Pub Date : 2024-05-29eCollection Date: 2024-01-01DOI: 10.1080/08998280.2024.2345557
Saif Sami Al-Modhaffer, Ali Abdulamir Mohammed, Okba F Ahmed, Fahmi H Kakamad, Dana H Mohammed Saeed, Hawbash M Rahim, Jihad Ibrahim Hama, Hemin S Mohammed, Shvan H Mohammed
To date, no significant association has been reported between atrial septal defects (ASD) and cardiac myxomas. This study reports a 56-year-old woman with cardiac myxoma following transcatheter closure of ASD. She presented with a 3-month history of recurrent dizziness, vertigo, palpitations, and generalized weakness after undergoing ASD occlusion a year earlier. Echocardiography and cardiac computed tomography scans identified a large, mobile mass (7.2 cm × 2.8 cm) in the left atrium, protruding through the mitral valve. The patient underwent median sternotomy and pericardiotomy, and the histopathological examination confirmed the diagnosis of atrial myxoma. The current case illustrates the challenges in determining whether an atrial mass is a benign myxoma or a dangerous thrombus. While there is no definitive link between the implantation of an ASD closure device and the formation of a myxoma, the emergence of this tumor is a potential occurrence.
{"title":"Cardiac myxoma following transcatheter closure of an atrial septal defect.","authors":"Saif Sami Al-Modhaffer, Ali Abdulamir Mohammed, Okba F Ahmed, Fahmi H Kakamad, Dana H Mohammed Saeed, Hawbash M Rahim, Jihad Ibrahim Hama, Hemin S Mohammed, Shvan H Mohammed","doi":"10.1080/08998280.2024.2345557","DOIUrl":"10.1080/08998280.2024.2345557","url":null,"abstract":"<p><p>To date, no significant association has been reported between atrial septal defects (ASD) and cardiac myxomas. This study reports a 56-year-old woman with cardiac myxoma following transcatheter closure of ASD. She presented with a 3-month history of recurrent dizziness, vertigo, palpitations, and generalized weakness after undergoing ASD occlusion a year earlier. Echocardiography and cardiac computed tomography scans identified a large, mobile mass (7.2 cm × 2.8 cm) in the left atrium, protruding through the mitral valve. The patient underwent median sternotomy and pericardiotomy, and the histopathological examination confirmed the diagnosis of atrial myxoma. The current case illustrates the challenges in determining whether an atrial mass is a benign myxoma or a dangerous thrombus. While there is no definitive link between the implantation of an ASD closure device and the formation of a myxoma, the emergence of this tumor is a potential occurrence.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11332617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-29eCollection Date: 2024-01-01DOI: 10.1080/08998280.2024.2355431
Belinda M Kohl-Thomas, J Scott Thomas, Steven R Lindheim
{"title":"Deep infiltrating endometriosis: Is high-intensity focused ultrasound the answer?","authors":"Belinda M Kohl-Thomas, J Scott Thomas, Steven R Lindheim","doi":"10.1080/08998280.2024.2355431","DOIUrl":"10.1080/08998280.2024.2355431","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11188806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-28eCollection Date: 2024-01-01DOI: 10.1080/08998280.2024.2355434
Cristie Columbus
{"title":"Colon cancer and <i>Clostridioides difficile</i> infection: a not-so-lethal combination?","authors":"Cristie Columbus","doi":"10.1080/08998280.2024.2355434","DOIUrl":"10.1080/08998280.2024.2355434","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11188780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-28eCollection Date: 2024-01-01DOI: 10.1080/08998280.2024.2357522
Youstina Soliman, Angelica A Hatfield, Russell K McAllister, Michael R Fettiplace, Michael P Hofkamp
We present a 25-year-old, gravida 2, para 1 woman who developed apparent local anesthetic systemic toxicity (LAST) following activation of an epidural catheter for an urgent cesarean delivery. The patient had a height of 150 cm, weight of 92 kg, body mass index of 41 kg/m2, and calculated ideal body weight of 40 kg. A combined spinal epidural anesthetic was placed and the spinal component did not provide anesthesia to clamping of the abdomen. Subsequently, 300 mg of lidocaine was administered through the epidural catheter in three 5 mL doses over 8 minutes and surgery commenced. Approximately 30 minutes following the final 5 mL dose of epidural lidocaine, the patient had progressive loss of consciousness and was difficult to arouse. A presumptive diagnosis of LAST was made, and 60 mL of 20% intravenous lipid emulsion was administered. The patient's mental status improved to baseline within 5 minutes of lipid emulsion administration, and she made a complete recovery. Anesthesiologists should consider using ideal body weight when calculating the maximum dosage of local anesthetics, and LAST should be part of the differential diagnosis when patients have altered mental status in the setting of local anesthetic administration that exceeds recommended dosages.
{"title":"Apparent local anesthetic systemic toxicity following activation of an epidural catheter for cesarean delivery: diagnosis and management of an uncommon obstetric anesthesia complication.","authors":"Youstina Soliman, Angelica A Hatfield, Russell K McAllister, Michael R Fettiplace, Michael P Hofkamp","doi":"10.1080/08998280.2024.2357522","DOIUrl":"10.1080/08998280.2024.2357522","url":null,"abstract":"<p><p>We present a 25-year-old, gravida 2, para 1 woman who developed apparent local anesthetic systemic toxicity (LAST) following activation of an epidural catheter for an urgent cesarean delivery. The patient had a height of 150 cm, weight of 92 kg, body mass index of 41 kg/m<sup>2</sup>, and calculated ideal body weight of 40 kg. A combined spinal epidural anesthetic was placed and the spinal component did not provide anesthesia to clamping of the abdomen. Subsequently, 300 mg of lidocaine was administered through the epidural catheter in three 5 mL doses over 8 minutes and surgery commenced. Approximately 30 minutes following the final 5 mL dose of epidural lidocaine, the patient had progressive loss of consciousness and was difficult to arouse. A presumptive diagnosis of LAST was made, and 60 mL of 20% intravenous lipid emulsion was administered. The patient's mental status improved to baseline within 5 minutes of lipid emulsion administration, and she made a complete recovery. Anesthesiologists should consider using ideal body weight when calculating the maximum dosage of local anesthetics, and LAST should be part of the differential diagnosis when patients have altered mental status in the setting of local anesthetic administration that exceeds recommended dosages.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11332648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-17DOI: 10.1080/08998280.2024.2349985
Madeline Vacula, Emily E. Sharpe, Kendall Hammonds, Michael P. Hofkamp
{"title":"Effect of an increased dose of intrathecal fentanyl on cesarean delivery anesthesia at a Texas level IV maternal care center","authors":"Madeline Vacula, Emily E. Sharpe, Kendall Hammonds, Michael P. Hofkamp","doi":"10.1080/08998280.2024.2349985","DOIUrl":"https://doi.org/10.1080/08998280.2024.2349985","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140963361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-17DOI: 10.1080/08998280.2024.2352818
Peggy Cooper Davis
I want to work toward answers to two very hard questions. Here is the first: How do we avoid essentialist or stereotyped conceptions of women and men while holding to the possibility that women have the insight and inclination to transform the practice of law? I take as given the need to expose and resist stereotypes that constrain us as women and men-to deny the essentialist claims that women but not men are nurturing, that men but not women are quantitatively apt, that women are inconsistent and inconstant, while men are logical and true. I acknowledge that there are times when "Anything You Can Do, I Can Do Better" is a healthy song to sing. At the same time, I believe that the presence of women in formerly all male centers of influence can and should transform practice within those institutions. (The words "can" and "should" are carefully chosen; I do not believe that transformation is an automatic consequence of integration.) How can we reconcile the claim of similar capacities with the promise of transformation?
{"title":"We can do better","authors":"Peggy Cooper Davis","doi":"10.1080/08998280.2024.2352818","DOIUrl":"https://doi.org/10.1080/08998280.2024.2352818","url":null,"abstract":"I want to work toward answers to two very hard questions. Here is the first: How do we avoid essentialist or stereotyped conceptions of women and men while holding to the possibility that women have the insight and inclination to transform the practice of law? I take as given the need to expose and resist stereotypes that constrain us as women and men-to deny the essentialist claims that women but not men are nurturing, that men but not women are quantitatively apt, that women are inconsistent and inconstant, while men are logical and true. I acknowledge that there are times when \"Anything You Can Do, I Can Do Better\" is a healthy song to sing. At the same time, I believe that the presence of women in formerly all male centers of influence can and should transform practice within those institutions. (The words \"can\" and \"should\" are carefully chosen; I do not believe that transformation is an automatic consequence of integration.) How can we reconcile the claim of similar capacities with the promise of transformation?","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140962361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-16DOI: 10.1080/08998280.2024.2348369
Baron Hamman
{"title":"Superlative performance in cardiovascular surgery","authors":"Baron Hamman","doi":"10.1080/08998280.2024.2348369","DOIUrl":"https://doi.org/10.1080/08998280.2024.2348369","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140967402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-15DOI: 10.1080/08998280.2024.2352343
Evan Hernandez
{"title":"The shadow side of growth: understanding growth hormone therapy’s role in slipped capital femoral epiphysis","authors":"Evan Hernandez","doi":"10.1080/08998280.2024.2352343","DOIUrl":"https://doi.org/10.1080/08998280.2024.2352343","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140975434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-15DOI: 10.1080/08998280.2024.2352817
N. Polpichai, S. Saowapa, Aunchalee Jaroenlapnopparat, Phuuwadith Wattanachayakul, Pojsakorn Danpanichkul, Manasawee Tanariyakul, A. Trongtorsak
{"title":"Impact of colon cancer on outcomes in hospitalized patients with\u0000 Clostridioides difficile\u0000 infection: a national inpatient analysis","authors":"N. Polpichai, S. Saowapa, Aunchalee Jaroenlapnopparat, Phuuwadith Wattanachayakul, Pojsakorn Danpanichkul, Manasawee Tanariyakul, A. Trongtorsak","doi":"10.1080/08998280.2024.2352817","DOIUrl":"https://doi.org/10.1080/08998280.2024.2352817","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140973318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-15DOI: 10.1080/08998280.2024.2352963
Tomas Escobar Gil, Darrell D. Horton, O. F. Borja Montes, Daniel Babu, A. Sheikh
{"title":"VEXAS syndrome unveiled: a multidimensional journey from clinical presentation to management","authors":"Tomas Escobar Gil, Darrell D. Horton, O. F. Borja Montes, Daniel Babu, A. Sheikh","doi":"10.1080/08998280.2024.2352963","DOIUrl":"https://doi.org/10.1080/08998280.2024.2352963","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140973677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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