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Biomedical subjects

R L Treasure

Publications and source records attributed to R L Treasure.

35 records · Page 2Linked to original sources

Pulmonary sequestration. A broad spectrum of bronchopulmonary foregut abnormalities.

We believe the broad clinical, embryological, and radiological spectrum of pulmonary sequestration has not been adequately emphasized. In order to gain clearer understanding of these foregut abnormalities, all cases from the files of three Army Medical Centers were reviewed. Thirty-two patients, the largest single series in the literature, met the criteria for a diagnosis of bronchopulmonary sequestration. Clinical manifestations varied from no symptoms to recurrent pulmonary infection, hemoptysis, and intrapleural hemorrhage. The presence of symptoms strongly correlated (23/32) with air-containing cystic sequestrations. The embryological and radiological spectra as well as appropriate operative therapy are reviewed.

Bronchopulmonary Sequestration↗

Saccular aneurysm of ascending aorta caused by granulomatous aortitis in a child.

This report describes a 7-year-old boy who underwent successful surgical excision of a saccular aneurysm of the ascending aorta caused by giant cell aortitis. The aneurysm was removed by lateral aortorrhaphy without cardiopulmonary bypass. The clinical manifestations and appropriate surgical therapy of granulomatous aortitis in childhood are discussed.

Aortic Aneurysm↗

Coexistent ipsilateral subclavian steal and thoracic outlet compression syndromes.

In this report we shall describe a 34-year old woman who presented with signs and symptoms of ipsilateral subclavian steal and thoracic outlet compression syndromes. The diagnosis was confirmed by arteriography and measurement of nerve conduction velocities. Via a single approach, the first rib was resected, the left subclavian artery was ligated at its takeoff, and flow was re-established with a woven Dacron graft. Two years postoperatively, the woman has equal and full pulses and blood pressure bilaterally, good strength, and no evidence of muscle atrophy.

Adult↗

A complication of direct right atrial catheterization for total parenteral nutrition.

A markedly malnourished man with Crohn's disease and superior vena cava thrombosis required direct right atrial catheterization for total parenteral nutrition. After 3 wk the catheter had migrated to the right pleural space, necessitating removal. An inferior vena cava line via the left saphenous vein was then utilized until the patient's death 10 wk later from pneumonitis. Technical suggestions for avoiding this complication and alternative venous access sites are discussed.

Cardiac Catheterization↗