse irradiation on the modification and activation effects of medical-grade polydimethylsiloxane (PDMS) polymer. The motivation of the research is based on the continuous interest and variety of applications of the PDMS material in medicine and implantable neural interface devices. The PDMS is the preferred material due to its exceptional properties such as high biocompatibility and biostability, mechanical flexibility and stability, optical transparency from UV to near IR spectral region, and cost-effectiveness. The experimental investigation is performed by a femtosecond laser system with a pulse duration of 35 fs operating at a repetition rate of 1 kHz. Consistent sets of measurements are performed to analyze and characterize the effect of the laser beam parameters on the optical absorption, and surface morphology concerning the laser-treated zones. The morphology and the optical properties of the PDMS are investigated to activate its surface for successful metallization of the modified tracks. The reported findings and observations specify favourable results of the implementation of the ultrafast laser-based method for micro- or nano-processing of optically transparent biopolymers for interface devices in bioengineering technologies such as neural implants and interface applications.
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Iordanova E, Yankov G, Karatodorov S, Kovachev L. Exceeding the Boundaries of the Paraxial Spatiotemporal Nonlinear Optics and Filamentation for Ultrashort Laser Pulses. ACS Omega 2023; 8:3501-3508. [PMID: 36713697 PMCID: PMC9878667 DOI: 10.1021/acsomega.2c07703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Accepted: 12/28/2022] [Indexed: 06/18/2023]
Abstract
An impressive phenomenon of observed plasma instability and conical emission under the propagation of ultrashort laser pulses in the air is reported. The discussed novel findings demonstrating nonlinear effects are incapable to be explained in the standard spatiotemporal paraxial optics. Three main mechanisms are investigated. The first one is related to the nonlinear nonparaxial mechanisms for waveguiding of femtosecond pulses, and the second one considers the mechanism of single filament formation at weak ionization. The third mechanism demonstrates a new physical effect leading to collision ionization with intensities in the range of 1010-1011 W/cm2. Furthermore, a new ionization regime of instability is suggested at intensities below the critical thresholds for multiphoton and tunnel ionization. The experimental results and findings are supported by theoretical analyses and numerical simulations.
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Affiliation(s)
- Ekaterina Iordanova
- Institute
of Solid State Physics, Bulgarian Academy
of Sciences, 72 Tsarigradsko
Chaussee blvd., Sofia1784, Bulgaria
| | - Georgi Yankov
- Institute
of Solid State Physics, Bulgarian Academy
of Sciences, 72 Tsarigradsko
Chaussee blvd., Sofia1784, Bulgaria
| | - Stefan Karatodorov
- Institute
of Solid State Physics, Bulgarian Academy
of Sciences, 72 Tsarigradsko
Chaussee blvd., Sofia1784, Bulgaria
| | - Lubomir Kovachev
- Institute
of Electronics, Bulgarian Academy of Sciences, 72 Tzarigradsko Chaussee blvd., Sofia1784, Bulgaria
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Yankov G, Alexieva M, Yanev N, Mekov E. Two cases with postintubation tracheal stenosis after COVID-19 pneumonia. Monaldi Arch Chest Dis 2023; 93. [PMID: 36692430 DOI: 10.4081/monaldi.2023.2452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Accepted: 11/29/2022] [Indexed: 01/24/2023] Open
Abstract
Only a small percent of all intubated SARS-CoV-2-positive patients survive because of the development of severe respiratory and multiorgan failure. The development of tracheal stenosis after orotracheal intubation or tracheostomy is a dangerous complication with gross consequences for the patient and medical staff. Endoscopic interventional procedures could be used in simple tracheal stenosis and surgical resection and anastomosis are reserved for complex stenosis or after unsuccessful endoscopic treatment. We present two cases with tracheal stenosis as a complication of prolonged intubation in COVID-19 survivors which was diagnosed up to 6 months after discharge. Clinical management and surgical techniques are also discussed.
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Affiliation(s)
- Georgi Yankov
- Department of Respiratory Diseases, Medical University Sofia.
| | | | - Nikolay Yanev
- Department of Respiratory Diseases, Medical University Sofia.
| | - Evgeni Mekov
- Department of Occupational Diseases, Medical University Sofia.
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Kyuchukov D, Simeonov P, Nachev G, Alexieva M, Yankov G. A rare case of posttraumatic aortic rupture, treated with an endovascular stent graft implantation and complicated with esophageal rupture. J Cardiothorac Surg 2022; 17:199. [PMID: 35999551 PMCID: PMC9400209 DOI: 10.1186/s13019-022-01955-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 08/16/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Esophageal necrosis and perforation after thoracic endovascular aortic repair (TEVAR) for ruptured traumatic aortic aneurysm is extremely rare. It is difficult to manage, and patients rarely survive without treatment. Although, there is no certain consensus in relation with the optimal treatment we present a subsequent successful management of both life-threatening conditions. CASE PRESENTATION A 52-year-old man experienced a blunt chest trauma after motor vehicle collision with mild symptoms of pain and fractured ribs. On the 12th day he had severe chest pain and computed tomography (CT) revealed a ruptured traumatic thoracic aortic aneurysm with massive mediastinal hematoma. An emergency thoracic endovascular aortic repair (TEVAR) was performed. Several days later the patient developed a fever. CT suspected a pneumomediastinum, a sign of esophageal rupture, but no confirmation from esophagography and esophagoscopy was achieved. Because of deteriorated septic condition, patient was referred for exploratory thoracotomy. The rupture was found and esophagectomy was performed, with an esophagostomy and gastrostomy to enable enteral nutrition. Almost one year after the esophagectomy, gastric conduit reconstruction through the retrosternal route was performed. The patient was still alive and symptom-free more than 1 year after the reconstruction and no infection of the stent graft was observed. CONCLUSION We successfully managed a rare case of esophageal necrosis after TEVAR for ruptured traumatic thoracic aortic aneurysm. It is essential to diagnose the esophageal necrosis at an early stage and provide appropriate treatment to increase survival.
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Affiliation(s)
- Dimitar Kyuchukov
- Heart Surgery Department, UMBAL "St. Ekaterina"- Medical University of Sofia, 52 A Slaveykov BLVD, 1431, Sofia, Bulgaria
| | - Peyo Simeonov
- Heart Surgery Department, UMBAL "St. Ekaterina"- Medical University of Sofia, 52 A Slaveykov BLVD, 1431, Sofia, Bulgaria
| | - Gencho Nachev
- Heart Surgery Department, UMBAL "St. Ekaterina"- Medical University of Sofia, 52 A Slaveykov BLVD, 1431, Sofia, Bulgaria.
| | - Magdalena Alexieva
- Thoracic Surgery Department, MBALBB "St. Sofia"- Medical University of Sofia, 19 Ivan Gechov BLVD, 1431, Sofia, Bulgaria
| | - Georgi Yankov
- Thoracic Surgery Department, MBALBB "St. Sofia"- Medical University of Sofia, 19 Ivan Gechov BLVD, 1431, Sofia, Bulgaria
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14
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Yankov G, Ivanovа S, Genadieva M, Alexieva M, Yanev N, Ivanova D. A mediastinal malignant thyroid paraganglioma: A case report and literature review. Int J Surg Case Rep 2022; 90:106649. [PMID: 34920317 PMCID: PMC8686023 DOI: 10.1016/j.ijscr.2021.106649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 11/26/2021] [Accepted: 11/28/2021] [Indexed: 11/29/2022] Open
Abstract
Introduction and importance Thyroid cancer is the most common endocrine malignancy, while primary paraganglioma of the thyroid gland (TP) is an unusual tumour and in rare cases, this disease tends to mimic thyroid cancer. They are rare extra-adrenal neuroendocrine tumours originating from the neural crest, and are found almost exclusively in the head and neck area. Case presentation We present a case of a 53-year-old man, in whom a mediastinal lesion originating from the left lobe of the thyroid gland was found on routine ultrasound and subsequent computed tomography (CT). Clinical discussion Total thyroidectomy and lymph dissection were performed. A review of the literature was made and a discussion was held regarding the diagnosis, the importance of surgical treatment and further behaviour. Conclusion Surgical removal of the thyroid gland is the main treatment, followed by radiation therapy. The diagnosis and differential diagnosis with other thyroid tumours is extremely important in terms of subsequent behaviour and prognosis. Lesions like the one we described should be operated on. Examination of surgical specimen is more accurate than transcutaneous biopsy. Cervicotomy is an appropriate approach but extension to sternotomy could occur.
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Affiliation(s)
- Georgi Yankov
- Surgical Department of Pulmonary Diseases, University Hospital for Pulmonary Diseases "St. Sofia", Medical University of Sofia, Sofia, Bulgaria
| | - Silvia Ivanovа
- Department of Pathology, University Hospital for Pulmonary Diseases "St. Sofia", Medical University of Sofia, Sofia, Bulgaria.
| | - Marusya Genadieva
- Department of Pathology, Alexandrovska University Hospital, Medical University of Sofia, Sofia, Bulgaria
| | - Magdalena Alexieva
- Surgical Department of Pulmonary Diseases, University Hospital for Pulmonary Diseases "St. Sofia", Medical University of Sofia, Sofia, Bulgaria
| | - Nikolay Yanev
- Department of Pulmonary Diseases, University Hospital for Pulmonary Diseases "St. Sofia", Medical University of Sofia, Sofia, Bulgaria
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Stankova N, Nikolov A, Iordanova E, Yankov G, Nedyalkov N, Atanasov P, Tatchev D, Valova E, Kolev K, Armyanov S, Karashanova D, Fukata N. New Approach toward Laser-Assisted Modification of Biocompatible Polymers Relevant to Neural Interfacing Technologies. Polymers (Basel) 2021; 13:polym13173004. [PMID: 34503043 PMCID: PMC8433805 DOI: 10.3390/polym13173004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 08/28/2021] [Accepted: 09/01/2021] [Indexed: 11/16/2022] Open
Abstract
We report on a new approach toward a laser-assisted modification of biocompatible polydimethylsiloxane (PDMS) elastomers relevant to the fabrication of stretchable multielectrode arrays (MEAs) devices for neural interfacing technologies. These applications require high-density electrode packaging to provide a high-resolution integrating system for neural stimulation and/or recording. Medical grade PDMS elastomers are highly flexible with low Young’s modulus < 1 MPa, which are similar to soft tissue (nerve, brain, muscles) among the other known biopolymers, and can easily adjust to the soft tissue curvatures. This property ensures tight contact between the electrodes and tissue and promotes intensive development of PDMS-based MEAs interfacing devices in the basic neuroscience, neural prosthetics, and hybrid bionic systems, connecting the human nervous system with electronic or robotic prostheses for restoring and treating neurological diseases. By using the UV harmonics 266 and 355 nm of Nd:YAG laser medical grade PDMS elastomer is modified by ns-laser ablation in water. A new approach of processing is proposed to (i) activate the surface and to obtain tracks with (ii) symmetric U-shaped profiles and (iii) homogeneous microstructure This technology provides miniaturization of the device and successful functionalization by electroless metallization of the tracks with platinum (Pt) without preliminary sensitization by tin (Sn) and chemical activation by palladium (Pd). As a result, platinum black layers with a cauliflower-like structure with low values of sheet resistance between 1 and 8 Ω/sq are obtained.
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Affiliation(s)
- Nadya Stankova
- Institute of Electronics, Bulgarian Academy of Sciences, 72 Tzarigradsko Shousse Blvd., 1784 Sofia, Bulgaria; (A.N.); (N.N.); (P.A.)
- Correspondence:
| | - Anastas Nikolov
- Institute of Electronics, Bulgarian Academy of Sciences, 72 Tzarigradsko Shousse Blvd., 1784 Sofia, Bulgaria; (A.N.); (N.N.); (P.A.)
| | - Ekaterina Iordanova
- Institute of Solid State Physics, Bulgarian Academy of Sciences, 72 Tzarigradsko Shousse Blvd., 1784 Sofia, Bulgaria; (E.I.); (G.Y.)
| | - Georgi Yankov
- Institute of Solid State Physics, Bulgarian Academy of Sciences, 72 Tzarigradsko Shousse Blvd., 1784 Sofia, Bulgaria; (E.I.); (G.Y.)
| | - Nikolay Nedyalkov
- Institute of Electronics, Bulgarian Academy of Sciences, 72 Tzarigradsko Shousse Blvd., 1784 Sofia, Bulgaria; (A.N.); (N.N.); (P.A.)
| | - Petar Atanasov
- Institute of Electronics, Bulgarian Academy of Sciences, 72 Tzarigradsko Shousse Blvd., 1784 Sofia, Bulgaria; (A.N.); (N.N.); (P.A.)
| | - Dragomir Tatchev
- Institute of Physical Chemistry, Bulgarian Academy of Sciences, Acad. Georgi Bonchev Str. Bld.11, 1113 Sofia, Bulgaria; (D.T.); (E.V.); (K.K.); (S.A.)
| | - Eugenia Valova
- Institute of Physical Chemistry, Bulgarian Academy of Sciences, Acad. Georgi Bonchev Str. Bld.11, 1113 Sofia, Bulgaria; (D.T.); (E.V.); (K.K.); (S.A.)
| | - Konstantin Kolev
- Institute of Physical Chemistry, Bulgarian Academy of Sciences, Acad. Georgi Bonchev Str. Bld.11, 1113 Sofia, Bulgaria; (D.T.); (E.V.); (K.K.); (S.A.)
| | - Stephan Armyanov
- Institute of Physical Chemistry, Bulgarian Academy of Sciences, Acad. Georgi Bonchev Str. Bld.11, 1113 Sofia, Bulgaria; (D.T.); (E.V.); (K.K.); (S.A.)
| | - Daniela Karashanova
- Institute of Optical Materials and Technologies, Bulgarian Academy of Sciences, G. Bonchev Street, Bl. 109, 1113 Sofia, Bulgaria;
| | - Naoki Fukata
- International Center for Materials for Nanoarchitectonics (MANA), National Institute for Materials Science (NIMS), 1-1Namiki, Tsikuba 305-0044, Japan;
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Yanev N, Mekov E, Valev D, Yankov G, Milanov V, Bichev S, Gabrovska N, Kostadinov D. EGFR mutation status yield from bronchoalveolar lavage in patients with primary pulmonary adenocarcinoma compared to a venous blood sample and tissue biopsy. PeerJ 2021; 9:e11448. [PMID: 34040898 PMCID: PMC8127956 DOI: 10.7717/peerj.11448] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 04/22/2021] [Indexed: 11/20/2022] Open
Abstract
Background In recent years, there has been a revolution in the genomic profiling and molecular typing of lung cancer. A key oncogene is the epidermal growth factor receptor (EGFR). The gold standard for determining EGFR mutation status is tissue biopsy, where a histological specimen is taken by a bronchoscopic or surgical method (transbronchial biopsy, forceps biopsy, etc.). However, in clinical practice the tissue sample is often insufficient for morphological and molecular analysis. Bronchoalveolar lavage is a validated diagnostic method for pathogenic infections in the lower respiratory tract, yet its diagnostic value for oncogenic mutation testing in lung cancer has not been extensively investigated. This study aims to compare the prevalence of EGFR mutation status in bronchoalveolar lavage and peripheral blood referring to the gold standard - tissue biopsy in patients with primary lung adenocarcinoma. Methods Twenty-six patients with adenocarcinoma were examined for EGFR mutation from tissue biopsy, peripheral blood sample and bronchoalveolar lavage. Results Thirteen patients had wild type EGFR and the other 13 had EGFR mutation. EGFR mutation from a peripheral blood sample was identified in 38.5% (5/13) of patients, whereas EGFR mutation obtained from bronchoalveolar lavage (BAL) was identified in 92.3% (12/13). This study demonstrates that a liquid biopsy sample for EGFR status from BAL has a higher sensitivity compared to a venous blood sample.
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Affiliation(s)
- Nikolay Yanev
- Department of Pulmonary Diseases, Medical University - Sofia, Sofia, Bulgaria
| | - Evgeni Mekov
- Department of Pulmonary Diseases, Medical University - Sofia, Sofia, Bulgaria
| | - Dinko Valev
- University Hospital "St. Ioan Krustitel", Sofia, Bulgaria
| | - Georgi Yankov
- Department of Pulmonary Diseases, Medical University - Sofia, Sofia, Bulgaria
| | - Vladimir Milanov
- Department of Pulmonary Diseases, Medical University - Sofia, Sofia, Bulgaria
| | - Stoyan Bichev
- National Genetics Laboratory, Medical University - Sofia, Sofia, Bulgaria
| | - Natalia Gabrovska
- Department of Pulmonary Diseases, Medical University - Sofia, Sofia, Bulgaria
| | - Dimitar Kostadinov
- Department of Pulmonary Diseases, Medical University - Sofia, Sofia, Bulgaria
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17
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Yankov G, Ilieva V. Giant Esophageal Fibrolipoma and an End-Stage Megaesophagus due to Achalasia. Am Surg 2020; 86:529-530. [PMID: 32684020 DOI: 10.1177/0003134820919733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Georgi Yankov
- 58789 Department of Thoracic Surgery, Medical University - Sofia, Sofia, Bulgaria
| | - Viktoria Ilieva
- Department of Anaesthesiology and Intensive Care, Medical University, Sofia, Bulgaria
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18
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Petkov R, Minchev T, Yamakova Y, Mekov E, Yankov G, Petrov D. Diagnostic value and complication rate of ultrasound-guided transthoracic core needle biopsy in mediastinal lesions. PLoS One 2020; 15:e0231523. [PMID: 32298324 PMCID: PMC7162474 DOI: 10.1371/journal.pone.0231523] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2019] [Accepted: 03/26/2020] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND Ultrasound-guided transthoracic core needle biopsy (US-TCNB) is a promising method for establishing the correct diagnosis of mediastinal masses. However, the existing studies in this area are scant and with small samples. PURPOSE To evaluate the diagnostic value and the complication rate of US-TCNB, particularly large bore cutting biopsy in patients with mediastinal lesions. MATERIAL AND METHODS This retrospective study includes 566 patients with mediastinal lesions suspicious of malignancy evaluated between March 2004 and December 2018. Inclusion criteria: 1. Patients with mediastinal lesions detected on thoracic CT scan; 2. Lesions more than 15 mm; 3. Negative histological diagnosis after bronchoscopic biopsy; 4. Normal coagulation status; 5. Cooperative patient; 6. Written informed consent. US visualization of the mediastinal lesions was successful in 308 (54.4%). In all of them, US-TCNB was performed. All patients with mediastinal lesions unsuitable for US visualization were evaluated for a CT-guided transthoracic needle biopsy (CT-TTNB), which was done if the presence of a safe trajectory was available (n = 41, 7.2%). All patients inappropriate for image-guided TTNB were referred to primary surgical diagnostic procedures (n = 217, 38.3%). RESULTS The US-TCNB is a highly effective (accuracy 96%, sensitivity 95%) and safe tool (2.6% complications) in the diagnosis of all subgroups mediastinal lesions. It is non-inferior to CT-TTNB (90%) and comes close to the effectiveness of surgical biopsy techniques (98.4%), but is less invasive and with a lower complication rate. CONCLUSION US-TCNB of mediastinal lesions is highly effective and safe tool which is particularly helpful in critically ill patients.
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Affiliation(s)
- Rosen Petkov
- Department of Pulmonary Diseases, MHATPD ‘Sveta Sofia’, Medical University – Sofia, Sofia, Bulgaria
| | - Tzvetan Minchev
- Thoracic Surgery Department, Acibadem Tokuda Hospital, Sofia, Bulgaria
| | - Yordanka Yamakova
- Department of Anesthesiology and Intensive Care, National Oncology Hospital, Medical University – Sofia, Sofia, Bulgaria
| | - Evgeni Mekov
- Department of Pulmonary Diseases, MHATPD ‘Sveta Sofia’, Medical University – Sofia, Sofia, Bulgaria
- * E-mail:
| | - Georgi Yankov
- Department of Pulmonary Diseases, MHATPD ‘Sveta Sofia’, Medical University – Sofia, Sofia, Bulgaria
| | - Danail Petrov
- Department of Pulmonary Diseases, MHATPD ‘Sveta Sofia’, Medical University – Sofia, Sofia, Bulgaria
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19
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Yankov G, Mekov E, Kovacheva M, Vladimirov B, Petkov R. Diaphragmatic Hernia after Transthoracic Esophagectomy. Am Surg 2020. [DOI: 10.1177/000313482008600311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Georgi Yankov
- Department of Pulmonary Diseases MHATPD “Sveta Sofia” Medical University - Sofia Sofia, Bulgaria
| | - Evgeni Mekov
- Department of Pulmonary Diseases MHATPD “Sveta Sofia” Medical University - Sofia Sofia, Bulgaria
| | - Mila Kovacheva
- Department of Gastroenterology University Hospital “Queen Yoanna” Medical University - Sofia Sofia, Bulgaria
| | - Borislav Vladimirov
- Department of Gastroenterology University Hospital “Queen Yoanna” Medical University - Sofia Sofia, Bulgaria
| | - Rosen Petkov
- Department of Pulmonary Diseases MHATPD “Sveta Sofia” Medical University - Sofia Sofia, Bulgaria
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20
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Yankov G, Mekov E, Kovacheva M, Vladimirov B, Petkov R. Diaphragmatic Hernia after Transthoracic Esophagectomy. Am Surg 2020; 86:e136-e138. [PMID: 32223821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
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21
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Yamakova Y, Ilieva VA, Petkov R, Yankov G. Nanomembrane-Based Therapeutic Plasmapheresis after Non-Invasive Ventilation Failure for Treatment of a Patient with Acute Respiratory Distress Syndrome and Myasthenia Gravis: A Case Report. Blood Purif 2019; 48:382-384. [PMID: 31357202 DOI: 10.1159/000502078] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2019] [Accepted: 07/11/2019] [Indexed: 11/19/2022]
Abstract
Acute respiratory distress syndrome (ARDS) is characterized by a widespread inflammation of the lungs, causing severe hypoxemia. Several mediators have been associated with it and almost all of them are small enough to be filtrated through a nanomembrane. We present a case report of a 41-year-old man with myasthenia gravis in remission; he developed ARDS caused by pneumonia. Although he performed well on both non-invasive and invasive mechanical ventilation, his oxygenation continued to deteriorate. As a last resort of treatment, we decided to apply nanomembrane-based apheresis to cleanse his plasma from the harmful inflammatory mediators. After 3 sessions of plasmapheresis, his condition improved and he was successfully weaned from mechanical ventilation. The obtained results gave us ground to assume that the removal of bioactive molecules can be a useful adjunct to protective mechanical ventilation in ARDS.
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Affiliation(s)
- Yordanka Yamakova
- Department of Anesthesiology and Intensive Care, Medical University of Sofia, Sofia, Bulgaria
| | - Viktoria Asenova Ilieva
- Department of Anesthesiology and Intensive Care, Medical University of Sofia, Sofia, Bulgaria,
| | - Rosen Petkov
- Department of Pneumology, Medical University of Sofia, Sofia, Bulgaria
| | - Georgi Yankov
- Department of Thoracic Surgery, Medical University of Sofia, Sofia, Bulgaria
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22
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Yankov G, Yamakova Y, Vladimirov B, Ilieva V, Alexov S, Petrov D. Neo-esophago-sternocutaneous fistula after coloesophagoplasty: A case report. Asian Cardiovasc Thorac Ann 2019; 27:695-697. [PMID: 31319674 DOI: 10.1177/0218492319865444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Revision surgery following colon interposition is a challenging problem. We describe a case of successful surgery for neo-esophago-sternocutaneous fistula as a late complication following coloesophagoplasty for intractable benign stricture. The cutaneous part of the fistula was excised and the distal part of the sternum was resected. On the anterior wall of the colon graft, there was a large defect that communicated with the posterior wall of the osteomyelitis-transformed sternum with sinus track formation. After excising the edges of the neoesophagus defect, Roux-en-Y neo-esophagojejunostomy and gastrostomy were carried out.
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Affiliation(s)
- Georgi Yankov
- Department of Thoracic Surgery, Specialized Hospital for Pulmonary Diseases "St. Sofia", Medical University, Sofia, Bulgaria
| | - Yordanka Yamakova
- Department of Anesthesiology and Intensive Care, Specialized Hospital for Pulmonary Diseases "St. Sofia", Medical University, Sofia, Bulgaria
| | - Borislav Vladimirov
- Department of Gastroenterology, University Hospital "Queen Yoanna", Medical University, Sofia, Bulgaria
| | - Viktoria Ilieva
- Department of Anesthesiology and Intensive Care, Specialized Hospital for Pulmonary Diseases "St. Sofia", Medical University, Sofia, Bulgaria
| | - Svilen Alexov
- Department of Anesthesiology and Intensive Care, Specialized Hospital for Pulmonary Diseases "St. Sofia", Medical University, Sofia, Bulgaria
| | - Danail Petrov
- Department of Thoracic Surgery, Specialized Hospital for Pulmonary Diseases "St. Sofia", Medical University, Sofia, Bulgaria
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23
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Petrov D, Yankov G, Atanassova M, Semkov A, Bichev S. P3.13-19 Surgery for cIIIB Lung Adenocarcinoma After Response to Erlotinib, Survival and Management of Postoperative Oligoprogressions. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.1859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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24
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Petrov D, Semkov A, Djuric D, Naseva E, Yankov G, Shumarova S, Todorov G. P3.08-12 Long-Term Outcome After Adrenalectomy for Isolated Adrenal Metastasis in Otherwise Operable Patients With NSCLC - Two Institutions Study. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.1763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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25
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Min H, Zickar M, Yankov G. Understanding item parameters in personality scales: An explanatory item response modeling approach. Personality and Individual Differences 2018. [DOI: 10.1016/j.paid.2018.02.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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27
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Petrov D, Cherneva R, Yankov G, Marinova D. NSCLC as a chaperonopathology: diagnostic and prognostic significance of HSPB5. J Cardiothorac Surg 2013. [PMCID: PMC3845502 DOI: 10.1186/1749-8090-8-s1-o230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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28
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Petrov D, Marinova D, Goranov E, Slavova Y, Yankov G. Surgical treatment for bronhial carcinoid tumors prognostic factors for long-term outcome. J Cardiothorac Surg 2013. [PMCID: PMC3844658 DOI: 10.1186/1749-8090-8-s1-o231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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29
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Petrov D, Stanoev V, Penkov M, Goranov E, Yankov G. [Surgical treatment of pulmonary sequestration--20 years experience]. Khirurgiia (Mosk) 2009:16-20. [PMID: 20506773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
AIM To study our experience in the diagnostics and treatment of pulmonary sequestration and to evaluate the long-term postoperative results. MATERIAL AND METHODS Between Jan 1989 and Jan 2009. 8 patients (3 men, 5 women, mean age of 23.9 years) were operated on for lung sequestration. Sequestration was intralobar in 6 cases and extralobar in 2 cases. The abnormality was discovered by chance in 2 patients. The most frequent clinical manifestation was those of recurrent bronchopneumonia. Chest X-rays showed an apparently benign, posterobasal image in 75% of the cases. Arteriography was performed in 2 patients and revealed an abnormal systemic artery. Computerized tomography imaging with i.v. contrast confirmed the diagnosis in 6 patients. The intralobar type of sequestration was treated by lobectomy, and the extralobar type by sequestrectomy. RESULTS The operative mortality and the morbidity rates were nil. The mean in-hospital stay was 7.75 days. The long-term postoperative results (follow-up from 5 to 20 years) are considered excellent. CONCLUSION The surgery is a method of choice in the treatment of pulmonary sequestration. with low rate of postoperative complications and excellent long-term results.
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