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Rodríguez-Ortiz L, Vázquez-Borrego MC, Bura FI, Granados-Rodríguez M, Valenzuela-Molina F, Rufián-Andújar B, Martínez-López A, Ortega-Salas R, Espejo-Herrero JJ, Romero-Ruiz A, Arjona-Sánchez Á. Intra-tumoural bromelain and N-acetylcysteine for recurrent and unresectable pseudomyxoma peritonei: phase I/II trial. Br J Surg 2024; 111:znae045. [PMID: 38477594 DOI: 10.1093/bjs/znae045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Accepted: 02/13/2024] [Indexed: 03/14/2024]
Affiliation(s)
- Lidia Rodríguez-Ortiz
- Unit of Surgical Oncology, Department of Surgery, Reina Sofía University Hospital, Córdoba, Spain
- GE09 Research in Peritoneal and Retroperitoneal Oncological Surgery, Maimónides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba, Spain
- Department of Biochemistry and Molecular Biology, University of Córdoba, Córdoba, Spain
| | - Mari C Vázquez-Borrego
- GE09 Research in Peritoneal and Retroperitoneal Oncological Surgery, Maimónides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba, Spain
- Department of Biochemistry and Molecular Biology, University of Córdoba, Córdoba, Spain
| | - Florina I Bura
- GE09 Research in Peritoneal and Retroperitoneal Oncological Surgery, Maimónides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba, Spain
- Department of Biochemistry and Molecular Biology, University of Córdoba, Córdoba, Spain
| | - Melissa Granados-Rodríguez
- GE09 Research in Peritoneal and Retroperitoneal Oncological Surgery, Maimónides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba, Spain
- Department of Biochemistry and Molecular Biology, University of Córdoba, Córdoba, Spain
| | - Francisca Valenzuela-Molina
- Unit of Surgical Oncology, Department of Surgery, Reina Sofía University Hospital, Córdoba, Spain
- GE09 Research in Peritoneal and Retroperitoneal Oncological Surgery, Maimónides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba, Spain
| | - Blanca Rufián-Andújar
- Unit of Surgical Oncology, Department of Surgery, Reina Sofía University Hospital, Córdoba, Spain
- GE09 Research in Peritoneal and Retroperitoneal Oncological Surgery, Maimónides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba, Spain
| | - Ana Martínez-López
- GE09 Research in Peritoneal and Retroperitoneal Oncological Surgery, Maimónides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba, Spain
- Unit of Pathology, Reina Sofia University Hospital, Córdoba, Spain
| | - Rosa Ortega-Salas
- GE09 Research in Peritoneal and Retroperitoneal Oncological Surgery, Maimónides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba, Spain
- Unit of Pathology, Reina Sofia University Hospital, Córdoba, Spain
| | | | - Antonio Romero-Ruiz
- GE09 Research in Peritoneal and Retroperitoneal Oncological Surgery, Maimónides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba, Spain
- Department of Biochemistry and Molecular Biology, University of Córdoba, Córdoba, Spain
| | - Álvaro Arjona-Sánchez
- Unit of Surgical Oncology, Department of Surgery, Reina Sofía University Hospital, Córdoba, Spain
- GE09 Research in Peritoneal and Retroperitoneal Oncological Surgery, Maimónides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba, Spain
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Espejo-Herrero JJ, Bravo-Rodríguez F, Triviño-Tarradas F, Ysamat-Marfá R, Zurera-Tendero LJ, Canis-López M. [Transient ischemic attack as the presenting symptom of a pulmonary arteriovenous fistula]. Rev Neurol 2005; 40:163-5. [PMID: 15750902] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
INTRODUCTION Transient ischemic attacks (TIA) occur as the clinical manifestation of a pulmonary arteriovenous malformation in up to 20% of cases. CASE REPORT We report the case of a 41-year-old female with an episode of TIA lasting half an hour, with right-side hemiparesis caused by a paradoxical embolisation due to the presence of a single pulmonary arteriovenous fistula (PAVF). Complementary analytical and imaging tests (CAT scan of the head without contrast, brain RMI and intra and extracranial MR-angiography) were normal. A transthoracic echocardiogram showed the presence of a patent foramen ovale which obstructed the passage of hemoce, although it was observed in the left auricle after presumably arriving through the pulmonary arteries. Since a pulmonary vascular malformation was suspected, a computerised tomographic angiography scan of the thorax was performed and this confirmed the presence of a single PAVF in the right lung. A pulmonary arteriography was then carried out to confirm the presence of the malformation, which was later embolised. Two months later, the patient was asymptomatic and the fistula did not appear in the computerised tomographic angiography scan of the thorax. CONCLUSIONS PAVFs can give rise to neurological conditions due to paradoxical embolisms that can produce abscesses and infarcts and/or concomitant lesions in the central nervous system. This is a certain indication of treatment of the malformation and the preferred technique is endovascular embolisation with coils, while surgery is reserved for cases in which endovascular treatment is not possible.
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Affiliation(s)
- J J Espejo-Herrero
- Servicio de Radiodiagnóstico, Hospital Universitario Reina Sofía, Córdoba, España.
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