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Farhat K, Farhat N, Bruyère PJ, Seghaye MC. Vena cava inferior thrombosis diagnosed 12 years after interventional atrial septum defect closure in an infant. Acta Cardiol 2024; 79:70-71. [PMID: 36803388 DOI: 10.1080/00015385.2023.2177372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 01/24/2023] [Accepted: 02/01/2023] [Indexed: 02/23/2023]
Affiliation(s)
- Khaldoun Farhat
- Department of Pediatric Cardiology, University Hospital Liège, Liège, Belgium
| | - Nesrine Farhat
- Department of Pediatric Cardiology, University Hospital Liège, Liège, Belgium
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2
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Conchin A, Kaux JF, Daenen B, Bruyère PJ, Radoux C, Courtois AC. [Acute deltoid compartment syndrome]. Rev Med Liege 2023; 78:535-539. [PMID: 37830316] [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] [Subscribe] [Scholar Register] [Indexed: 10/14/2023]
Abstract
In this article, we present a rare type of acute compartment syndrome affecting the deltoid muscle, which occurred after a crush syndrome in a patient discovered at home in a stuporous state. Although compartment syndromes are not rare, certain circumstances cause unusual consequences and localizations, shoulder impotence in the present case. The importance of an early diagnosis is obvious to avoid the risk of irreversible lesions. We describe predisposing circumstances and provide a brief review of the pathophysiology of this syndrome.
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Affiliation(s)
- Antoine Conchin
- Service de Médecine physique et Réadaptation fonctionnelle, CHU Liège, Belgique
| | - Jean-François Kaux
- Service de Médecine physique et Réadaptation fonctionnelle, CHU Liège, Belgique
| | | | | | - Cécile Radoux
- Service de Médecine physique et Réadaptation fonctionnelle, CHR Huy, Belgique
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3
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Dutilleux T, Farhat N, Bruyère PJ, Seghaye MC. [Natural course of an aortic coarctation in a child]. Rev Med Liege 2023; 78:403-406. [PMID: 37560949] [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] [Subscribe] [Scholar Register] [Indexed: 08/11/2023]
Abstract
Aortic coarctation is a frequent congenital heart disease that presents in form of two entities, the infant type and the child or adult type. The infant type is the most frequent and manifests acutely by heart failure or shock. The second one shows a slow and progressive course with no or few initial symptoms. For that reason, the diagnosis is usually missed until symptomatic arterial hypertension or hypertrophic cardiomyopathy develop. We report the case of an initially asymptomatic boy in whom the development of an aortic coarctation could be precisely documented over a period of 10 years by repeated bidimensional and Doppler echocardiography. The patient underwent successful balloon angioplasty of the aortic isthmus and stent implantation. This case points out the importance of strict follow-up in any young child in whom an even mild anomaly of the aortic arch is detected. This is critical in order not to miss an aortic coarctation that influences significantly morbidity in adulthood.
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Affiliation(s)
- Tanguy Dutilleux
- Service de Pédiatrie, Cardiologie pédiatrique, CHU Liège, Belgique
- Klinik für Kinderkardiologie, Universitätsklinikum Aachen, Allemagne
| | - Nesrine Farhat
- Service de Pédiatrie, Cardiologie pédiatrique, CHU Liège, Belgique
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4
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Questiaux JF, Farhat N, Kempeneers C, Vazquez-Jimenez JF, Désiron Q, Bruyère PJ, Defraigne JO, Seghaye MC. A late diagnosis of vascular ring: right-sided aortic arch with Kommerell diverticulum and aberrant left subclavian artery in an adolescent. Acta Cardiol 2022; 78:474-475. [PMID: 36043992 DOI: 10.1080/00015385.2022.2096706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Affiliation(s)
- Jean-François Questiaux
- Department of Pediatric Cardiology, Centre Hospitalier Universitaire de Liège, Liège, Belgium
| | - Nesrine Farhat
- Department of Pediatrics, CHR Verviers, East Belgium, Belgium
| | | | | | - Quentin Désiron
- Department of Cardiovascular Surgery, Centre Hospitalier Universitaire de Liège, Liège, Belgium
| | - Pierre-Julien Bruyère
- Department of Medical Imaging, Centre Hospitalier Universitaire de Liège, Liège, Belgium
| | - Jean-Olivier Defraigne
- Department of Cardiovascular Surgery, Centre Hospitalier Universitaire de Liège, Liège, Belgium
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Farnir F, Joachim S, Bruyère PJ, Hoffer E. A late 'Ebstein-like anomaly' after endomyocardial fibrosis in a patient with hypereosinophilia. Acta Cardiol 2022; 77:180-182. [PMID: 33683169 DOI: 10.1080/00015385.2021.1877013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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6
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Léonard M, Bruyère PJ, Sacré JP, Boboli H, Seghaye MC. Co-dominant double aortic arch: a rare cause of vascular ring causing tracheomalacia in a child. Acta Cardiol 2021; 76:1141-1142. [PMID: 32930048 DOI: 10.1080/00015385.2020.1810917] [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: 10/23/2022]
Affiliation(s)
- Mélanie Léonard
- Departments of Pediatrics, University Hospital Liège, Liège, Belgium
| | | | - Jean-Paul Sacré
- Department of Pediatrics, Pediatric Pulmonology, University Hospital Liège,Liège, Belgium
| | - Hedwige Boboli
- Department of Pediatrics, Pediatric Pulmonology, University Hospital Liège,Liège, Belgium
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Douin C, Marchetta S, Dulgheru R, Bruyère PJ, Moonen M, Lancellotti P. Case report: aortic bioprosthesis marantic endocarditis. Acta Cardiol 2021; 76:1143-1144. [PMID: 33047667 DOI: 10.1080/00015385.2020.1813995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Clara Douin
- GIGA Cardiovascular Sciences, Department of Cardiology and Radiology, University of Liège Hospital, CHU Sart-Tilman, Liège, Belgium
| | - Stella Marchetta
- Department of Cardiology, CHC MontLegia Hospital, Liège, Belgium
| | - Raluca Dulgheru
- GIGA Cardiovascular Sciences, Department of Cardiology and Radiology, University of Liège Hospital, CHU Sart-Tilman, Liège, Belgium
| | - Pierre-Julien Bruyère
- GIGA Cardiovascular Sciences, Department of Cardiology and Radiology, University of Liège Hospital, CHU Sart-Tilman, Liège, Belgium
| | - Marie Moonen
- GIGA Cardiovascular Sciences, Department of Cardiology and Radiology, University of Liège Hospital, CHU Sart-Tilman, Liège, Belgium
| | - Patrizio Lancellotti
- GIGA Cardiovascular Sciences, Department of Cardiology and Radiology, University of Liège Hospital, CHU Sart-Tilman, Liège, Belgium
- Gruppo Villa Maria Care and Research, Maria Cecilia Hospital, Cotignola, and Anthea Hospital, Bari, Italy
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8
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Bodet C, Bruyère PJ, Ferré A, Kaux JF, Courtois AC. [Cervical spondylolysis : a rare fortuitous finding]. Rev Med Liege 2020; 75:767-769. [PMID: 33331698] [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] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
A young patient consulted in our physical and rehabilitation medicine department following the onset of pain on the scapula area and at the base of his right upper limb after carrying a heavy load. After a couple of weeks, the patient also developed cervical pain. Fortuitously, the cervical scanner displayed a right C6 spondylolysis. Further evaluation by bone scan confirmed that this lesion was not recent and so probably not the cause of the symptoms. Cervical isthmic spondylolysis is a rare condition, much more common at the lumbar level and often ignored at the cervical one. The etiology, pahophysiology, imaging and treatment options for this cervical pathology are discussed in this article.
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Affiliation(s)
- C Bodet
- Service de Médecine physique, Réadaptation fonctionnelle et Traumatologie du sport, CHU Liège, Belgique
| | - P J Bruyère
- Service d'Imagerie médicale, CHR Citadelle, Liège, Belgique
| | - A Ferré
- Service de Médecine physique, Réadaptation fonctionnelle et Traumatologie du sport, CHR Huy et CHU liège, Belgique
| | - J F Kaux
- Service de Médecine physique, Réadaptation fonctionnelle et Traumatologie du sport, CHU Liège, Belgique
| | - A C Courtois
- Service de Médecine physique, Réadaptation fonctionnelle et Traumatologie du sport, CHR Huy, Belgique
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Kinuani R, Bruyère PJ, Schoysman L, Kempeneers C, Daron B, Seghaye MC. Total absence of the pericardium associated with hypogammaglobulinemia and bronchiectasis in a girl. Pediatr Rep 2019; 11:8250. [PMID: 31871606 PMCID: PMC6908960 DOI: 10.4081/pr.2019.8250] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Accepted: 10/07/2019] [Indexed: 11/23/2022] Open
Abstract
We report the case of an 8-years-old girl with recurrent pulmonary infections and wheezing since infancy, in whom asthma and immunoglobulin-G deficiency were diagnosed at the age of 7 months. Since then, the patient was treated for asthma without any satisfactory control of the disease. Cardiomegaly was finally diagnosed radiologically that led to cardiac assessment. Echocardiography suggested left sided partial anomalous pulmonary venous return that was not confirmed at angio-computed tomography scan and cardiac magnetic resonance imaging. Instead, total absence of the pericardium with relative left lung hypoplasia and left-sided bronchiectasis was diagnosed. Immune defect was confirmed. Adequate treatment by immunoglobulin supplementation and observance of the recommended care of bronchiectasis allowed favorable evolution. This case of an unusual association between an exceptional pericardial malformation and immune deficiency causing lower respiratory tract infections complicated by leftsided bronchiectasis highlights the absolute necessity to explore further any child with insufficient asthma control.
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Affiliation(s)
- Rachel Kinuani
- Department of Pediatrics, Divisions of Pediatric Cardiology and Pulmonology, University Hospital Liège
| | | | | | - Céline Kempeneers
- Department of Pediatrics, Divisions of Pediatric Cardiology and Pulmonology, University Hospital Liège
| | - Benoît Daron
- Department of Pediatrics, Regional Hospital East Belgium, Verviers, Belgium
| | - Marie-Christine Seghaye
- Department of Pediatrics, Divisions of Pediatric Cardiology and Pulmonology, University Hospital Liège
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10
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Benoit A, Davin L, Bruyère PJ, Lancellotti P, D'Orio V. [A rare complication of acute coronary syndrome : left ventricular pseudo-aneurysm]. Rev Med Liege 2019; 74:375-377. [PMID: 31373448] [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] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
We report a case of left ventricular pseudo-aneurysm and we take the opportunity to briefly review the literature concerning etiologies, diagnosis and management of this pathology, emphasizing some differences with the true aneurysm.
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Affiliation(s)
- A Benoit
- Service de Cardiologie, CHU Liège, Belgique
| | | | | | | | - V D'Orio
- Service de Cardiologie, CHU Liège, Belgique
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11
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Weerts V, Bruyère PJ, Acasandrei C, Lancellotti P, Davin L. [Image of the month : Left ventricle apical aneurism (Apical Outpouching) in a context of apical hypertrophic cardiomyopathy]. Rev Med Liege 2018; 73:165-166. [PMID: 29676867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
| | - P J Bruyère
- Imagerie diagnostique et interventionnelle cardio-vasculaire, CHU Sart Tilman, Liège, Belgique
| | - C Acasandrei
- Service de Cardiologie, Hôpital Vivalia, Arlon, Luxembourg
| | - P Lancellotti
- GIGA Cardiovascular Sciences - Heart Valve Clinic, Service de Cardiologie, CHU Sart Tilman, Liège, Belgique
| | - L Davin
- Service de Cardiologie, CHU Sart Tilman, Liège, Belgique
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Van De Heyning CM, Magne J, Piérard LA, Bruyère PJ, Davin L, De Maeyer C, Paelinck BP, Vrints CJ, Lancellotti P. Late gadolinium enhancement CMR in primary mitral regurgitation. Eur J Clin Invest 2014; 44:840-7. [PMID: 25066426 DOI: 10.1111/eci.12306] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2014] [Accepted: 07/23/2014] [Indexed: 11/29/2022]
Abstract
AIMS The appropriate timing for surgery in severe asymptomatic primary mitral regurgitation (MR) remains controversial. It has been shown that late gadolinium enhancement on cardiovascular magnetic resonance (LGE CMR), which may identify myocardial fibrosis, is associated with a worse outcome in various cardiomyopathies. We sought to investigate the prevalence and significance of delayed enhancement in primary MR. METHODS We prospectively included 41 patients with at least moderate primary MR and without overt signs of left ventricular (LV) dysfunction. Patients with evidence of coronary artery disease, arrhythmias or significant concomitant valvular disease were excluded. All patients were scheduled for transthoracic echocardiography and LGE CMR. RESULTS A total of 39 patients had interpretable LGE CMR images. Among them, 12 (31%) had late contrast uptake of the LV wall. LGE CMR showed an infarct pattern in three patients, a pattern of mid-wall fibrosis in seven patients and two patients had a combined pattern. Patients with delayed enhancement on CMR had significant higher LV diameters (LV end-systolic diameter 39 ± 4 vs. 34 ± 5 mm, P = 0·002; LV end-diastolic diameter 57 ± 5 vs. 50 ± 5 mm, P = 0·001). There was a trend towards a higher indexed left atrial volume (55 ± 21 vs. 44 ± 13 mL/m², P = 0·06). By contrast, there was no significant association between myocardial contrast uptake and age, LV ejection fraction and MR severity. CONCLUSION Left ventricular remodelling seems to be associated with the presence of delayed enhancement on CMR in primary MR. Further data are needed to determine whether LGE CMR can predict a less favourable outcome or could improve risk stratification in asymptomatic primary MR.
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Affiliation(s)
- Caroline M Van De Heyning
- GIGA Cardiovascular Sciences, Heart Valve Clinic, Department of Cardiology, CHU Sart Tilman, University of Liège Hospital, Liège, Belgium; Department of Cardiology, University of Antwerp Hospital, Edegem, Belgium
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13
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Falque B, Davin L, Mélon P, Robinet S, Bruyère PJ, Pierard L. [Cardiac amyloidosis, about an atypical case]. Rev Med Liege 2013; 68:497-503. [PMID: 24298723] [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] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
A 64 year old patient with heart failure due to primary cardiac amyloidosis is described. This case offers the opportunity to review the literature dealing with the cardiac involvement associated with this disorder and the differential diagnosis of restrictive heart disease.
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Affiliation(s)
- B Falque
- Service de Cardiologie, Imagerie cardio-vasculaire, CHU de Liège, Belgique
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14
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Davin L, Bruyère PJ, Lancellotti P, Piérard L, Legrand V. [Multimodal cardiovascular imaging before aortic valve transcatheter replacement]. Rev Med Liege 2013; 68:86-93. [PMID: 23469489] [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] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Calcified aortic valve stenosis is the most frequent valvular heart disease in developed countries with a very poor outcome when symptoms develop. However, several of these patients are denied for surgery. The main reasons are their advanced age (elderly patient), co-morbidities, technical limitations and a very high surgical risk. It is currently possible to propose a Transcatheter Aortic Valve Implantation (TAVI). After selection of candidates, the feasibility of the intervention is analysed. The size of the aortic bioprosthesis must be selected according to the cardiac anatomy. Several cardiac imaging modalities (echocardiography, computed tomography and cardiac MRI) can be used to identify unsuitable situations. Heavy calcifications or tortuosity can thwart the retrograde approach use. The sub-clavian arteries (for the CoreValve) and trans-apical approach (for the Edwards-Sapien) constitute alternatives ways.
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Affiliation(s)
- L Davin
- Service de Cardiologie-Imagerie cardio-vasculaire, CHU de Liège, Belgique.
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Abstract
Supraclavicular nerve entrapment syndrome, although rare, should be considered among the causes of anterior shoulder girdle pain. This syndrome is usually related to anatomic variants (involving the bone structures, fibrous bands, or muscles and tendons). Computed tomography is the most useful investigation. Medications used to treat neuropathic pain may provide relief. Otherwise, a local glucocorticoid injection or even surgical decompression should be considered.
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Affiliation(s)
- Frédéric Douchamps
- Service de médecine physique et réadaptation, CHU du Sart Tilman, ULG, B35, Sart Tilman, 4000 Liège, Belgium.
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Davin L, Bruyère PJ, Gach O, Legrand V, Piérard L, Lancellotti P. [Image of the month.Cardiac valves in spiral computed tomography and 3D echo]. Rev Med Liege 2008; 63:577-578. [PMID: 19009963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Affiliation(s)
- L Davin
- Service de Cardiologie, CHU Sart Tilman, Liège, Belgique.
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Affiliation(s)
- L Davin
- Service de radiologie, Hôpital universitaire Sart Tilman, Liège, Belgique
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Davin L, Lewin M, Bruyère PJ, Gach O, Martinez C, Ghaye B, Pierard L, Legrand V. [Image of the month. Coronary fistula using non-invasive CT coronary imaging]. Rev Med Liege 2007; 62:477-8. [PMID: 17853665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Affiliation(s)
- L Davin
- Service de cardiologie, CHU, Sart-Tilman, Liège
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20
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Bruyère PJ, Moreau P, Ghaye B. Congenital thymic cyst. JBR-BTR 2007; 90:178-9. [PMID: 17696085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Affiliation(s)
- P J Bruyère
- Department of Medical Imaging, University Hospital of Liège, Belgium
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Davin L, Bruyère PJ, Lewin M, Gach O, Martinez C, Ghaye B, Legrand V, Piérard L. [How I investigate... The coronary arteries in 2007: contributions of CT coronary angiography]. Rev Med Liege 2007; 62:222-9. [PMID: 17566393] [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] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
Cardiac imaging has always been a challenge because of the continuous movement of the heart. Cardiac computed tomography (CT) has undergone an accelerated progression over the past decade, due to the combination of the high-speed rotation of the X-ray tube, the ECG-gating technique and the infra-millimeter spatial resolution. Multidetector CT allows visualisation of the coronary artery lumen and the detection of coronary stenosis after intravenous injection of contrast medium. Studies have demonstrated a high negative predictive value of CT coronary angiography (CTCA). CTCA may be reasonably used for the assessment of symptomatic patients, especially in the setting of equivocal treadmill or functional testing. Also, CTCA allows assessment of coronary bypass graft patency and recognition of aberrant coronary arteries. Limitations in the use of this technique exist: atrial fibrillation and other cardiac arrhythmias remain a contraindication; severe calcifications are the most frequent reason for impaired assessment of coronary arteries. High radiation doses prohibit the use of this test as a screening tool for asymptomatic patients.
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Affiliation(s)
- L Davin
- Service de Cardiologie, CHU Sart Tilman, Liège, Belgique.
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Ghaye B, Bruyère PJ, Dondelinger RF. Nonfatal systemic air embolism during percutaneous radiofrequency ablation of a pulmonary metastasis. AJR Am J Roentgenol 2006; 187:W327-8. [PMID: 16928916 DOI: 10.2214/ajr.06.0179] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Benoit Ghaye
- University Hospital of Liege Liege B-4000, Belgium
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Bruyère PJ, Trotteur G, Creemers E, Ghaye B. Mediastinal lymphangiohemangioma associated with superior vena cava ectasia. JBR-BTR 2006; 89:116-7. [PMID: 16883750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Affiliation(s)
- P J Bruyère
- Department of Medical Imaging, University Hospital of Liège, Liège, Belgium
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Bruyère PJ, Bartsch P, Ghaye B. [Rounded atelectasis: a follow up of 10 years by CT]. Rev Med Liege 2005; 60:767-71. [PMID: 16358662] [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] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
We report the case of a 69-year-old man who presented with a rounded atelectasis (RA). During a 10-year follow-up by Computed Tomography (CT), the lobe showed a progressive shrinkage, and a moderate increase in size of the lesion led to a percutaneous biopsy which confirmed the diagnosis. RA is an unusual form of lung consolidation. The major cause of RA is asbestosis. RA is usually asymptomatic and may simulate a pulmonary neoplasm on chest Xray. The diagnosis is made by CT, demonstrating the pathognomonic "comet tail sign". No treatment is required.
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