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Braun S.,Universitatsklinik Carl Gustav Carus | Kolditz M.,Universitatsklinik Carl Gustav Carus | Halank M.,Universitatsklinik Carl Gustav Carus | Weise M.,Universitatsklinik Carl Gustav Carus Dresden | And 2 more authors.
Deutsche Medizinische Wochenschrift | Year: 2011

History and admission findings: A 49-year-old woman was admitted because of hemoptysis for four months. Several bronchoscopies and thoracic computed tomographies at other hospitals had not revealed the cause of the sustained hemoptysis. Eight months before admission she had undergone pulmonary vein ablation (PVA) for paroxysmal atrial fibrillation. After the PVA she had initially received oral anticoagulation, but this had been stopped because of the hemoptysis. Physical examination at admission to our hospital was unremarkable except for moderate obesity and arterial hypertension Investigations: Ventilation/perfusion scintigraphy demonstrated combined ventilation and perfusion deficits in the left lower lobe. Transesophageal echocardiography strongly suggested stenoses of the left pulmonary veins. 3-D reconstruction of previously recorded computed tomographic images showed absence of the left inferior pulmonary vein (LIPV) and marked stenosis of the left superior pulmonary vein (LSPV). Diagnosis: It was confirmed that the hemoptysis was caused by stenosis of the left pulmonary veins, resulting from the previous PVA. Treatment and course: Percutaneous transseptal balloon dilatation of the upper and lower pulmonary veins was successfully performed. The patient was put on oral anticoagulation and discharged home free of symptoms. Conclusion: Pulmonary vein stenosis must be considered as the most likely cause of hemoptysis and respiratory symptoms after pulmonary vein ablation for atrial fibrillation. Because of ever more frequent interventions to treat atrial fibrillation and other atrial arrhythmias, great clinical vigilance and an interdisciplinary approach is mandatory to assure optimal assessment of patients with acquired pulmonary vein stenosis. © 2011 Georg Thieme Verlag KG Stuttgart · New York. Source

Wiesmuller G.A.,Gesundheitsamt der Stadt Cologne | Wiesmuller G.A.,RWTH Aachen | Szewzyk R.,Umweltbundesamt | Baschien C.,Umweltbundesamt | And 20 more authors.
Umweltmedizin in Forschung und Praxis | Year: 2013

Scientifically based assessment of possible health risks of mold exposure is very difficult in individual cases and may lead to further questions and uncertainties rather than to valid answers and solutions. To deal with this problem, a series of four workshops was held at the Annual Conferences of the German Society of Hygiene, Environmental Medicine and Preventive Medicine, Germany in 2009, 2010, 2011 and 2012. Frequently asked questions were discussed and answered based on current scientific knowledge. These questions related to possible symptoms, specific symptoms, diseases, diagnostic procedures, therapies, reasonable exposure avoidance, prevention, potential predispositions as well as medical education. Experts and interested parties with different background knowledge worked together to find answers to these questions at the workshops. The results are presented here in detail. © ecomed Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH, Landsberg. Source

Hermann C.,Universitatsklinik Carl Gustav Carus Dresden | Pillunat K.,Universitatsklinik Carl Gustav Carus Dresden | Pillunat L.E.,Universitatsklinik Carl Gustav Carus Dresden
Ophthalmologe | Year: 2013

A 31-year-old male patient developed uncontrolled elevation of intraocular pressure (IOP) under maximum tolerated therapy after severe blunt trauma to the right eye. For IOP control an Ahmed glaucoma valve implantation was necessary. On the first postoperative day the patient presented with retinal hemorrhages typical for decompression retinopathy. After a period of 6 months the hemorrhages had almost resolved and visual acuity was unaffected. The clinical picture of the case and possible mechanisms of this rare entity, which usually appears after incisional glaucoma surgery, are presented. © 2013 Springer-Verlag Berlin Heidelberg. Source

Hummel C.,Universitatsklinik Carl Gustav Carus Dresden | Krone F.,Universitatsklinik Carl Gustav Carus Dresden | Hummel T.,Universitatsklinik Carl Gustav Carus Dresden
Umweltmedizin in Forschung und Praxis | Year: 2013

The sense of smell contributes to quality life - although olfactory dysfunction is relatively frequent. Asking people about their olfactory function is often misleading. Using proper diagnostic tools olfactory function can be describer. In a clinical context psychophysical tests are most useful. In addition, electrophysiological measures may be helpful, e.g. olfactory event-related potentials. Therapy of olfactory dysfunction has only relatively few options. © ecomed Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH, Landsberg. Source

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