Acta medica Lituanica
type: channel
description: Founded in 1994. The periodical scholarly journal Acta medica Lituanica is published by the Lithuanian Academy of Sciences in collaboration with the Faculty of Medicine of Vilnius University and the National Cancer Institute. It publishes papers on high quality research, mostly from Lithuania, the Baltic states, and Eastern Europe. Indexed in the Scopus database since 2021.
publisher: Vilniaus universiteto leidykla / Vilnius University Press
language: en
publication name: Acta medica Lituanica
issn: 1392-0138
items: Biological Versus Synthetic Grafts in ACL Reconstruction: A Comparative Analysis of Failure Rates, Knee Stability, and Functional Outcomes
items: IgG4-related Disease Manifesting as Autoimmune Pancreatitis, Sialadenitis, and Cholangitis: Case Report
items: Editorial Board and Table of Contents
items: An Anomalous Right Coronary Artery Originating from the Left Anterior Descending Artery, a Case Report of Successful Percutaneous Coronary Intervention
items: The Silent Shunt: Traumatic Splenic AV Fistula Revealed and Treated Endovascularly
items: Bilateral Inguinal Hernia Repair: Laparoscopic Totally Extraperitoneal Versus Open Lichtenstein
items: Giant Descending Thoracic Aortic Aneurysm: A Case Report
items: High Bifurcation of the Common Carotid Artery with Pentafurcation of the External Carotid Artery: Case Series with Review of Literature
items: Kaposi Varicelliform Eruption Complicated by Steroids: A Case Report and Review of Literature
items: Role of Proton Beam Therapy in Hepatic Oligometastasis: Review of Evidence
items: Rare Run-Over Clinical Case. Evisceration of the Intestines through the Wrist
items: Automated Deep Learning Based Cardiac Quantification in Hypertrophic Cardiomyopathy: A Comparative Study with Manual Segmentation
items: Nodal Marginal Zone Lymphoma with Simultaneous Transformation at Diagnosis and Pleural Effusion as the Initial Presentation: A Case Report
items: Efficiency of Microwave Ablation for Cortisol-Producing Adrenal Adenomas: Case Series and a Literature Review
items: Mortality Rates of Minor vs Major Lower Extremity Amputations in Diabetic Patients
items: Emerging Risks of Amanita Muscaria: Case Reports on Increasing Consumption and Health Risks
items: Stereotactic Ablative Radiation Therapy for Metastatic Renal Cell Carcinoma – A Review of Evidence
items: Artery of Percheron Stroke: A Case Report
items: Cocaine-Induced Posterior Reversible Encephalopathy Syndrome (PRES): A Case Report Highlighting Neurological and Clinical Outcomes
items: Diagnostic Challenges in Lymphangioleiomyomatosis: From Ovarian Mass to Systemic Diagnosis
items: List of Reviewers
items: Bilateral Olecranon and Left Lesser Trochanter Avulsion Fractures in Renal Osteodystrophy: A Rare Case Report and Comprehensive Review
items: Aprepitant versus Olanzapine in Patients of Breast Cancer on Adriamycin and Cyclophosphamide Regimen – Role in Effectiveness of Prevention of Nausea and Vomiting
items: Galectin-10 Characterization in Cleft Lip Palate – Affected Palatal Tissue
items: Mechanical Mitral Valve Prosthesis Thrombosis: A Case Report
items: Mid-Cavitary Obstruction in Hypertrophic Cardiomyopathy (HCM): A Rare Case Report and Management Approach
items: Establishing Local Diagnostic Reference Levels and Reference Curves for Thorax and Abdomen-Pelvis Paediatric CT Procedures
items: Fatal Outcome of Suicidal Multi-Substance Ingestion Involving Sodium Nitrate and Nitrite Toxicity: A Case Report and Literature Review
items: Rescue Strategy in Cardiogenic Shock: Emergency Transcatheter Aortic Valve Implantation for Failed Bioprosthetic Valve – Case Report

Biological Versus Synthetic Grafts in ACL Reconstruction: A Comparative Analysis of Failure Rates, Knee Stability, and Functional Outcomes
type: item
description: Background: Anterior cruciate ligament (ACL) injuries are among the most common and impactful musculoskeletal injuries, particularly in athletic populations. A variety of biological and synthetic grafts are used in surgical reconstruction, each offering different biomechanical properties and long-term outcomes. Materials and Methods: This narrative review analyzed 42 original clinical studies published between 1989 and 2024. Articles were retrieved from PubMed and Google Scholar by using terms such as ‘ACL reconstruction’, ‘BPTB’, ‘hamstring tendon’, ‘quadriceps tendon’, ‘LARS’, ‘Leeds-Keio’, and ‘GORE-TEX’. Key outcomes included graft failure rates, postoperative knee stability (e.g., KT-1000, Lachman test), and functional outcomes (Lysholm, Tegner, IKDC). Numerical data were pooled descriptively; no formal meta-analysis was performed. Results: Biological grafts, particularly BPTB and quadriceps tendon autografts, demonstrated the lowest failure rates (as low as 1.2%) and superior mechanical stability (>95% achieving Grade 0–1 laxity) compared to synthetic options. Hamstring tendon autografts were slightly less durable but still reliable. Synthetic grafts, and especially GORE-TEX and Leeds-Keio, were associated with higher failure rates (up to 33%) and complications related to poor biological integration. Conclusions: BPTB and QT autografts remain the most reliable options for ACL reconstruction, offering excellent long-term outcomes. While synthetic grafts may be appropriate in select patients, they carry a higher risk of failure and complications. Graft selection should be individualized based on the patient activity level, anatomical considerations, and tolerance for donor-site morbidity.
subject: Review papers
  topic: section
subject: Anterior cruciate ligament
  topic: keywords
subject: ACL reconstruction
  topic: keywords
subject: graft failure
  topic: keywords
subject: knee stability
  topic: keywords
subject: functional outcomes
  topic: keywords
subject: biological graft
  topic: keywords
subject: synthetic ligament
  topic: keywords
creator: Karolis Strašunskas
creator: Rokas Jurkonis
rights: Copyright (c) 2025 Karolis Strašunskas | Rokas Jurkonis https://creativecommons.org/licenses/by/4.0
date: 2025-10-24
publication date: 2025-10-24
starting page: 13
ending page: 13
doi: 10.15388/Amed.2025.32.2.13

IgG4-related Disease Manifesting as Autoimmune Pancreatitis, Sialadenitis, and Cholangitis: Case Report
type: item
description: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;">IgG4-related disease (IgG4-RD) is a rare autoimmune disease which can affect almost any organ. We present a case of IgG4-RD, which manifested as chronic autoimmune pancreatitis with pancreatic insufficiency, severe malnutrition, autoimmune sialadenitis, and cholangitis. After the administration of prednisolone and mycophenolate mofetil, the patient’s condition improved significantly.
subject: Case studies
  topic: section
subject: IgG4-related disease
  topic: keywords
subject: autoimmune pancreatitis
  topic: keywords
subject: sialadenitis
  topic: keywords
subject: cholangitis
  topic: keywords
creator: Augustina Tumelytė
creator: Vytautas Rimkus
creator: Paulina Tekoriutė
creator: Limas Kupčinskas
rights: Copyright (c) 2025 Augustina Tumelytė | Vytautas Rimkus | Paulina Tekoriutė | Limas Kupčinskas https://creativecommons.org/licenses/by/4.0
date: 2025-08-25
publication date: 2025-08-25
starting page: 11
ending page: 11
doi: 10.15388/Amed.2025.32.2.11

Editorial Board and Table of Contents
type: item
description: -
subject: Front Matter
  topic: section
subject: -
  topic: keywords
creator: Rimantas Jankauskas
rights: Copyright (c) 2025 Authors https://creativecommons.org/licenses/by/4.0
date: 2025-07-02
publication date: 2025-07-02
starting page: 1
ending page: 5

An Anomalous Right Coronary Artery Originating from the Left Anterior Descending Artery, a Case Report of Successful Percutaneous Coronary Intervention
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Background:<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> An anomalous right coronary artery (RCA) originating from the left anterior descending artery (LAD) is a rare subtype of single coronary artery ostium. Revascularization in such cases is challenging due to the large feeding territory or the potential for compression by an adjacent vessel.<br style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1" /><strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-t…
subject: Case studies
  topic: section
subject: percutaneous coronary intervention
  topic: keywords
subject: coronary vessel anomalies
  topic: keywords
subject: cardiovascular abnormalities
  topic: keywords
creator: Ebrahim Nematipour
creator: Arash Shekari
creator: Shapour Shirani
creator: Seyyed Mojtaba Ghorashi
rights: Copyright (c) 2025 Ebrahim Nematipour | Arash Shekari | Shapour Shirani | Seyed Mojtaba Ghorashi https://creativecommons.org/licenses/by/4.0
date: 2025-08-06
publication date: 2025-08-06
starting page: 7
ending page: 7
doi: 10.15388/Amed.2025.32.2.7

The Silent Shunt: Traumatic Splenic AV Fistula Revealed and Treated Endovascularly
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Background:<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> Splenic arteriovenous fistula (AVF) is a rare vascular anomaly that can arise from trauma, aneurysmal rupture, or congenital conditions. Prompt diagnosis and management are crucial to preventing complications such as portal hypertension and high-output cardiac failure.<br style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1" /><strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; wido…
subject: Case studies
  topic: section
subject: arteriovenous fistula
  topic: keywords
subject: spleen
  topic: keywords
subject: trauma
  topic: keywords
subject: endovascular
  topic: keywords
creator: Gulshan Sharma
creator: Resham Singh
creator: Puneet Garg
rights: Copyright (c) 2025 Gulshan Sharma | Resham Singh | Puneet Garg https://creativecommons.org/licenses/by/4.0
date: 2025-08-25
publication date: 2025-08-25
starting page: 10
ending page: 10
doi: 10.15388/Amed.2025.32.2.10

Bilateral Inguinal Hernia Repair: Laparoscopic Totally Extraperitoneal Versus Open Lichtenstein
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Aim:<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> To compare the outcome of laparoscopic totally extraperitoneal repair versus the open Lichtenstein technique in the treatment of primary bilateral inguinal hernias.<strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1"> <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decorat…
subject: Research papers
  topic: section
subject: inguinal hernia
  topic: keywords
subject: laparoscopic totally extraperitoneal repair
  topic: keywords
subject: Lichtenstein approach
  topic: keywords
subject: mesh
  topic: keywords
creator: Mykhaylo Yosypenko
creator: Oleg V. Shulyarenko
creator: Hryhorii O. Havrylov
rights: Copyright (c) 2025 Mykhaylo O. Yosypenko | Oleg V. Shulyarenko | Hryhorii O. Havrylov https://creativecommons.org/licenses/by/4.0
date: 2025-08-05
publication date: 2025-08-05
starting page: 6
ending page: 6
doi: 10.15388/Amed.2025.32.2.6

Giant Descending Thoracic Aortic Aneurysm: A Case Report
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Background: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1">Giant descending thoracic aortic aneurysm (GDTAA) is a rare vascular disease characterized by an aortic diameter exceeding 10 cm. GDTAA carries a significant risk of rupture and mortality and requires timely diagnosis and intervention. Despite the clinical severity of the disease, the literature on GDTAA remains sparse, particularly in cases with extreme aneurysmal dilatation.<br style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1" /><strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-cap…
subject: Case studies
  topic: section
subject: giant descending thoracic aortic aneurysm (GDTAA)
  topic: keywords
subject: aortic dilation
  topic: keywords
subject: surgical repair
  topic: keywords
creator: Rassul Zhumagaliyev
creator: Yerlan Orazymbetov
creator: Serik Aitaliyev
creator: Sidar Arslan
creator: Tadas Lenkutis
creator: Adakrius Siudikas
creator: Rimantas Benetis
rights: Copyright (c) 2025 Rassul Zhumagaliyev | Yerlan Orazymbetov | Serik Aitaliyev | Sidar Arslan | Tadas Lenkutis | Adakrius Siudikas | Rimantas Benetis https://creativecommons.org/licenses/by/4.0
date: 2025-10-30
publication date: 2025-10-30
starting page: 14
ending page: 14
doi: 10.15388/Amed.2025.32.2.14

High Bifurcation of the Common Carotid Artery with Pentafurcation of the External Carotid Artery: Case Series with Review of Literature
type: item
description: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1">The bifurcation of the <em style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Common Carotid Artery<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> (CCA) is a pivotal anatomical landmark in head and neck surgeries, particularly affecting procedures such as carotid endarterectomy. Typically occurring around the C3-C4 intervertebral disc, variations in its location can complicate surgical access and pose risks of nerve injury. In this case report, three rare bilateral high bifurcations of the CCA at the C2 and C2/3 vertebrae levels are documented. Additionally, an unusual pentafurcation of the <em style=…
subject: Case studies
  topic: section
subject: high carotid bifurcation
  topic: keywords
subject: carotid surgery
  topic: keywords
subject: preoperative imaging
  topic: keywords
creator: Aarthi Manokaran
creator: Manisha R Gaikwad
creator: Baskar A
creator: Murugan Gopalakrishnan
creator: Praveen Kumar Ravi
rights: Copyright (c) 2025 Aarthi Manokaran | Manisha R Gaikwad | Baskar A | Murugan Gopalakrishnan | Praveen Kumar Ravi https://creativecommons.org/licenses/by/4.0
date: 2025-09-29
publication date: 2025-09-29
starting page: 12
ending page: 12
doi: 10.15388/Amed.2025.32.2.12

Kaposi Varicelliform Eruption Complicated by Steroids: A Case Report and Review of Literature
type: item
description: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1">Kaposi varicelliform eruption (KVE) is a severe disseminated cutaneous infection <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">mainly caused by herpes simplex virus (HSV-1 or HSV-2). Herein, we report a case of KVE which was misdiagnosed elsewhere as a case of toxic epidermal necrolysis and received systemic steroids, following which, the patient’s condition deteriorated. After being diagnosed as a case of KVE with the aid of tzanck smear, the patient was initiated on acyclovir and responded dramatically to the treatment. <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1">Th…
subject: Case studies
  topic: section
subject: kaposi varicelliform eruption
  topic: keywords
subject: acyclovir
  topic: keywords
subject: tzanck smear
  topic: keywords
subject: steroid
  topic: keywords
subject: eczema herpeticum
  topic: keywords
creator: Aniket Goswami
creator: Shikha Verma
creator: Chingshubam Bikash
creator: Pranjal Kalita
rights: Copyright (c) 2025 Aniket Goswami | Shikha Verma | Chingshubam Bikash | Pranjal Kalita https://creativecommons.org/licenses/by/4.0
date: 2025-07-29
publication date: 2025-07-29
starting page: 4
ending page: 4
doi: 10.15388/Amed.2025.32.2.4

Role of Proton Beam Therapy in Hepatic Oligometastasis: Review of Evidence
type: item
description: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;">Hepatic oligometastasis (hOMC) incidence varies from 10-40% in the literature. While the old standard for local treatment was surgical resection, options like TACE, TARE, SBRT with photons and off late protons have come to the fore. The proton beam therapy (PBT) use has gradually started to get adopted in all regions worldwide with increasingly better availability and ever-reducing costs. The role of PBT in hOMC has been studied in many retrospective cohort studies. Although there is a plethora of evidence on photon-SBRT, there are very few analyses on the role of PBT in hOMC. The author intends to analyse the efficacy in terms of the local control (LC) and the overall survival (OS) for PBT and its toxicity profile in this systematic review. LC remains persistently high (76–89% at 1–2 years) across breast, colo-rectum, stomach, and esophagus. Sites like colo-rectum and breast show relatively better survival outcomes, with progression free survival (35–52% at 1–2 years) and OS (33–78% at 1–2 years) than other sites, likely due to disease biology. Breast primary derived hOMCs had the best 3-year OS of 67.6%. Toxicities remain remarkably low with grade 3 plus toxicities ranging from 0–3%, which reflects the ability of proton therapy to deliver beams with precision.
subject: Review papers
  topic: section
subject: oligometastatic cancers
  topic: keywords
subject: Proton beam therapy
  topic: keywords
subject: hepatic oligometastasis
  topic: keywords
subject: liver secondary
  topic: keywords
subject: toxicity profile
  topic: keywords
creator: Satyajeet Rath
rights: Copyright (c) 2025 Satyajeet Rath https://creativecommons.org/licenses/by/4.0
date: 2025-06-25
publication date: 2025-06-25
starting page: 36
ending page: 51
doi: 10.15388/Amed.2025.32.1.25

Rare Run-Over Clinical Case. Evisceration of the Intestines through the Wrist
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Background:<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> Deaths resulting from car-pedestrian collisions are frequently encountered in forensic practice. Such accidents often cause extensive, multi-system injuries, many of which are concealed beneath minimally damaged soft tissues and may not be immediately visible externally. Common external injuries include extensive skin abrasions, subcutaneous hematomas, and lacerations. Internally, these incidents typically result in multiple bone fractures and severe organ ruptures. A less frequent but noteworthy injury is the evisceration of abdominal organs through ruptures in the diaphragm, rectum, or abdominal wall. This report presents a unique case of small intestine evisceration through damaged skin on the wrist.<br style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: …
subject: Case studies
  topic: section
subject: run-over
  topic: keywords
subject: visceral evisceration
  topic: keywords
subject: multiple traumas
  topic: keywords
subject: blunt trauma
  topic: keywords
subject: autopsy
  topic: keywords
subject: forensic pathology
  topic: keywords
creator: Jekaterina Strelčenko
creator: Diana Vasiljevaitė
creator: Sigitas Chmieliauskas
creator: Sigitas Laima
creator: Jurgita Stasiūnienė
creator: Paulius Petreikis
rights: Copyright (c) 2025 Jekaterina Strelčenko | Diana Vasiljevaitė | Sigitas Chmieliauskas | Sigitas Laima | Jurgita Stasiūnienė | Paulius Petreikis https://creativecommons.org/licenses/by/4.0
date: 2025-08-11
publication date: 2025-08-11
starting page: 9
ending page: 9
doi: 10.15388/Amed.2025.32.2.9

Automated Deep Learning Based Cardiac Quantification in Hypertrophic Cardiomyopathy: A Comparative Study with Manual Segmentation
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Background:<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> Hypertrophic CardioMyopathy (HCM) is the most prevalent inherited cardiac disorder, where accurate assessment of Left Ventricular (LV) function and Mitral Regurgitation (MR) is crucial. Cardiac Magnetic Resonance (CMR) imaging is considered the gold standard for evaluating these parameters. Recently, Deep Learning (DL) algorithms have emerged to automate cardiac quantification, but their performance in complex pathologies such as HCM still requires validation.<br style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1" /><strong style="color: #000000; font-family: 'Times New Roman'; fo…
subject: Research papers
  topic: section
subject: hypertrophic cardiomyopathy
  topic: keywords
subject: deep learning
  topic: keywords
subject: cardiac MRI
  topic: keywords
subject: mitral regurgitation
  topic: keywords
subject: automated segmentation
  topic: keywords
subject: left ventricular function
  topic: keywords
creator: Shivam Angiras
creator: Deb Kumar Boruah
creator: Pranjal Phukan
creator: Kalyan Sarma
creator: Prince Das
creator: Rajeev Bharadwaj
creator: Harshit Jain
creator: Ajmal Roshan
rights: Copyright (c) 2025 Shivam Angiras | Deb Kumar Boruah | Pranjal Phukan | Kalyan Sarma | Prince Das | Rajeev Bharadwaj | Harshit Jain | Ajmal Roshan https://creativecommons.org/licenses/by/4.0
date: 2025-08-11
publication date: 2025-08-11
starting page: 8
ending page: 8
doi: 10.15388/Amed.2025.32.2.8

Nodal Marginal Zone Lymphoma with Simultaneous Transformation at Diagnosis and Pleural Effusion as the Initial Presentation: A Case Report
type: item
description: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;">Nodal Marginal Zone Lymphoma (NMZL) is a rare, indolent subtype of B-cell non-Hodgkin lymphoma. This case report presents a 67-year-old female diagnosed with NMZL, which had transformed into Diffuse Large B-cell Lymphoma (DLBCL) at the time of diagnosis. The patient’s initial presentation involved a dry cough and pleural effusion, a symptom rarely reported in NMZL cases. Diagnostic procedures, including cytology and immunohistochemistry, confirmed the presence of monoclonal B lymphocytes and identified markers consistent with NMZL transformation to DLBCL. The findings highlight the diagnostic challenges associated with NMZL due to the lack of specific immunohistochemical markers, emphasizing the need for histopathological analysis to distinguish NMZL from other lymphomas, such as follicular lymphoma. This case underscores the importance of early detection and differentiation in lymphomas presenting with pleural effusion, as transformation to aggressive forms like DLBCL significantly impacts the prognosis and treatment approaches. Despite the rarity of transformation at diagnosis, clinicians must consider it in NMZL cases with atypical presentations.
subject: Case studies
  topic: section
subject: B-cell non-Hodgkin lymphoma
  topic: keywords
subject: histologic transformation
  topic: keywords
subject: pleural effusion
  topic: keywords
subject: diffuse large B-cell lymphoma
  topic: keywords
subject: nodal marginal zone lymphoma
  topic: keywords
creator: Konstantinos Dodos
creator: Vasileia Tsampika Kalamara
creator: Vasiliki Epameinondas Georgakopoulou
creator: Paraskevi Kavoura
rights: Copyright (c) 2025 Konstantinos Dodos | Vasileia Tsampika Kalamara | Vasiliki Epameinondas Georgakopoulou | Paraskevi Kavoura https://creativecommons.org/licenses/by/4.0
date: 2025-06-09
publication date: 2025-06-09
starting page: 219
ending page: 228
doi: 10.15388/Amed.2025.32.1.21

Efficiency of Microwave Ablation for Cortisol-Producing Adrenal Adenomas: Case Series and a Literature Review
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1"> Background: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1">Adrenal adenomas, often discovered during imaging studies for unrelated conditions, pose diagnostic and therapeutic challenges due to their varying presentations and potential for hormone secretion. While surgical management remains the standard approach for hormonally active adrenal tumors, percutaneous ablation techniques – such as microwave ablation – have emerged as promising alternatives, particularly for patients who are not candidates for surgery.<br style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1" /><strong style="color: #000000; font-family: 'Times New Roman'; font-si…
subject: Case studies
  topic: section
subject: adrenal adenoma
  topic: keywords
subject: mild autonomous cortisol secretion
  topic: keywords
subject: microwave ablation
  topic: keywords
creator: Alicija Krasavceva
creator: Juozas Jarašūnas
creator: Donatas Jocius
creator: Romena Laukienė
creator: Žydrūnė Visockienė
creator: Virgilijus Beiša
rights: Copyright (c) 2025 Alicija Krasavceva | Juozas Jarašūnas | Donatas Jocius | Romena Laukienė | Žydrūnė Visockienė | Virgilijus Beiša https://creativecommons.org/licenses/by/4.0
date: 2025-07-29
publication date: 2025-07-29
starting page: 5
ending page: 5
doi: 10.15388/Amed.2025.32.2.5

Mortality Rates of Minor vs Major Lower Extremity Amputations in Diabetic Patients
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Background:<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> Mortality rates between minor (e.g., removal of toes or part of the foot) and major (e.g., below- or above-the-knee) lower extremity amputations (LEA) vary significantly in diabetic patients. Other factors, including survival rates, rehabilitation outcomes, and healthcare burden, are also notably impacted by the type of amputation performed.<br style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1" /><strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; o…
subject: Review papers
  topic: section
subject: diabetes mellitus
  topic: keywords
subject: lower extremity amputations
  topic: keywords
subject: mortality rates
  topic: keywords
creator: Karolis Strašunskas
creator: Vėtra Markevičiūtė
rights: Copyright (c) 2025 Karolis Strašunskas | Vėtra Markevičiūtė https://creativecommons.org/licenses/by/4.0
date: 2025-07-29
publication date: 2025-07-29
starting page: 3
ending page: 3
doi: 10.15388/Amed.2025.32.2.3

Emerging Risks of Amanita Muscaria: Case Reports on Increasing Consumption and Health Risks
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Introduction:<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> The increasing popularity of <em style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Amanita muscaria<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mc…
subject: Case studies
  topic: section
subject: Amanita muscaria
  topic: keywords
subject: muscimol
  topic: keywords
subject: ibotenic acid
  topic: keywords
subject: microdosing
  topic: keywords
subject: psychoactive mushrooms
  topic: keywords
creator: Emilija Savickaitė
creator: Gabija Laubner-Sakalauskienė
rights: Copyright (c) 2025 Emilija Savickaitė | Gabija Laubner-Sakalauskienė https://creativecommons.org/licenses/by/4.0
date: 2025-06-09
publication date: 2025-06-09
starting page: 182
ending page: 189
doi: 10.15388/Amed.2025.32.1.23

Stereotactic Ablative Radiation Therapy for Metastatic Renal Cell Carcinoma – A Review of Evidence
type: item
description: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1">Because of its remarkable precision in providing targeted radiation, recent evidence supports <em style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Stereotactic Ablative Radiation Therapy<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> (SABR) as a promising non-invasive treatment approach for metastatic renal cell carcinoma, minimizing harm to adjacent healthy tissues. With regards to its heterogeneous nature with diverse clinical presentations, rapid progression and metastatic potential, <em style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font…
subject: Review papers
  topic: section
subject: stereotactic ablative radiation therapy
  topic: keywords
subject: metastatic renal cell carcinoma
  topic: keywords
subject: oligometastatic renal cell carcinoma
  topic: keywords
subject: oligoprogressive renal cell carcinoma
  topic: keywords
subject: renal cell carcinoma
  topic: keywords
creator: Hima Bora
creator: Gautam Sarma
creator: Partha Pratim Medhi
rights: Copyright (c) 2025 Hima Bora | Gautam Sarma | Partha Pratim Medhi https://creativecommons.org/licenses/by/4.0
date: 2025-04-16
publication date: 2025-04-16
starting page: 22
ending page: 35
doi: 10.15388/Amed.2025.32.1.18

Artery of Percheron Stroke: A Case Report
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Background: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1">The <em style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Artery of Percheron<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> (AOP) is…
subject: Case studies
  topic: section
subject: artery of Percheron
  topic: keywords
subject: ischemic stroke
  topic: keywords
subject: thalamic infarct
  topic: keywords
subject: midbrain
  topic: keywords
creator: Milda Navickaitė
creator: Aleksandras Vilionskis
creator: Austėja Dapkutė
creator: Kristina Ryliškienė
rights: Copyright (c) 2025 Milda Navickaitė | Aleksandras Vilionskis | Austėja Dapkutė | Kristina Ryliškienė https://creativecommons.org/licenses/by/4.0
date: 2025-03-24
publication date: 2025-03-24
starting page: 145
ending page: 152
doi: 10.15388/Amed.2025.32.1.14

Cocaine-Induced Posterior Reversible Encephalopathy Syndrome (PRES): A Case Report Highlighting Neurological and Clinical Outcomes
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Background:<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> Posterior reversible encephalopathy syndrome (PRES) is a rare neurological condition characterized by disrupted cerebral autoregulation, often associated with clinical features such as hypertension, encephalopathy, seizures, and visual disturbances. Although it primarily affects females aged 20–65, posterior reversible encephalopathy syndrome can present across diverse demographics. This case underscores the critical importance of identifying uncommon risk factors to facilitate early diagnosis and optimal management.<br style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1" /><strong…
subject: Case studies
  topic: section
subject: posterior reversible encephalopathy syndrome
  topic: keywords
subject: cocaine use
  topic: keywords
subject: stimulant drug use
  topic: keywords
subject: neurological complications
  topic: keywords
creator: Patricija Griškaitė
creator: Eleonora Kvaščevičienė
creator: Gabija Laubner Sakalauskienė
rights: Copyright (c) 2025 Patricija Griškaitė | Eleonora Kvaščevičienė | Gabija Laubner Sakalauskienė https://creativecommons.org/licenses/by/4.0
date: 2025-06-09
publication date: 2025-06-09
starting page: 173
ending page: 181
doi: 10.15388/Amed.2025.32.1.20

Diagnostic Challenges in Lymphangioleiomyomatosis: From Ovarian Mass to Systemic Diagnosis
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Background:<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> <em style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Lymphangioleiomyomatosis<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> (LAM) i…
subject: Case studies
  topic: section
subject: lymphangioleiomyomatosis
  topic: keywords
subject: ovarian mass
  topic: keywords
subject: extrapulmonary manifestation
  topic: keywords
creator: Neringa Jansevičiūtė
creator: Linas Andreika
rights: Copyright (c) 2025 Neringa Jansevičiūtė | Linas Andreika https://creativecommons.org/licenses/by/4.0
date: 2025-04-16
publication date: 2025-04-16
starting page: 212
ending page: 218
doi: 10.15388/Amed.2025.32.1.19

List of Reviewers
type: item
description: -
subject: Front Matter
  topic: section
subject: -
  topic: keywords
creator: Rimantas Jankauskas
rights: Copyright (c) 2024 Authors https://creativecommons.org/licenses/by/4.0
date: 2024-12-26
publication date: 2024-12-26
starting page: 206
ending page: 206

Editorial Board and Table of Contents
type: item
description: -
subject: Front Matter
  topic: section
subject: -
  topic: keywords
creator: Rimantas Jankauskas
rights: Copyright (c) 2024 Authors https://creativecommons.org/licenses/by/4.0
date: 2024-12-26
publication date: 2024-12-26
starting page: 201
ending page: 205

Bilateral Olecranon and Left Lesser Trochanter Avulsion Fractures in Renal Osteodystrophy: A Rare Case Report and Comprehensive Review
type: item
description: <em style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Chronic Kidney Disease-Mineral and Bone Disorder<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> (CKD-MBD) disrupts phosphorus and calcium metabolism, leading to skeletal disorders such as demineralization, weakened bones, and an increased fracture risk. These disorders, known as renal osteodystrophy, vary widely and are classified into secondary hyperparathyroidism, adynamic bone, and osteomalacia based on bone turnover. Fracture risk increases with the severity of CKD, particularly in advanced stages (creatinine clearance <15–20 mL/min), but even patients with mild to moderate CKD are at risk of fractures. Fractures of the <em style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-m…
subject: Case studies
  topic: section
subject: avulsion fractures
  topic: keywords
subject: femur
  topic: keywords
subject: olecranon process
  topic: keywords
subject: Chronic Kidney Disease-Mineral and Bone Disorder
  topic: keywords
subject: radiography
  topic: keywords
subject: ultrasonography
  topic: keywords
subject: Magnetic Resonance Imaging
  topic: keywords
creator: Vijay Papineni
creator: Rajesh Botchu
creator: Kartikeyan P. Iyengar
creator: Shashank Chapala
creator: Asad Rabbani Shah
creator: Balamurugan Rathinavelu
rights: Copyright (c) 2025 Vijay RK Papineni | Rajesh Botchu | Kartikeyan P. Iyengar | Shashank Chapala | Asad Rabbani Shah | Balamurugan Rathinavelu https://creativecommons.org/licenses/by/4.0
date: 2025-07-29
publication date: 2025-07-29
starting page: 1
ending page: 1
doi: 10.15388/Amed.2025.32.2.1

Aprepitant versus Olanzapine in Patients of Breast Cancer on Adriamycin and Cyclophosphamide Regimen – Role in Effectiveness of Prevention of Nausea and Vomiting
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Background: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1">Chemotherapy-induced nausea and vomiting (CINV) is a significant concern for patients undergoing highly emetogenic chemotherapy (HEC). This study compares the efficacy of aprepitant and olanzapine in preventing CINV in breast cancer patients receiving Adriamycin and Cyclophosphamide (AC).<br style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1" /><strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-t…
subject: Research papers
  topic: section
subject: Olanzapine
  topic: keywords
subject: Aprepitant
  topic: keywords
subject: Chemotherapy-Induced Nausea and Vomiting (CINV)
  topic: keywords
subject: breast cancer
  topic: keywords
subject: Highly Emetogenic Chemotherapy (HEC)
  topic: keywords
subject: Antiemesis
  topic: keywords
creator: Indrani Devi Sarma
creator: Sukainnya Buragohain
creator: Joonmoni Lahon
creator: Indrani Bhagawati
creator: Neelakshi Mahanta
creator: Dibyajyoti Saikia
rights: Copyright (c) 2025 Indrani Devi Sarma | Sukainnya Buragohain | Joonmoni Lahon | Indrani Bhagawati | Neelakshi Mahanta | Dibyajyoti Saikia https://creativecommons.org/licenses/by/4.0
date: 2025-06-09
publication date: 2025-06-09
starting page: 118
ending page: 125
doi: 10.15388/Amed.2025.32.1.22

Galectin-10 Characterization in Cleft Lip Palate – Affected Palatal Tissue
type: item
description: Background. Cleft lip palate is one of the most common craniofacial birth defects in humans. Multiple defense factors have been described to have possible involvement in the failure in palatal shelve elevation, migration and fusion, most importantly, the role of chronic inflammation. A widespread presence of Gal-10 in different local inflammatory processes has been discussed before, however, knowledge of its involvement in local tissue inflammation in the postnatal cleft palate and tissue regeneration is scant. This study focuses on the detection of appearance and a possible role of Gal-10 in the cleft-affected facial tissue regarding its ontogenetical aspect. Materials and Methods. Craniofacial cleft tissue material was obtained from 21 children aged 8 months to 12.7 years undergoing veloplastic or uranoplastic procedure with non-syndromic craniofacial cleft diagnosis in milk or mixed dentition. Control groups for milk dentition were 5 subjects without orofacial defects for milk dentition and 3 subjects with plastic of superior lip frenula for mixed dentition. The number of factor positive cells in the control group and the patient group tissue was evaluated by using the semiquantitative counting method. The data were evaluated with the use of nonparametric statistical methods. Results. Elevated levels of Gal-10 were found in the epithelium in correlation with age, from milk to mixed dentition, as well as in both the control and the patient samples. Notable differences in expression can be seen by comparing the milk and the mixed dentition patient muscle tissue, where the milk dentition palate shows a more elevated factor expressed in comparison to the mixed dentition palate. Conclusions. The nearly total absence of Gal-10 in the healthy palate with an increase of its expression in the palatal epithelium from the milk to mixed dentition age of cleft-affected children suggests the possible role of this factor in providing the local defense function and the epitheliu…
subject: Research papers
  topic: section
subject: galectin-10
  topic: keywords
subject: cleft lip
  topic: keywords
subject: cleft palate
  topic: keywords
creator: Alise Elizabete Rone
creator: Mara Pilmane
rights: Copyright (c) 2025 Alise Elizabete Rone | Mara Pilmane https://creativecommons.org/licenses/by/4.0
date: 2025-02-18
publication date: 2025-02-18
starting page: 78
ending page: 91
doi: 10.15388/Amed.2025.32.1.3

Mechanical Mitral Valve Prosthesis Thrombosis: A Case Report
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Background:<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> A rare but serious complication of heart valve replacement, prosthetic valve thrombosis carries significant risks of morbidity and mortality. Effective management depends on prompt diagnosis and the appropriate treatment, often involving fibrinolytic agents. Protocols using slower infusion rates and lower doses of these agents have led to improved therapy outcomes.<br style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1" /><strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; l…
subject: Case studies
  topic: section
subject: prosthetic valve thrombosis
  topic: keywords
subject: thrombolysis
  topic: keywords
creator: Viktorija Pareikaitė
creator: Silvija Makrickaitė
creator: Giedrė Bakšytė
rights: Copyright (c) 2025 Viktorija Pareikaitė | Silvija Makrickaitė | Giedrė Bakšytė https://creativecommons.org/licenses/by/4.0
date: 2025-03-24
publication date: 2025-03-24
starting page: 132
ending page: 137
doi: 10.15388/Amed.2025.32.1.13

Mid-Cavitary Obstruction in Hypertrophic Cardiomyopathy (HCM): A Rare Case Report and Management Approach
type: item
description: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1">Hypertrophic cardiomyopathy (HCM) with mid-cavitary obstruction (MCO) is an uncommon condition affecting approximately 10% of HCM patients which is associated with serious outcomes, including sudden cardiac death and heart failure. We present the case of a 43-year-old male with type 2 diabetes mellitus who experienced worsening dyspnea and palpitations, leading to the diagnosis of HCM with MCO without outlet obstruction. Cardiac MRI with gadolinium contrast reveals significant mid-cavitary obstruction without left ventricular outflow tract obstruction with a scar burden of 27% and the absence of other high-risk factors such as apical aneurysm and NSVT runs on Holter monitoring. The patient was treated conservatively with the oral beta-blocker therapy, resulting in symptomatic improvement. Given the high risk of an adverse outcome, it is crucial to recognise MCO early and provide the appropriate treatment. This case report discusses the presentation, diagnosis, and management of a patient with HCM and mid-cavitary obstruction, highlighting the unique treatment considerations associated with this condition.<br style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-d…
subject: Case studies
  topic: section
subject: hypertrophic cardiomyopathy
  topic: keywords
subject: left ventricle outflow tract obstruction
  topic: keywords
subject: mid-cavitary obstruction
  topic: keywords
subject: heart failure
  topic: keywords
subject: beta-blocker therapy
  topic: keywords
subject: conservative management
  topic: keywords
subject: risk stratification
  topic: keywords
creator: Rajeev Bharadwaj
creator: Deb Boruah
creator: Bhupen Barman
creator: Suman Kalita
rights: Copyright (c) 2025 Rajeev Bharadwaj | Deb Boruah | Bhupen Barman | Suman Kalita https://creativecommons.org/licenses/by/4.0
date: 2025-04-16
publication date: 2025-04-16
starting page: 138
ending page: 144
doi: 10.15388/Amed.2025.32.1.16

Establishing Local Diagnostic Reference Levels and Reference Curves for Thorax and Abdomen-Pelvis Paediatric CT Procedures
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Background:<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> Computed tomography is a highly informative diagnostic tool, but its use poses the challenge of managing potentially high radiation exposure to patients. Children are particularly vulnerable to the harmful effects of ionizing radiation, and the growing use of paediatric <em style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Computed Tomography<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transf…
subject: Research papers
  topic: section
subject: paediatric
  topic: keywords
subject: diagnostic reference levels
  topic: keywords
subject: diagnostic reference level curves
  topic: keywords
subject: thorax computed tomography
  topic: keywords
subject: abdomen-pelvis computed tomography
  topic: keywords
creator: Rokas Dastikas
creator: Antonio Jreije
creator: Birutė Gricienė
rights: Copyright (c) 2025 Rokas Dastikas | Antonio Jreije | Birutė Gricienė https://creativecommons.org/licenses/by/4.0
date: 2025-03-24
publication date: 2025-03-24
starting page: 107
ending page: 117
doi: 10.15388/Amed.2025.32.1.12

Fatal Outcome of Suicidal Multi-Substance Ingestion Involving Sodium Nitrate and Nitrite Toxicity: A Case Report and Literature Review
type: item
description: <strong style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;" data-mce-fragment="1">Background:<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;" data-mce-fragment="1"> Nitrate and nitrite toxicity, particularly from sodium nitrite and sodium nitrate ingestion, has become a critical public health issue due to its role in accidental poisoning, foodborne exposure, and intentional self-harm. Sodium nitrite, commonly used in food preservation, is increasingly linked to suicide, with online resources providing accessible information on lethal dosages. This trend underscores an urgent need for regulatory action and preventive strategies. This report details a fatal case of nitrate and nitrite toxicity in a 19-year-old female, presenting a complex toxicological profile involving ethyl alcohol, amphetamines, and additional pharmaceuticals.<br style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; w…
subject: Case studies
  topic: section
subject: nitrate
  topic: keywords
subject: nitrite
  topic: keywords
subject: poisoning
  topic: keywords
subject: suicide
  topic: keywords
creator: Sofija Saulė Kaubrytė
creator: Sigitas Chmieliauskas
creator: Giedrė Salyklytė
creator: Sigitas Laima
creator: Diana Vasiljevaitė
creator: Jurgita Stasiūnienė
creator: Paulius Petreikis
creator: Robertas Badaras
rights: Copyright (c) 2025 Sofija Saulė Kaubrytė | Sigitas Chmieliauskas | Giedrė Salyklytė | Sigitas Laima | Diana Vasiljevaitė | Jurgita Stasiūnienė | Paulius Petreikis | Robertas Badaras https://creativecommons.org/licenses/by/4.0
date: 2025-03-24
publication date: 2025-03-24
starting page: 160
ending page: 172
doi: 10.15388/Amed.2025.32.1.11

Rescue Strategy in Cardiogenic Shock: Emergency Transcatheter Aortic Valve Implantation for Failed Bioprosthetic Valve – Case Report
type: item
description: Background: Transcatheter aortic valve implantation (TAVI) has emerged as an essential therapeutic intervention for patients with severe aortic valve disease, providing a less invasive alternative to traditional surgery, particularly in high-risk individuals. TAVI is also increasingly utilized as a valve-in-valve strategy in cases of a bioprosthetic valve failure. However, data on the efficacy of TAVI in the context of a hemodynamic collapse remain limited. Methods: This report represents a young, high-risk patient with a failed bioprosthetic valve and cardiogenic shock treated successfully with TAVI. Results: Emergency TAVI using a Medtronic Evolut Pro+ device achieved rapid hemodynamic stabilization and favorable post-procedural clinical and functional outcomes. Intermittent complete atrioventricular block necessitated the implantation of a permanent pacemaker. Conclusions: This case highlights the potential of TAVI as a safe and effective intervention in critical clinical scenarios. Emergency TAVI is a viable therapeutic intervention for patients with failed surgical bioprostheses presenting with cardiogenic shock.
subject: Case studies
  topic: section
subject: TAVI
  topic: keywords
subject: transcatheter aortic valve implantation
  topic: keywords
subject: bioprosthetic valve failure
  topic: keywords
subject: cardiogenic shock
  topic: keywords
creator: Ricardas Kundelis
creator: Vilhelmas Bajoras
creator: Sigitas Čėsna
creator: Giedrius Davidavičius
rights: Copyright (c) 2025 Ricardas Kundelis | Vilhelmas Bajoras | Sigitas Čėsna | Giedrius Davidavičius https://creativecommons.org/licenses/by/4.0
date: 2025-02-18
publication date: 2025-02-18
starting page: 126
ending page: 131
doi: 10.15388/Amed.2025.32.1.1