CASE 688: ASYMMETRICAL HYPERTROPHY of the HEART, Dr PHAN THANH HẢI, Dr NGUYỄN DINH, Dr ĐÀO XUÂN DUNG,MEDIC MEDICAL CENTER, HCMC VIETNAM.

A 59 year-old arterial hypertension male patient with a chest pain in taking alcohol from October 2019. He came Heart Institut HCMC with a note of infarctus of myocardium from Cantho province.  

But MSCT in Hoan my hospital Cantho province proves a slight stenosis 30% of coronary arteries. 

In COVID 19 pandemic, he goes around the private clinics with his HTA status and his heart but nothing change.

In May to July 2022 he goes to Medic Can tho and then Medic Hoa Hao Center in HCMC.

An coronary CTA of this second time shows slight stenosis under 30% and slight pericardial effusion but notes a hypertrophic cardiomyopathy of his heart.

At last Cardiac MRI confirms an asymmetrical hypertrophy of the heart.

 

He gets well with the management of  hypertrophic cardiomyopathy.

REFERENCE

CASE 687: SUBMANDIBULAR TUMOR, Dr PHAN THANH HẢI, Dr TRẦN LÃM, MEDIC MEDICAL CENTER, HCMC, VIETNAM

 A 27 year-old male patient suffers from left submandibular gland for 3 years.

Ultrasound notes a left submadibular gland tumor.

MSCT confirms the left submandibular  that invaded the mouth floor and node.

But result of FNAC has only an amount epithelium cells and RBC.  And in the second time maybe a pleomorphic tumor.

Goes through a surgery, the specimen is a malignant submandibular gland tumor, mucoepidermoid carcinoma low-grade.

CASE 686: GASTRODUODENAL ARTERIAL ANEURYSM, Dr PHAN THANH HẢI, Dr PHAN THỊ HƯỜNG, Dr HỒ KHÁNH ĐỨC, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A 64 year-old HTA diabetic male patient is detected an arterial aneurysm # 35x34 mm by ultrasound maybe a gastroduodenal arterial aneurysm.

MSCT later confirms the 35x32 mm arterial aneurysm of gastroduodenal artery.

The patient goes through an endovascular aneurysm repair (EVAR) by biological glue.

The patient remains well post-op.

But ultrasound could note the vestige of aneurysm # 34x31 mm without any Doppler signal and flow after 8 months.

CASE 685: ANEURYSM of LEFT ILIAC VEIN and CORKSCREW of LEFT EXTERNAL ILIAC ARTERY, Dr PHAN THANH HẢI, Dr NGUYỄN ĐỨC DUY LINH, Dr NGUYỄN NGỌC XUÂN GIANG, BSc TRƯƠNG TẤN PHÁT, MEDIC MEDICAL CENTER and BINH AN HOSPITAL, KIEN GIANG PROVINCE, VIETNAM.

 A 58 year-old male patient in general check-up is revealed incidentaĺly by ultrasound an aneurysm of left iliac vein  # 48x66 mm without thrombosis. In addition, the left external iliac artery dilates #15-21mm appears in tortuosity like a corkscrew.

MSCT 64 confirmes the findings of the aneurysm of left iliac vein  # 48x66 mm without thrombosis. 

And in 3 D reconstruction the corkscrew of left external iliac artery appears clearly in mild dilatation without damage of its wall beside the aneurysm of the left iliac vein.

The corkscrew of external iliac artery is an anatomic variant incidentally revealed by CTA but a skilled sonologist could detects it with experience oneself. However, the key of this case is the aneurysm of iliac vein which leads to find out an uncomplicated aneurysm and the arterial tortuosity of the external iliac artery close by. But the cause of the left iliac vein aneurysm is unknown.

Aneurysm of iliac vein is a rare entity which appears in men and on the left side. And in contrast, female gender is a predisposing factor of the arterial tortuosity.

The patient is planned to the conservative management.

REFERENCES

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