Corrected transposition of the great arteries with several associated anomalies in a 68-year-old patient

Few patients with corrected transposition of the great arteries survive past 50 years of age because of the association with congenital defects, development of total atrioventricular block, and right ventricular dysfunction. We report the case of a male patient with dextrocardia in situs solitus and corrected transposition of the great arteries associated with a wide atrial septal defect and severe pulmonary valvar and subvalvar stenoses. The patient also developed a large aneurysm on the pulmonary artery, total atrioventricular block diagnosed 8 years earlier, symptoms of dysfunction of the systemic ventricle in the previous 2 years, insufficiency of the left atrioventricular valve, and aortic regurgitation. Despite all these associated anomalies, the patient developed class III cardiac decompensation only at the age of 68 years, which makes this case a rarity. The patient was clinically treated, and was discharged from the hospital in good condition.

Noise mapping for an urban area: study case: old city of Damascus, Syria

Dissertação de mestrado em Engenharia Urbana

Anomalous origin of the left coronary artery from the pulmonary trunk in a 45-year-old woman

We report a rare case of anomalous origin of the left coronary artery from the pulmonary trunk in a 45-year-old woman. The approach and technique used for selective catheterization of an anomalous left coronary artery arising from the pulmonary trunk are described. Six years after diagnosis, echocardiography showed left ventricular disfunction, and surgical treatment was indicated again. The origin of the left coronary artery from the pulmonary trunk was closed, and the postoperative period was uneventful, with recovery of left ventricular function and disappearance of ischemic features on stress myocardial perfusion imaging with 99m Tc-sestamibi, performed 4 weeks after surgery.

Estudio de la formación y evolución de galaxias en diferentes tipos de sistemas. Study of the fomation and evolution of galaxies in different types of systems.

Se propone el estudio de galaxias en diferentes tipos de sistemas para lograr un mejor entendimiento de los procesos físicos que actúan en la formación y evolución de estas galaxias. En particular, se analizarán las propiedades de galaxias en cúmulos, grupos difusos, grupos compactos y grupos fósiles. Para el desarrollo de este trabajo, se utilizarán catálogos observacionales públicos y propios, simulaciones cosmológicas combinadas con modelos semianalíticos y catálogos sintéticos basados en dichas simulaciones. Entender el comportamiento de las galaxias pertenecientes a cada clase de sistema permitirá la comparación entre los distintos entornos y posteriormente, la distinción de los diferentes procesos astrofísicos que actúan.