Abnormal Tei index predicts poor left ventricular mass regression and survival after AVR in aortic stenosis patients

SummaryBackgroundA Tei index is known to reflect overall cardiac performance including systolic and diastolic function in a variety of heart disease. We investigated the relationship between preoperative Tei index and postoperative left ventricular (LV) mass regression and survival after aortic valve replacement (AVR) for aortic valve stenosis (AS).MethodsOne hundred fifty-four patients with AS were classified into a group with abnormal (Abn) LV function (n=47, 0.45≤Tei index) and a group with normal (Nor) LV function (n=107, Tei index<0.45). The pre- and postoperative echocardiographic variables including LV dimension, LV wall thickness, and LV mass regression as well as 6-year survival were compared between the two groups.ResultsThere was a significant difference in both absolute and relative LV mass index (LVMI) regression (P=0.004 and 0.0007). Multiple linear regression analysis revealed that the preoperative LVMI, Tei index, and follow-up period were independent predictors of LVMI regression after AVR. Thirteen patients died (valve-related death in 5). Although the overall survival rate in the Nor-LV group (92.8%) was significantly better than that in the Abn-LV group (71.6%), there was no significant difference in survival free from valve-related death.ConclusionsPreoperative Tei index can be one of the significant predictors of LVMI regression and overall survival after AVR

A rare case of xanthogranuloma of the stomach masquerading as an advanced stage tumor

<p>Abstract</p> <p>Background</p> <p>Xanthogranuloma of the stomach is an extremely rare disease, and this lesion has only been found to coexist with early gastric cancer in 2 cases in the literature.</p> <p>Case presentation</p> <p>We report a case of xanthogranuloma of the stomach combined with early gastric cancer that mimicked an advanced stage tumor. A 65-year-old female was referred to our hospital because of epigastralgia. During a physical examination, a defined abdominal mass was palpable in the region of the left hypochondrium. Imaging studies revealed an advanced gastric cancer, which was suspected of having infiltrated the abdominal wall. Total gastrectomy and resection of the regional lymph node and abdominal wall were performed. Histopathologic examination of the resected specimen demonstrated xanthogranuloma combined with early gastric cancer.</p> <p>Conclusion</p> <p>Xanthogranuloma presenting as a form of SMT (submucosal tumor) of the stomach is an extremely rare disease, and diagnosing it preoperatively is difficult. Further accumulation and investigation of this entity is necessary.</p

異時性両側性セミノーマの1例

異時性両側性精巣セミノーマの1症例を経験したのでここに報告する.症例は21歳男子で尿道下裂および右停留精巣の既往歴を有していた.7年前に左精巣のセミノーマ(stageI)を生じ, 今回は固定術後の右精巣にセミノーマ(stageI)の発生を認めた.We report a case of metachronous seminoma in the surgically corrected right undescended testis of a 21-year-old man who had 7 years previously developed a seminoma in the left testis along with hypospadia