Asunto(s)
Calcinosis/diagnóstico por imagen , Infecciones Cardiovasculares/diagnóstico por imagen , Ecocardiografía , Cardiopatías/diagnóstico por imagen , Estenosis de la Válvula Mitral/diagnóstico por imagen , Anciano , Biopsia , Calcinosis/patología , Infecciones Cardiovasculares/patología , Diagnóstico Diferencial , Cardiopatías/patología , Humanos , Fallo Renal Crónico/complicaciones , Masculino , Persona de Mediana Edad , Estenosis de la Válvula Mitral/patologíaRESUMEN
Free-floating left atrial thrombi are rare. Here we report a case of a 75-year-old woman with atrial fibrillation who was admitted for treatment of acute myocardial infarction. A free-floating left atrial thrombus was found incidentally on echocardiography. Ten days after percutaneous coronary intervention, the patient had mild faintness with transient hypotension, and it was found that the left atrial thrombus had developed intermittent entrapment in the mid-ventricle during diastole, with abrupt rebound back to the left atrial cavity during systole. Urgent removal of the thrombus was performed successfully. Although the free-floating thrombus had appeared to be spherical, like a ball thrombus, on echocardiography, the excised thrombus was pedunculated. A cut section revealed a laminated thrombus with an onion-skin-like appearance.
Asunto(s)
Fibrilación Atrial/diagnóstico , Diástole , Cardiopatías/diagnóstico , Hipertrofia Ventricular Izquierda/diagnóstico , Infarto del Miocardio/diagnóstico , Trombosis/diagnóstico , Disfunción Ventricular Izquierda/diagnóstico , Función Ventricular Izquierda , Anciano , Angioplastia Coronaria con Balón , Anticoagulantes/uso terapéutico , Fibrilación Atrial/fisiopatología , Fibrilación Atrial/terapia , Ecocardiografía Transesofágica , Femenino , Cardiopatías/fisiopatología , Cardiopatías/terapia , Humanos , Hipertrofia Ventricular Izquierda/fisiopatología , Hipertrofia Ventricular Izquierda/terapia , Hallazgos Incidentales , Infarto del Miocardio/terapia , Valor Predictivo de las Pruebas , Trombectomía , Trombosis/fisiopatología , Trombosis/terapia , Resultado del Tratamiento , Disfunción Ventricular Izquierda/fisiopatología , Disfunción Ventricular Izquierda/terapiaRESUMEN
Most flowering plants establish mutualistic associations with insect pollinators to facilitate sexual reproduction. However, the evolutionary processes that gave rise to these associations remain poorly understood. We reconstructed the times of divergence, diversification patterns, and interaction networks of a diverse group of specialized orchids and their bee pollinators. In contrast to a scenario of coevolution by race formation, we show that fragrance-producing orchids originated at least three times independently after their fragrance-collecting bee mutualists. Whereas orchid diversification has apparently tracked the diversification of orchids' bee pollinators, bees appear to have depended on the diverse chemical environment of neotropical forests. We corroborated this apparent asymmetrical dependency by simulating co-extinction cascades in real interaction networks that lacked reciprocal specialization. These results suggest that the diversification of insect-pollinated angiosperms may have been facilitated by the exploitation of preexisting sensory biases of insect pollinators.
Asunto(s)
Abejas/genética , Abejas/fisiología , Evolución Biológica , Flores/anatomía & histología , Orchidaceae/genética , Orchidaceae/fisiología , Polinización , Simbiosis , Animales , Abejas/anatomía & histología , Abejas/clasificación , Ecosistema , Extinción Biológica , Femenino , Fósiles , Especiación Genética , Masculino , Datos de Secuencia Molecular , Odorantes , Orchidaceae/anatomía & histología , Orchidaceae/clasificación , Filogenia , Selección GenéticaRESUMEN
Ants are a dominant feature of terrestrial ecosystems, yet we know little about the forces that drive their evolution. Recent findings illustrate that their diets range from herbivorous to predaceous, with "herbivores" feeding primarily on exudates from plants and sap-feeding insects. Persistence on these nitrogen-poor food sources raises the question of how ants obtain sufficient nutrition. To investigate the potential role of symbiotic microbes, we have surveyed 283 species from 18 of the 21 ant subfamilies using molecular techniques. Our findings uncovered a wealth of bacteria from across the ants. Notable among the surveyed hosts were herbivorous "turtle ants" from the related genera Cephalotes and Procryptocerus (tribe Cephalotini). These commonly harbored bacteria from ant-specific clades within the Burkholderiales, Pseudomonadales, Rhizobiales, Verrucomicrobiales, and Xanthomonadales, and studies of lab-reared Cephalotes varians characterized these microbes as symbiotic residents of ant guts. Although most of these symbionts were confined to turtle ants, bacteria from an ant-specific clade of Rhizobiales were more broadly distributed. Statistical analyses revealed a strong relationship between herbivory and the prevalence of Rhizobiales gut symbionts within ant genera. Furthermore, a consideration of the ant phylogeny identified at least five independent origins of symbioses between herbivorous ants and related Rhizobiales. Combined with previous findings and the potential for symbiotic nitrogen fixation, our results strongly support the hypothesis that bacteria have facilitated convergent evolution of herbivory across the ants, further implicating symbiosis as a major force in ant evolution.