Cardiac tamponade from a giant thymoma: case report

Thymoma, the most common neoplasm of the anterior mediastinum especially in adults, accounts for 20-25% of all mediastinal tumors and 50% of anterior mediastinal masses. These tumors are routinely asymptomatic for prolonged periods of time. Pericardial tamponade is a very rare initial manifestation of a thymoma. This report presents a patient who had hemorrhagic pericardial tamponade that likely resulted from the largest symptomatic mixed type (type AB) thymoma described in the literature

Early impact of aortic wrapping on patients undergoing aortic valve replacement with mild to moderate ascending aorta dilatation

<p>Abstract</p> <p>Background</p> <p>The management of mild to moderate dilatation of the ascending aorta of less than 5 cm is controversial, particularly when concomitant surgical correction of aortic valve is required. We investigate the impact of a simple method of aorta reduction using Dacron graft wrapping during aortic valve replacement on the rest of the aorta.</p> <p>Methods</p> <p>We studied 14 patients who had ascending aorta dilatation of 4-5 cm before undergoing aortic wrapping during their aortic valve replacement and compared with their post-operative imaging within a month.</p> <p>Results</p> <p>The diameters of the ascending aorta wrapped with the Dacron graft were significantly reduced within 4 weeks after surgery from 44.7 ± 2.6 to 33.6 ± 3.9 mm (p < 0.001). This was associated with significant reduction in the diameter of rest of ascending aorta: coronary sinuses (from 37.9 ± 4.9 mm to 33.3 ± 6.1 mm; p < 0.001), sinotubular junction (from 33.2 ± 4.7 mm to 30.6 ± 4.4 mm, p = 0.02), and aortic arch (from 34.7 ± 4.3 mm to 32.6 ± 4.1 mm, p = 0.03).</p> <p>Conclusions</p> <p>Reduction of ascending aortic dilatation by wrapping with a Dacron graft in this preliminary study is associated with favourable early reversed aortic remodelling. This supports the hypothesis that correction of mild-moderate dilatation of the ascending aorta with Dacron wrapping at the time of aortic valve surgery may prevent the progression of the dilatation, although the long-term study on a larger population is needed to confirm its benefits.</p

DISKRIMINASI RAS DALAM LA PUTAIN RESPECTUEUSE KARYA JEAN PAUL SARTRE

ABSTRAKPenelitian ini berjudul ?Diskriminasi Ras Dalam La Putain RespectueuseKarya Jean Paul Sartre? yang akan mengkaji tentang diskriminasi ras antara kelompok kulit putih dan kelompok kulit hitam. Tujuan penelitian ini adalah untuk menjelaskan pengaruh eksistensi tokoh La Putainterhadap masalah diskriminasi dalam drama ini.Peneliti menggunakan teori penokohan sebagai teori intrinsik sastra untuk mengidentifikasikan tokoh-tokoh dalam drama. Teori ekstrinsik yang digunakan adalah eksistensialisme sebagai penunjang guna meneliti eksistensi tokoh La Putain. Data didapatkan dalam drama La Putain Respectuese.Hasil analisis dari penelitian ini akan memperlihatkan bahwa manusia terbagi dalam beberapa kelompok ras. Meskipun telah hidup pluralisme, namun dalam beberapa praktek kehidupan manusia masih membawa nama ras, rasisme atau rasialisme. Diskriminasi ras yang sering terjadi dipengaruhi oleh eksistensi manusia yangmenonjol dan manusia lain yang menjadi pasif. Namun ada satu di antaranya yang berusaha menjadi penengah dalam konflik yang terjadix + 119 hlm