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Journal of the Saudi Heart Association

Pankaj Jariwala, Edla Arjun Padma Kumar
Hyper-dominant left anterior descending artery (LAD) is a rare coronary anomaly where LAD continues as a posterior descending artery. It is a rare coronary anomaly and there are only 19 cases reported so far in 17 case reports in the literature. Its involvement during acute coronary syndrome can be fatal as it leads to ischemia/infarction of a larger area of left and/or right ventricular myocardium. Its early recognition and management is essential with a high index of clinical suspicion.
July 2018: Journal of the Saudi Heart Association
Raneem Fallatah, Abdelfatah Elasfar, Osama Amoudi, Mohamed Ajaz, Ibraheem AlHarbi, Reda Abuelatta
To the best of our knowledge, there have not been any reports of total transcatheter approach including stenting of severe coarctation of the aorta (CoA), transcatheter aortic valve replacement (TAVR) for concomitant severe aortic valve stenosis, and percutaneous coronary intervention (PCI) to treat significant coronary artery disease in a single patient. We report a 70-year-old female, who presented with uncontrolled hypertension and acute decompensated heart failure (ADHF) and was found to have severe CoA, severe bicuspid aortic valve (BAV) stenosis, and significant proximal left anterior descending (LAD) coronary artery disease...
July 2018: Journal of the Saudi Heart Association
Sahar El Shedoudy, Eman El-Doklah
Objectives: To evaluate the safety of using the stiff end of a coronary wire to perforate an atretic pulmonary valve (PV) in patients with pulmonary atresia with intact ventricular septum (PAIVS). Background: Radiofrequency perforation is an accepted modality to perforate the PV in patients PAIVS. However, the high cost precludes its widespread use. Patients and methods: This is a single-center experience that spanned from March 2013 to January 2016 and involved 13 neonates who were severely cyanotic with PAIVS and with ductal-dependent pulmonary circulation...
July 2018: Journal of the Saudi Heart Association
Noha Hassanin Hanboly, Yasser Mohamed Baghdady, Reda Huissen Diab, Sameeh Ramadan Lawend, Ahmed Abdelazim Kenawy
Background: Limited information is available regarding the relationship between coronary vessel dominance and outcome after ST-segment elevation myocardial infarction (STEMI). Objectives: The study was designed to evaluate the prognostic value of coronary arterial dominance after primary percutaneous coronary intervention (PCI) during hospital stay and at 3 months follow-up regarding cardiac mortality, heart failure, nonfatal myocardial infarction, revascularization, and stroke...
July 2018: Journal of the Saudi Heart Association
Krishna Kumar Mohanan Nair, Narayanan Namboodiri, Hiren Kevadiya, Ajitkumar Valaparambil
A 30-year-old man with no structural heart disease has been evaluated for paroxysmal palpitation with documented regular narrow QRS tachycardia that has not responded to intravenous adenosine. Surface electrocardiogram has not shown any pre-excitation. He has been taken for an electrophysiology study after informed consent. Diagnostic catheters were placed at the coronary sinus, His bundle region, and right ventricle. During catheter manipulation a regular narrow QRS tachycardia with incomplete right bundle branch block morphology and normal QRS axis similar to the clinical tachycardia got induced...
July 2018: Journal of the Saudi Heart Association
Abdulmalik Abdullah Alyahya, Mohammed Abdullah Alghammass, Fahad Saleh Aldhahri, Abdullah Abdulaziz Alsebti, Abdullah Yousef Alfulaij, Saleh Hamad Alrashed, Husam Al Faleh, Mostafa Alshameri, Khalid Alhabib, Mohammed Arafah, Abduellah Moberik, Abdulaziz Almulaik, Zuhair Al-Aseri, Tarek Seifaw Kashour
Objectives: This study was conducted to evaluate the effect of direct emergency department activation of the catheterization lab on door-to-balloon time (D2BT) and outcomes of acute ST-elevation myocardial infarction (STEMI) patients at a major tertiary care hospital in Riyadh, Saudi Arabia. Methods: This was a retrospective cohort study that enrolled 100 consecutive patients with acute STEMI who underwent primary percutaneous coronary intervention between June 2010 and January 2015...
July 2018: Journal of the Saudi Heart Association
Abdelfatah Elasfar, Kafaf Jalali, Mohamed Hussein, Ibraheem AlHarbi, Osama Amoudi
The recommended anticoagulation regimen for continuous-flow left ventricular assist device (LVAD) systems is warfarin and aspirin with a targeted international normalized ratio (INR) of 2.0-3.0. Our patient is a 58-year-old male who underwent surgical HeartMate III continuous-flow LVAD implantation 3 months ago outside the country. The patient mistakenly stopped taking warfarin for 1 month prior to presenting to our center for a routine visit. Luckily, the patient was doing very well without any complication despite the fact that his INR was 1...
July 2018: Journal of the Saudi Heart Association
Imen Hamdi, Chadia Chourabi, Taha Yassine Jabloun, Mehdi Ghommidh, Dhaker Lahidheb, Wafa Fehri, Habib Haouala
No abstract text is available yet for this article.
July 2018: Journal of the Saudi Heart Association
Jamal El Ouazzani, Mustapha Beghi, Amine Kossir, Nabila Ismaili, Noha El Ouafi
Background: Cardiac intracavitary metastases from a testicular cancer are very unusual, and intra-cardiac metastasis is exceptionally the first expression of a noncardiac primary neoplasm. We report a case of a young patient for whom a cardiac symptom led to the diagnosis of a metastatic testicular cancer. Case presentation: Our presentation describes an unusual case of a 32 years-old male patient admitted for dyspnea, in whom full examination and tests led to the diagnosis of a huge right ventricular mass revealing a testicular malignant teratoma...
July 2018: Journal of the Saudi Heart Association
Murat Akcay, Asli Tanrivermis Sayit, Okan Gulel, Cetin Celenk
Coronary artery fistulas are defined as abnormal vascular connections between one or more coronary arteries and the cardiac chamber [coronary cameral fistula (CCF)] or a great thoracic vessel. Here, we present multimodality imaging findings of a rare case with CCF between the sinoatrial nodal artery and the left atrium.
July 2018: Journal of the Saudi Heart Association
Christian Blockhaus, Marcel Keßler, Jan-Erik Gülker, Hans-Peter Waibler, Alexander Bufe, Dong-In Shin, Heinrich Klues
A 29-year-old man suffered from an industrial accident as a piece of metal of a die-cutter burst and shards of metal penetrated his right upper arm. One shard was localized via x-ray and computer tomography within the apex of the right ventricle. Here we report on a successful retrieval of this shard of metal by aspirating it via a 6F multipurpose (MP) catheter.
July 2018: Journal of the Saudi Heart Association
Fayaz Mohammed Khazi, Faouzi Al-Safadi, Mohannad M R Al Asaad, Obaid Aljassim
Guidelines recommend screening patients for carotid-artery stenosis, but unfortunately, measurement of baseline cerebral oximetry levels is still not a routine practice prior to cardiac surgery. We report a 41-year-old woman who presented with a normal carotid scan and unexpectedly low baseline cerebral oximetry levels. She had delayed postoperative recovery and discharge from hospital following her coronary-artery bypass surgery. This case report reiterates the prognostic significance of cerebral oximetry in the preoperative checkup and the association of low intraoperative values to postoperative cerebral impairment...
July 2018: Journal of the Saudi Heart Association
Raneem Fallatah, Abdelfatah A Elasfar, Shadha Alzubaidi, Mazen Alraddadi, Reda Abuelatta
Aortic pseudoaneurysm (PsA) is a rare but serious condition that has high mortality and morbidity rates if untreated. We report a rare case of leaking aortic-arch PsA repaired by thoracic endovascular aortic repair using graft stent with the chimney technique to protect the left common carotid artery. Unlike other cases in the literature, our case was unique, having leaking PsA not related to previous cardiac surgery or aortic dissection. The successful management of this patient using thoracic endovascular aortic repair combined with the chimney technique suggests that this approach may be an attractive therapeutic alternative to treat aortic-arch PsA...
July 2018: Journal of the Saudi Heart Association
Bana Agha Nasser, Abdu Rahman Mesned, Tageldein Mohamad, Mohamed S Kabbani
Introduction: Trisomy 21 is the most common syndrome in children with a 30-50% association with congenital heart disease (CHD). Cardiac surgeries are required in the majority of Down syndrome (DS) with CHD cases. Because of the distinctive abnormalities in their respiratory system, children with DS may require longer positive pressure ventilation after cardiac surgery. The aim of this study is to investigate the incidence and possible risk factors for prolonged mechanical ventilation (PMV) need in DS patients undergoing cardiac surgery...
July 2018: Journal of the Saudi Heart Association
Juliann Saquib, Nouf Abdulrahman AlRomaih, Hanadi Mufakkir Al-Mutairi, Renad Nasser Alenazi, Reef Deyf Allah Al-Mutairi, Dona Jamal AlHtlani, Fatemah Saleh Al-Theyab, Mnahel Ali Alhsaon, Mohammed Imran, Hassan Khalaf, Nazmus Saquib
Background: After myocardial infarction (MI), patients have an elevated risk for depression, which has a negative impact on morbidity and mortality for patients. As depression and memory function are associated, we examined them in the context of one another. Our objectives were to determine the proportion of patients with either depression only, memory loss only, or both depression and memory loss and to examine the correlates with each outcome. Methods: This study was a cohort of 264 patients who had myocardial infarction...
July 2018: Journal of the Saudi Heart Association
Abdulaziz U Joury, Ahmed S Hersi, Hussam Alfaleh, Khalid F Alhabib, Tarek Seifaw Kashour
Background and objectives: Limited data are available highlighting the different clinical aspects of acute coronary syndrome (ACS) patients, especially in Gulf countries. In this study, we aimed to compare patients who presented with acute myocardial infarction (AMI) as the first presentation of patients who have a history of ACS in terms of initial presentation, medical history, laboratory findings, and overall mortality. Methods: We used the Second Gulf Registry of Acute Coronary Events (Gulf RACE-II), which is a multinational observational study of 7930 ACS patients...
July 2018: Journal of the Saudi Heart Association
Asma Kanwal, Abdul Malik Sheikh, Tayyaba Saher
Objective: To determine the factors causing delayed referral for fetal echocardiography at a tertiary care hospital. Background: Timely referral for fetal echocardiogram is considered essential for identification of congenital heart diseases, interventions, and counseling of parents. The present study highlights the factors associated with delayed referral for fetal echocardiography. Material and methods: This prospective study includes a total of 200 pregnant females who were referred for fetal echocardiography...
July 2018: Journal of the Saudi Heart Association
Doaa El-Amrousy, Samir Hassan, Hossam Hodeib
Objective: Heart failure (HF) is a progressive disorder in children. Many HF biomarkers have been identified to assess its severity and predict its course. The aim of this study was to evaluate the prognostic value of plasma levels of homocysteine (HCY) and highly sensitive cardiac troponin T (hs-cTnT) in children with HF. Materials and Methods: Eighty children with acute HF were enrolled in this study as the patient group and 80 healthy children of matched age and sex served as the control group...
July 2018: Journal of the Saudi Heart Association
Sonia A El-Saiedi, Hala M Agha, Mohamed F Shaltoot, Hayat H Nassar, Amal M El Sisi, Wael A Attia, Yasser M Sedky
Objective: Real-time three-dimensional echocardiography, using both reconstruction methods and RT3D, has been used as an extra helping tool in several forms of congenital heart diseases. Our aim was to understand the relation of the ASD device to all surrounding structures by 3-dimensional echocardiography (3D). Methods: This prospective study included 37 patients diagnosed as ASD secundum by transthoracic (TTE) and transesophageal echocardiography (TEE) referred for transcatheter closure from October 2013 to July 2016...
July 2018: Journal of the Saudi Heart Association
Anne Keats, Dane Moran, Siobhan Rothwell, Timothy Woodcock, Tammy Williams, Nishi Rawat
Objective: To improve compliance with a target door-to-electrocardiogram (EKG) time of 10 minutes or less in patients presenting with symptoms concerning for acute coronary syndrome. Methods: A pre-post study was performed between January 2014 and May 2016 at five emergency departments (EDs) in Saudi Arabia. Patients who presented to ED with symptoms concerning for acute coronary syndrome were included in the study. The primary outcome of interest was whether EKG was completed within 10 minutes after the patient arrival to ED...
July 2018: Journal of the Saudi Heart Association
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