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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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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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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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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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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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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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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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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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