01232022Sun
Last updateWed, 08 Dec 2021 9am

vol.22-4

Overexpression of Securin in Human Transitional Cell Carcinoma Specimens

Pei-Chun Lai a, b, Te-Chao Fang c, d, Ted H. Chiu a, e, Yen-Ta Huang a, d, f

aInstitute of Pharmacology and Toxicology, Tzu Chi University, Hualien, Taiwan
bDepartment of Pediatrics, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
cDepartment of Medicine, Tzu Chi University, Hualien, Taiwan
dDepartment of Nephrology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
eDepartment of Pharmacology, Tzu Chi University, Hualien, Taiwan
fSurgical Critical Care Unit, Buddhist Tzu Chi General Hospital, Hualien, Taiwan

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Bow Hunter's Syndrome Masquerading as Definite Ménière's Disease

Jiann-Jy Chen a, b, c, Dem-Lion Chen d

aDepartment of Otorhinolaryngology, Taoyuan Hospital, Department of Health, Executive Yuan, Taoyuan, Taiwan
bFaculty of Medicine, School of Medicine, Fu Jen Catholic University, Taipei, Taiwan
cDepartment of Medical Imaging, Taipei Medical University & Shuang Ho Hospital, Taipei, Taiwan
dG-Home Otorhinolaryngologic Clinic, Kaohsiung, Taiwan

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Percutaneous Coronary Intervention Supported by Extracorporeal Membrane Oxygenation in a Patient With Cardiogenic Shock and Prior Coronary Artery Bypass Grafting

Li-Chin Sung a, b, Bee-Song Chang c, Ji-Hung Wang b

aDivision of Cardiology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan
bDivision of Cardiology, Department of Internal Medicine, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan
cDivision of Cardiovascular Surgery, Department of Surgery, Buddhist Tzu Chi General Hospital, Hualien, Taiwan

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Abstract

We report a diabetic man with prior coronary artery bypass grafting (CABG) who underwent coronary angiography (CAG) because of medically refractory unstable angina. CAG revealed severe stenosis of the left circumflex artery (LCX) and the right coronary artery (RCA), patent artery graft to the left anterior descending artery and total occlusion of saphe-nous venous grafts to the RCA and LCX. During percutaneous coronary intervention (PCI), the patient suffered from circulatory collapse. We postponed the procedure and placed an intra-aortic balloon pump (IABP); however, the patient remained hemodynamically unstable. He was rescued by PCI with extracorporeal membrane oxygenation (ECMO) support. No major cardiovascular event was reported during the 6-month follow-up period since treatment. We have learned that PCI in patients with prior CABG and severe left ventricular dysfunction has a high risk of inducing cardiogenic shock when an IABP is used. ECMO should be considered for these patients when PCI is performed on the vessels that supply only viable and contractile myocardium.


Keywords

Cardiogenic shock; Coronary artery bypass grafting; Extracorporeal membrane oxygenation; Percutaneous coronary intervention


 

Hyperthyroidism With Parathyroid Adenoma

Yi-Yin Huang a, Chin-Chung Chen b, Yung-Kang Wu c

aDivision of Endocrinology and Metabolism, Department of Internal Medicine, Buddhist Tzu Chi General Hospital, Taichung Branch, Taiwan
bDivision of Nephrology, Department of Internal Medicine, Buddhist Tzu Chi General Hospital, Taichung Branch, Taiwan
cDepartment of Surgery, Buddhist Tzu Chi General Hospital, Taichung Branch, Taiwan

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