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Lusoria artery is a vascular anomaly of the right subclavian artery that arises from the aortic arch (instead of brachiocephalic trunk), distal to the left subclavian artery. The reported incidence is about 1% and usually it is asymptomatic. We report the case of an elderly with moderate dysphagia in the last few months. CT native exam and with contrast material revealed the vascular anomaly, but also a pathological condition. The artery had a retroesophageal course, a large aneurysm and an atheromatous wall- so, the dysphagia was due to the esophageal compression. Even the aberrant right subclavian artery is the most frequent anomaly of the aortic arches, the reported case has a low incidence due to the association of the anatomical variant with aquired vascular changes-atherosclerosis and aneurysm. [ABSTRACT FROM AUTHOR]

Hantavirus infection belongs to a group of zoonoses rare in the Balkan Peninsula, causing two major syndromes, depending on the viral serotype involved: Hemorrhagic fever with renal syndrome (HFRS) also known as endemic nephropathy and cardiopulmonary syndrome (CPS). Because there is no specific treatment or vaccine for this condition approved in the USA or Europe, the key to minimizing the risk of adverse progression to chronic kidney disease, secondary hypertension or even death is primarily the recognition and early diagnosis of this condition with prompt therapeutic intervention. The aim of this study was to review the literature data on the epidemiology, pathogenesis and management of this disease and to identify several aspects related to the difficulties encountered in diagnosing this pathology, taking into consideration that the disease is not endemic in this geographical area., Competing Interests: The authors declare that they have no competing interests., (Copyright: © Lupuşoru et al.)

Cancer patients are at high risk for developing acute kidney injury (AKI), which is associated with increased morbidity and mortality in these patients. Despite the progress made in understanding the pathogenic mechanisms and etiology of AKI in these patients, the main prevention consists of avoiding medication and nephrotoxic agents such as non-steroidal anti-inflammatory drugs, contrast agents used in medical imaging and modulation of chemotherapy regimens; when prophylactic measures are overcome and renal impairment becomes unresponsive to treatment, renal replacement therapy (RRT) is required. There are several methods of RRT that can be utilized for patients with malignancies and acute renal impairment; the choice of treatment being based on the patient characteristics. The aim of this article is to review the literature data regarding the epidemiology and management of AKI in cancer patients, the extracorporeal techniques used, choice of the appropriate therapy and the optimal time of initiation, and also the dose-prognosis relationship., Competing Interests: The authors declare that they have no competing interests., (Copyright: © Lupuşoru et al.)