1.Heart within a Heart.
Tarun JAIN ; Jainil SHAH ; Sunay SHAH ; Shalini MODI
Journal of Cardiovascular Ultrasound 2016;24(1):60-63
Device based closure of the left atrial appendage (LAA) has emerged as a viable approach for stroke prevention in atrial fibrillation (AF) patients with contraindications to chronic oral anticoagulation. One of the most feared complications is device related thrombus formation. We present a 66-year-old male with chronic AF who developed a life-threatening intracranial bleed on oral anti-coagulation. He subsequently underwent LAA closure using an Amplatzer muscular ventricular septal defect closure device for stroke prevention. However, he was found to have a large thrombus attached to the device a year later. We present a review of the various LAA closure devices, importance of periodic surveillance via echocardiography and management options to prevent this complication. Also, the case highlights the importance of contrast-enhance echocardiography in diagnosis of LAA closure device thrombus.
Aged
;
Atrial Appendage
;
Atrial Fibrillation
;
Diagnosis
;
Echocardiography
;
Heart Septal Defects, Ventricular
;
Heart*
;
Humans
;
Male
;
Stroke
;
Thrombosis
2.Lipofibromatosis: An unusual head and neck mass in the paediatric age group
Yogender Singh Kadian ; Kamal Nain Rattan ; Shalini Aggarwal ; Shilpi Modi ; Rajnish Kalra
Philippine Journal of Otolaryngology Head and Neck Surgery 2011;26(1):39-41
Objective:
To describe a rare case of lipofibromatosis presenting as a head and neck mass in a 6-year-old child.
Method:
Design: Case Report
Setting: Tertiary Public General Hospital
Patient: One
Result:
A six-year-old male child admitted with a large right head and neck region mass underwent complete excision of a possible soft tissue neoplasm following investigations which included Fine Needle Aspiration Cytology, Ultrasonography and Computed Tomography. Histopathological examination yielded lipofibromatosis, a very rare lesion with a distinctive fibrofatty pattern. The patient was well with no recurrence after three months of follow up.
Conclusion
Although lipofibromatosis is a rare lesion in children and has a predilection for distal extremities, it may also present as a mass in the head and neck area. Complete surgical excision is feasible and is the only treatment option available for this rare lesion