Surgical Unroofing for Anomalous Aortic Origin of Coronary Arteries

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Surgical Unroofing for Anomalous Aortic Origin of Coronary Arteries

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Commentary: Noninvasive assessment of anomalous aortic origin of the right coronary artery: A simulated reality?
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Despite its fame in the news, the city of Tehran has not often been discussed in the international literature of urban studies. Today, Tehran is one of the largest metropolitan areas of the world, ranking the second place in the Middle East after Cairo. Tehran city’s population, excluding its satellite towns, is estimated to be 8 million. With its current rate of population growth and urban development, in about 20 years it will become the fifth most populated city in the world. During the last three decades, Iranian architects and urban planners have published a significant level of researches in Iran and abroad about the urban history of Tehran, but unfortunately most of these publications and papers have been written in Farsi. Non-Farsi speaking urban planners who were interested in Tehran’s urban history were limited to a small number of Anglo-American, French and German publications. 
\n The concern of this thesis is look at the little-known outer-city of Tehran to understand the transformation of Tehran’s outskirt’s into different kind of suburbs. 
\n During the last century, many transformations and reforms have occurred in Tehran, one of the most important of which has been the change in suburbs of the city. During the last century, the population which lived in the outskirts has increased rapidly and there was also an increase in the number of new peripheral towns. 
\nThis paper presents the historical evaluation and development of Tehran’s suburbs during four historical eras. The periods are: 
\n•\tThe period of Qajars (until 1920), 
\n•\tthe period of Reza Shah (1920-1940) 
\n•\tMohammad Reza Shah (1946-1979) 
\n•\tPost-revolution era (the period after the 1979's revolution). 
\nTherefore we will have a look at some of the famous urban projects during these periods to understand the scale and structure of sub-urbanity.

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Images in cardiovascular medicine. Anomalous course of the left main or left anterior descending coronary artery originating from the right sinus of valsalva: identification of four common variations by electron beam tomography.
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An aberrant origin of the left main coronary artery (LM) or left anterior descending coronary artery (LAD) from the right sinus of Valsalva is a rare anomaly that has been associated with myocardial ischemia and sudden cardiac death. Depending on the anatomic relationship of the anomalous vessel to the aorta and the pulmonary trunk, the anomaly can be classified into 4 common courses: posterior, interarterial, anterior, and septal course. Contrast-enhanced electron beam tomography (EBT) has been shown to permit classification of anomalous coronary arteries. We present 4 cases that illustrate the common variations of this anomaly. In all cases, EBT was performed using a C-150 XP EBT scanner (Imatron Inc). During inspiratory breathhold, 40 to 50 axial cross-sections of the heart were acquired triggered to the ECG at 40% of the R-R interval (100 ms acquisition time, slice thickness 3 mm, table feed 2 mm, intravenous injection of 160 mL contrast agent …

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