In recent years, the use of Left Ventricular Assist Devices (LVAD) in the treatment of heart failure has been increasingly widespread. Not only do they provide circulatory support for patients, but the reverse… Read More
Month: August 2025
Delayed recurrence of complete atrioventricular block following ablation for premature ventricular complexes
A 77-year-old man was admitted for catheter ablation due to frequent premature ventricular complexes (PVCs). Activation mapping revealed that the earliest ventricular activation during the PVC was recorded on … Read More
Elucidating the role of LGALS3BP in coronary atherosclerosis: integrating bioinformatics and machine learning for advanced insights
Atherosclerosis (AS) is increasingly recognized as a chronic inflammatory disease that significantly impacts vascular health and contributes to cardiovascular disorders. LGALS3BP, a well-studied molecule, play… Read More
Shortness of breath on a mustard patient: multidisciplinary approach improves outcomes
Dextro-transposition of the great arteries post-atrial switch patients may experience complications like baffle stenosis. While percutaneous interventions are the standard treatment, severe calcification can r… Read More
Bilateral Red Breast Syndrome in Prepectoral Implant-based Immediate Breast Reconstruction Using Bovine Pericardium Acellular Collagen Matrix
Plast Reconstr Surg Glob Open. 2025 Jul 1;13(7):e6941. doi: 10.1097/GOX.0000000000006941. eCollection 2025 Jul.
ABSTRACT
Red breast syndrome (RBS) is a rare and intriguing clinical phenomenon that remains only partially understood. It is characterized by erythema and warmth of the breast following breast reconstructive surgery. This clinical condition is typically associated with the use of acellular dermal matrix (ADM) over breast implants. Currently, surgeons prefer using ADMs for immediate prepectoral implant-based breast reconstruction to enhance aesthetic outcomes and promote better implant integration. ADMs can induce a local inflammatory response that may mimic an actual implant infection. Although rare, the etiology, diagnosis, and treatment of RBS present a significant challenge for both patients and healthcare professionals due to its enigmatic nature. We present a case of bilateral RBS following bilateral nipple-sparing mastectomy and immediate prepectoral implant-based breast reconstruction using a specific acellular collagen matrix derived from bovine pericardium. We detail our diagnostic approach and treatment strategy, which successfully resolved the syndrome while preserving both the breast implants and the ADMs.
PMID:40606802 | PMC:PMC12212803 | DOI:10.1097/GOX.0000000000006941
Predicting spread through air space of lung adenocarcinoma based on deep learning and machine learning models
The aim of this study was to develop a machine learning model that can predict spread through air space (STAS) of lung adenocarcinoma preoperatively. STAS is associated with poor prognosis in invasive lung ade… Read More
Correction: Quality of registration and adherence to guidelines for blood management in CABG surgeries: a case study
Chirurgische Behandlung der residualen frühkindlichen Esotropie mittels lyophilisiertem Rinderperikard – eine Fallserie von 29 Patienten.
Klin Monbl Augenheilkd. 2025 Aug 8. doi: 10.1055/a-2670-1917. Online ahead of print.
ABSTRACT
PURPOSE: This study aimed to assess the effectiveness of tendon elongation using Tutopatch as a secondary intervention for residual infantile esotropia, particularly in patients exhibiting limited abduction, for whom further conventional surgery might not yield successful outcomes.
METHODS: Design: This retrospective study analyzed data from patients with residual deviation angles following previous surgery for infantile esotropia.
PARTICIPANTS AND INTERVENTION: All patients who underwent tendon elongation with Tutopatch between 2009 and 2023 were included in the study, excluding those with other ocular or strabismus diagnoses or those who refused to participate.
SETTING: The data were collected from patients operated at a single tertiary medical center. The analysis included pre- and postoperative deviation angles recorded at one day, three months, and twelve months, if available. The dose-effect relationship, defined as the deviation angle in degrees per effective operative distance in millimeters, and overall success rates were determined.
PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome measure was the effect of using Tutopatch on the deviation angle. The secondary measure was the effect on ocular motility.
RESULTS: Participants and intervention: The study included twenty-nine patients (ten females, 19 males) with a median age of 17 years (range: 5 – 59 years). The median preoperative deviation angle was +15° (range: +6° to +27°), which decreased to -1.5° (range: -12° to +7°) at the three-month follow-up in 22 patients. Subsequent long-term follow-up in ten patients, after a median duration of 34.5 months (range: 13 to 69 months), revealed a median deviation angle of -1° (range: -15° to +15°). Postoperative adduction was slightly reduced by a median of 5° (range: loss of 30° to gain of 15°). No postoperative complications were observed. Overcorrection necessitated re-operation in five patients, which was uneventful. The median postoperative deviation angle following re-operation was -1° (range: -5° to +8°).
CONCLUSION: Tendon elongation with Tutopatch is effective in managing significant residual infantile esotropia, particularly in complex cases, with minimal impact on duction limitation. Long-term overcorrection may occur, necessitating re-operation that can be performed without difficulty. Zielsetzung: Diese Studie untersucht die Wirksamkeit der Sehnenverlängerung mittels Tutopatch bei residualer frühkindlicher Esotropie, insbesondere bei Patienten*innen mit eingeschränkter Abduktion, bei denen eine konventionelle Nachoperation eventuell nicht erfolgreich wäre.
METHODEN: Studiendesign: Retrospektive Analyse von Patienten*innen mit residualem Schielwinkel nach vorangegangener Operation. Patienten*innen und Intervention: Eingeschlossen wurden alle Patienten*innen, die zwischen 2009 und 2023 eine Sehnenverlängerung mit Tutopatch erhielten. Ausgeschlossen wurden Patienten*innen mit weiteren okulären Diagnosen oder fehlender Einwilligung.
SETTING: Die Datenerhebung erfolgte in einem universitären Zentrum. Analysiert wurden Schielwinkel vor der Operation sowie an Tag 1, nach drei Monaten und – sofern verfügbar – nach zwölf Monaten. Zudem wurde der Dose-Effect (Grad pro mm Operationsstrecke) berechnet und die Erfolgsrate erfasst. Zielparameter: Primärer Endpunkt war die Veränderung des Schielwinkels, sekundärer Endpunkt die Veränderung der okulären Motilität. Ergebnisse: Insgesamt wurden 29 Patienten*innen (10 weiblich, 19 männlich; medianes Alter: 17 Jahre, Spanne: 5–59) eingeschlossen. Der mediane präoperative Schielwinkel betrug +15° und verringerte sich auf -1,5° drei Monate postoperativ (n=22). Die Langzeitnachbeobachtung (n=8, median: 43 Monate) zeigte einen mittleren Schielwinkel von +1°. Die Adduktion war postoperativ median um 5° vermindert (Spanne: -30° bis +15°). Es traten keine Komplikationen auf. Bei fünf Patienten*innen war eine Reoperation wegen Überkorrektur erforderlich; der mediane postoperative Schielwinkel nach Revision betrug -1°. Schlussfolgerung: Die Sehnenverlängerung mit Tutopatch ist bei komplexer residualer frühkindlicher Esotropie wirksam und hat nur geringe Auswirkungen auf die Augenmotilität. Langfristige Überkorrekturen sind möglich, lassen sich jedoch problemlos durch Reoperation korrigieren.
PMID:40780284 | DOI:10.1055/a-2670-1917