Herein, we present a case of pneumoaorta and aorto-duodenal fistula (ADF) caused by an endoluminal aortic prosthesis infection. An 82-year-old man underwent endovascular aneurysm repair with a stent graft to exclude a...Herein, we present a case of pneumoaorta and aorto-duodenal fistula (ADF) caused by an endoluminal aortic prosthesis infection. An 82-year-old man underwent endovascular aneurysm repair with a stent graft to exclude a 5.1-cm abdominal aortic aneurysm. Three months after the index procedure, the patient was taken to the emergency department at a medical university hospital. He presented with a 2-d history of bloody diarrhea. An endoluminal aortic stent graft infection was diagnosed, and an ADF was identified. The patient died of septic shock despite emergency surgery and intensive care. When encountered, stent graft infections require appropriate antibiotics and graft explantation.The diagnosis of an ADF is important, and surgery remains the most effective management if septic shock presents despite conservative treatment.展开更多
Objective Electrophysiological examination of the ipsilateral pretectotectal projection has proved that pretectal cells elicit strong suppressive responses to the ipsilateral tectum.However,the neural mechanisms under...Objective Electrophysiological examination of the ipsilateral pretectotectal projection has proved that pretectal cells elicit strong suppressive responses to the ipsilateral tectum.However,the neural mechanisms underlying the contralateral pretectotectal prejection are still obscure.The present study aimed to examine the synaptic nature of pretectal nuclei and contralateral tectal cells,and to demonstrate the spatiotemporal pattern of neuronal activity in the 2 main brain structures. Methods Intracellular recording and current source density（CSD）analysis were used to test the complexity of neuronal mechanism of pretectotectal information transfer.Results The pretectal stimulation elicited only one type of response on the contralateral tectum,the inhibitory postsynaptic potential（IPSP）.The majority of contra-induced IPSPs were assumed to be polysynaptically driven.In the CSD analysis,only one sink with short latency was observed in each profile.The ipsilateral projection produced a prominent monosynaptic sink in layer 8 of tectum.Recipient neurons were located in layers 6 and 7 of tectum.The result confirmed former findings from ipsilateral intracellular recordings.Conclusion These results suggest the following neuronal circuit：afferents from the pretectal nuclei broadly inhibit both tectal neuron,and since no second sink occurs in tectal layers,the pretectotectal excitatory afferents probably do not extend over the whole tectum,but are within limited state.The results of intracellular recording and CSD analysis further provide evidence of how pretectal afferent activity flows within the tectal laminae.展开更多
文摘Herein, we present a case of pneumoaorta and aorto-duodenal fistula (ADF) caused by an endoluminal aortic prosthesis infection. An 82-year-old man underwent endovascular aneurysm repair with a stent graft to exclude a 5.1-cm abdominal aortic aneurysm. Three months after the index procedure, the patient was taken to the emergency department at a medical university hospital. He presented with a 2-d history of bloody diarrhea. An endoluminal aortic stent graft infection was diagnosed, and an ADF was identified. The patient died of septic shock despite emergency surgery and intensive care. When encountered, stent graft infections require appropriate antibiotics and graft explantation.The diagnosis of an ADF is important, and surgery remains the most effective management if septic shock presents despite conservative treatment.
基金supported by the 21st Century program,Committee of Education of Japan at the Kyushu Institute of Technology,and the Health Bureau of Shangdong Province,China
文摘Objective Electrophysiological examination of the ipsilateral pretectotectal projection has proved that pretectal cells elicit strong suppressive responses to the ipsilateral tectum.However,the neural mechanisms underlying the contralateral pretectotectal prejection are still obscure.The present study aimed to examine the synaptic nature of pretectal nuclei and contralateral tectal cells,and to demonstrate the spatiotemporal pattern of neuronal activity in the 2 main brain structures. Methods Intracellular recording and current source density（CSD）analysis were used to test the complexity of neuronal mechanism of pretectotectal information transfer.Results The pretectal stimulation elicited only one type of response on the contralateral tectum,the inhibitory postsynaptic potential（IPSP）.The majority of contra-induced IPSPs were assumed to be polysynaptically driven.In the CSD analysis,only one sink with short latency was observed in each profile.The ipsilateral projection produced a prominent monosynaptic sink in layer 8 of tectum.Recipient neurons were located in layers 6 and 7 of tectum.The result confirmed former findings from ipsilateral intracellular recordings.Conclusion These results suggest the following neuronal circuit：afferents from the pretectal nuclei broadly inhibit both tectal neuron,and since no second sink occurs in tectal layers,the pretectotectal excitatory afferents probably do not extend over the whole tectum,but are within limited state.The results of intracellular recording and CSD analysis further provide evidence of how pretectal afferent activity flows within the tectal laminae.
