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Papers by patrick john kennelly
Integrative Pediatrics and Child Care, 2018
Aortic arteriovenous malformations (AVMs) are rare vascular anomalies where the aorta... more Aortic arteriovenous malformations (AVMs) are rare vascular anomalies where the aorta communicates with adjacent venous structures, bypassing the capillary system. We report a case of a neonate born at 34 weeks gestation who presented at 3 weeks of life in respiratory distress. Echocardiography demonstrated severe pulmonary hypertension with right ventricular dilatation but an otherwise structurally normal heart. Clinical examination revealed a pulsatile abdominal mass with an audible bruit. Abdominal ultrasound was performed and it demonstrated a large cystic mass arising from the inferior vena cava (IVC) with both arterial and venous vascular flow within it. Further evaluation with magnetic resonance angiography (MRA) showed a massive arteriovenous malformation from both left and right iliac arteries, and lumbar arteries communicating with the IVC. A decision was made with interventional radiology to attempt coiling of the vascular lesion. Following this procedure his ...
Annals of Translational Medicine, 2016
Intensive Care Medicine, 2016
A 57-year-old man with known liver cirrhosis was admitted to the emergency department because of ... more A 57-year-old man with known liver cirrhosis was admitted to the emergency department because of malaise. On admission the patient was jaundiced and with chronic liver failure stigmata. Clinical examinations revealed encephalopathy grade 2. Laboratory results showed severe liver enzyme derangement with prolonged coagulation times (INR 6.2) and low platelet count (23,000). The patient progressed to severe encephalopathy that required intubation and mechanical ventilation and established multi-organ failure with anuria. Because of his potential inclusion on the transplant list, aggressive management was provided. A CT scan was done to diagnose a potential acute portal thrombosis, and the findings revealed a long and severely occlusive clot that originated in the inferior cava vein (IVC) up to the right ventricle (Fig. 1). In
Integrative Pediatrics and Child Care, 2018
Aortic arteriovenous malformations (AVMs) are rare vascular anomalies where the aorta... more Aortic arteriovenous malformations (AVMs) are rare vascular anomalies where the aorta communicates with adjacent venous structures, bypassing the capillary system. We report a case of a neonate born at 34 weeks gestation who presented at 3 weeks of life in respiratory distress. Echocardiography demonstrated severe pulmonary hypertension with right ventricular dilatation but an otherwise structurally normal heart. Clinical examination revealed a pulsatile abdominal mass with an audible bruit. Abdominal ultrasound was performed and it demonstrated a large cystic mass arising from the inferior vena cava (IVC) with both arterial and venous vascular flow within it. Further evaluation with magnetic resonance angiography (MRA) showed a massive arteriovenous malformation from both left and right iliac arteries, and lumbar arteries communicating with the IVC. A decision was made with interventional radiology to attempt coiling of the vascular lesion. Following this procedure his ...
Annals of Translational Medicine, 2016
Intensive Care Medicine, 2016
A 57-year-old man with known liver cirrhosis was admitted to the emergency department because of ... more A 57-year-old man with known liver cirrhosis was admitted to the emergency department because of malaise. On admission the patient was jaundiced and with chronic liver failure stigmata. Clinical examinations revealed encephalopathy grade 2. Laboratory results showed severe liver enzyme derangement with prolonged coagulation times (INR 6.2) and low platelet count (23,000). The patient progressed to severe encephalopathy that required intubation and mechanical ventilation and established multi-organ failure with anuria. Because of his potential inclusion on the transplant list, aggressive management was provided. A CT scan was done to diagnose a potential acute portal thrombosis, and the findings revealed a long and severely occlusive clot that originated in the inferior cava vein (IVC) up to the right ventricle (Fig. 1). In