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Case Reports in Cardiology

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https://www.readbyqxmd.com/read/29780643/late-diagnosis-of-anomalous-aortic-origin-of-a-coronary-artery-from-the-inappropriate-sinus-of-valsalva-during-investigation-of-chest-pain
#1
Brunna Priscylla Américo Carvalho, Marcio Antônio Dos Santos, Wilson Pedro Guimarães Neto, Júlio César Queiroz De França, Márcio Rogério de Souza Braite, Rodrigo Bottura De Araújo, Isabella Gomes Carvalho, Moacir Fernandes de Godoy
In this work are reported two cases of anomalous aortic origin of a coronary artery (AAOCA), with the left main coronary artery (LMCA) arising at the right sinus of Valsalva in a 77-year-old woman and in a 79-year-old man submitted to angiography after positive ischemic tests. The origin of the LMCA or the left descendant artery (LDA) from the right sinus of Valsalva has a prevalence of 0.2%, the origin of the circumflex artery (CXA) from the right sinus 0.5%, and the origin of the right coronary artery (RCA) from the left sinus of Valsalva has a prevalence of 0...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29780642/prenatally-diagnosed-isolated-coronary-arterial-fistula-leading-to-severe-complications-at-birth
#2
A Wacker-Gussmann, T Esser, S M Lobmaier, M O Vogt, E Ostermayer, R Oberhoffer
Prenatal diagnosis of a huge coronary artery fistula between the left coronary artery and the right ventricle was made by Doppler echocardiography at 22 weeks of gestation. Progression of the dilated fistula was monitored throughout pregnancy. The size of the fistula increased enormously up to 11 mm. Death occurred at birth. Monitoring of these fetuses is essential as severe complications can occur during pregnancy or at birth.
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29755794/time-of-anderson-fabry-disease-detection-and-cardiovascular-presentation
#3
K Selthofer-Relatic
Background: Anderson-Fabry disease is an X-linked inherited disease, which manifests in a different manner depending on gender and genotype. Making a working diagnosis of Anderson-Fabry disease is difficult because of several reasons: (a) that it is a multiorgan disease with wide variety of phenotypes, (b) different timelines of presentation, (c) gender differences, and (d) possible coexistence with other comorbidities. Late-onset/cardiac type of presentation with minimal involvement of other organs can additionally make diagnosis difficult...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29725546/emergency-valve-in-valve-transcatheter-aortic-valve-implantation-for-the-treatment-of-acute-stentless-bioprosthetic-aortic-insufficiency-and-cardiogenic-shock
#4
Ivan D Hanson, Pratik K Dalal, Brian M Renard, George S Hanzel, Alessandro Vivacqua
Bioprosthetic aortic valve degeneration may present as acute, severe aortic regurgitation and cardiogenic shock. Such patients may be unsuitable for emergency valve replacement surgery due to excessive risk of operative mortality but could be treatable with transfemoral valve-in-valve transcatheter aortic valve implantation (TAVI). There is a paucity of data regarding the feasibility of valve-in-valve TAVI in patients presenting with cardiogenic shock due to acute aortic insufficiency from stentless bioprosthetic valve degeneration...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29713552/persistent-hiccups-as-the-only-presenting-symptom-of-st-elevation-myocardial-infarction
#5
Nasreen Shaikh, Rishi Raj, Srinivas Movva, Charles Mattina
Clinical manifestations of acute myocardial infarction can be more than just chest pain. Patients can present with dyspnea, fatigue, heart burn, diaphoresis, syncope, and abdominal pain to name a few. Our patient was a 74-year-old male with a past medical history of type 2 diabetes mellitus, hypertension, hyperlipidemia, and COPD due to chronic tobacco use, who presented with persistent hiccups for 4 days and no other complaints. Coincidently, he was found to have a diabetic foot ulcer with sepsis and acute kidney injury and hence was admitted to the hospital...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29713551/a-combination-of-tachycardia-mediated-heart-failure-and-coronary-artery-vasospasm-induced-silent-myocardial-infarction-in-a-patient-with-severe-thyrotoxicosis
#6
Serena Sert Kim Khoo, Chong Mow Chu, Yin Khet Fung
Severe thyrotoxicosis can present with a myriad of cardiovascular complications. It may be mild features such as palpitations, tachycardia, and exertional dyspnea or may progress to life-threatening consequences such as atrial fibrillation, tachyarrhythmias, heart failure, myocardial infarction, and shock. In rare cases, they may present with myocardial ischemia secondary to coronary artery vasospasm. We report a case of a 59-year-old Malay gentleman who presented with fast atrial fibrillation and tachycardia-mediated heart failure that evolved to a silent myocardial infarction secondary to severe coronary artery vasospasm with undiagnosed severe thyrotoxicosis...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29707394/percutaneous-coronary-intervention-in-a-patient-with-right-sided-heart-invert-the-views
#7
Miguel López Hidalgo, Risshi D Rampersad
Situs inversus totalis considered a malposition syndrome is a very rare condition, occurring in 1 : 8000 births, usually without associated structural congenital heart disease. The diagnosis is often incidental as in this case, which presented with an acute coronary syndrome as a manifestationof multivessel coronary artery disease. Here, we present the challenges encountered during the diagnosis and management of this entity via percutaneous intervention.
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29692936/safety-and-efficacy-of-triple-therapeutic-targets-with-rivaroxaban-after-acute-myocardial-infarction-complicated-by-left-ventricular-thrombi-in-a-case-of-nonvalvular-atrial-fibrillation
#8
Francesco Summaria, Gregory A Sgueglia, Fabrizio D'Errico, Antonella De Santis, Fabiana Piccioni, Gaetano Gioffrè, Achille Gaspardone
We present the complex case of a high-risk patient with nonvalvular atrial fibrillation, who experienced a non-ST elevation myocardial infarction complicated by left ventricular (LV) thrombi and underwent percutaneous coronary intervention with drug-eluting stent implantation. The patient was initially treated with short-term triple therapy including aspirin, clopidogrel, and rivaroxaban 15 mg/die. Following aspirin dropping one month after discharge, the patient continued on dual therapy with clopidogrel and rivaroxaban, and a clinical and imaging follow-up at 6 and 12 months confirmed the LV thrombi resolution, with no thromboembolic episodes and a good safety profile...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29682359/optical-coherence-tomographic-study-of-a-chronically-retained-coronary-guidewire
#9
Natasha Corballis, Sreekumar Sulfi, Alisdair Ryding
Guidewire entrapment is a rare complication of coronary intervention, and management depends on the individual circumstances. This is a case of an urgent percutaneous coronary angioplasty in which a guidewire became entrapped behind a bare metal stent with subsequent fracture of the core filament, which could not be retrieved. Using optical coherence tomography, our case demonstrates extensive tissue coverage of the retained guidewire at twelve months. Five-year follow-up suggests that retained guidewires can be managed without long-term anticoagulation, even when there is substantial intra-aortic material...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29682358/acute-pericarditis-occurring-three-days-after-intravesical-instillation-of-mitomycin-c-after-transurethral-bladder-tumor-resection-in-a-64-year-old-woman
#10
Vineet Meghrajani, Arsalan Hashmi, Shuo Cheng Lin, Zvi Plawes, Shelly Brejt
We present a 64-year-old woman who developed symptoms of acute pericarditis three days after undergoing intravesical instillation of mitomycin C following transurethral bladder tumor resection. Mitomycin C is a chemotherapeutic agent which acts by alkylation of DNA and is known to be cardiotoxic when systemically administered. Despite classic pericarditis symptoms, the patient underwent an urgent coronary angiogram due to elevated cardiac troponin I level, EKG changes, and wall motion abnormalities on her echocardiogram...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29682357/giant-right-atrial-aneurysm-accompanying-intrahepatic-cholestasis
#11
Ayse Sulu, Osman Baspinar, Selim Kervancıoglu, Samil Hizli
Right atrial aneurysms were first described in 1955, and subsequently, only a few cases have been reported. The etiology of this condition is unknown. Its comorbidity with cholestasis has not previously been reported in the literature. An 11-month-old baby female, who was an offspring from a first-cousin marriage, was referred to our hospital for investigation of jaundice. She underwent echocardiography because of a heart murmur, and this revealed a giant right atrial aneurysm. In addition, her liver biopsy confirmed the diagnosis of progressive familial intrahepatic cholestasis (PFIC) type 3...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29682356/mediastinal-hematoma-and-tracheal-compression-following-transradial-percutaneous-coronary-intervention
#12
Nathaniel R Smilowitz, Muhamed Saric, Michael J Attubato, James N Slater
Vascular complications from transradial percutaneous coronary intervention (PCI) are rare. We report an unusual case of stridor after PCI due to brachiocephalic artery perforation, pseudoaneurysm formation, and development of a large mediastinal hematoma with tracheal compression. Endovascular repair of the brachiocephalic artery was achieved with covered stent placement at the neck of the pseudoaneurysm. This case highlights the importance of careful guide catheter placement from the right radial approach...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29682355/a-patient-presenting-with-cardiac-tamponade-and-the-challenges-of-finding-its-cause-a-cardiac-angiosarcoma
#13
Roshanak Habibi, Negar Faramarzi, Alvaro J Altamirano, Shahriar Dadkhah
Primary malignancies of the heart are so rare that most of the available data come from case reports or large single-center-based studies, with the overall incidence of 0.02% in the United States. Diagnosis in case of an isolated pericardial effusion as presentation is challenging, and determining that an angiosarcoma is even more challenging. Here, we presented a rare case of pericardial angiosarcoma which presented to us with tamponade. The patient eventually was diagnosed through pericardiectomy. A multimodality approach was attempted to treat the cancer...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29670772/left-circumflex-artery-rupture-with-left-atrial-tamponade-and-functional-mitral-stenosis
#14
Weiting Huang, Khaled Mohamed Emadeldin Moheb Hammad, Victor Tar Toong Chao, Khung Keong Yeo
The growth in percutaneous transluminal devices has enabled operators to tackle more complex, native, and post-bypass surgery anatomy. However, complications such as coronary artery dissection, coronary perforation, retrograde aortic dissection, arrhythmias, and acute coronary syndrome still occur with resulting mortality rates of up to 4.2% in complex interventions. Perforation of the circumflex artery is of particular interest in view of its position and relation to the surrounding cardiac structures. This is a site of potential fluid collection, and as the left atrium is fixed to the parietal pericardium at the entry of the pulmonary veins, fluid in the oblique sinus can accumulate enough pressure to compress the left atrium and the coronary sinus...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29662705/aortitis-as-a-rare-cause-of-aortic-aneurysm-and-valve-regurgitation-is-repair-precluded
#15
Carlos Porras, Gemma Sanchez-Espin, Miguel Such, Jesús Sánchez-Ramos, Alicia Bautista-Pavés, Pilar Martín-de la Fuente, Josefa Ruiz, Norberto Ortego-Centeno, Isabel Rodríguez-Bailón, José María Melero
Aortitis is an infrequent cause of aortic root dilatation and aortic valve regurgitation. Valve-sparing procedures have been proposed, but there is not clear evidence of which is the treatment of choice. We report the case of a 38-year-old pregnant lady with a diagnosis of idiopathic aortitis associated with aortic root aneurysm and severe aortic valve regurgitation.
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29662704/diagnosis-of-anomalous-origin-of-the-left-coronary-artery-from-the-pulmonary-artery-with-echocardiography-and-digital-subtraction-angiography
#16
Haiyan Yang, Jinqing Li, Xiaojuan Ji
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a common coronary artery anomaly associated with high mortality and may lead to sudden death if left unrecognized and untreated. This report describes an 8-year-old female who had cardiac murmur but with no clinical symptoms. Electrocardiogram (ECG) was normal, but echocardiography made the diagnosis of ALCAPA. Digital subtraction angiography (DSA) with cardiac catheterization angiography (CAG) confirmed the diagnosis, and finally, the patient received surgery...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29662703/aortic-dissection-presenting-as-acute-pancreatitis-suspecting-the-unexpected
#17
Adam Hafeez, Dillon Karmo, Adrian Mercado-Alamo, Alexandra Halalau
Aortic dissection is a life-threatening condition in which the inner layer of the aorta tears. Blood surges through the tear, causing the inner and middle layers of the aorta to separate (dissect). It is considered a medical emergency. We report a case of a healthy 56-year-old male who presented to the emergency room with sudden onset of epigastric pain radiating to his back. His blood pressure was 167/91 mmHg, equal in both arms. His lipase was elevated at 1258 U/L, and he was clinically diagnosed with acute pancreatitis (AP)...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29619257/spontaneous-regression-of-cardiac-rhabdomyoma-presenting-as-severe-left-ventricular-inlet-obstruction-in-a-neonate-with-tuberous-sclerosis
#18
Eun Song Song, Kumi Jeong, Gun Kim, In Ji Hwang, Mi-Ji Lee, Hwa Jin Cho, Young Kuk Cho
Cardiac rhabdomyoma can be subclinical or have a fatal presentation according to the onset age and involved site, size, and degree of invasion. Although most cardiac rhabdomyomas become smaller with time, emergency intervention is indicated when severe obstruction has occurred. In this report, we describe the spontaneous regression of a large cardiac rhabdomyoma (20.5 × 15.6 mm) presenting as severe left ventricular inlet obstruction in a neonate with tuberous sclerosis. Although a cardiac rhabdomyoma can be large enough to induce left ventricular inlet obstruction, conservative treatment without aggressive surgical intervention can be considered if the hemodynamic condition does not deteriorate...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29619256/cardiac-aspergilloma-a-rare-case-of-a-cardiac-mass-involving-the-native-tricuspid-valve-right-atrium-and-right-ventricle-in-an-immunocompromised-patient
#19
Christina S Chen-Milhone, Kalyan Chakravarthy Potu, Sudhir Mungee
Aspergillus can cause devastating opportunistic infections in immunocompromised patients. Rarely does this fungus invade the heart, and when it does, survival is especially poor despite optimal medical and surgical treatment. We report a case of cardiac aspergilloma with involvement of the tricuspid valve and both the right atrium and ventricle found on a transthoracic echocardiogram in an immunocompromised patient after developing atrial fibrillation with rapid ventricular rate. The findings from this case suggest that early clinical suspicion is critical in early diagnosis and thus early treatment...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29581899/successful-rotational-atherectomy-for-an-angulated-calcified-lesion-in-an-anomalous-right-coronary-artery-using-the-mother-and-child-technique
#20
Manabu Ogita, Satoru Suwa, Taketo Sonoda, Shuta Tsuboi, Katsumi Miyauchi, Hiroyuki Daida
Percutaneous coronary intervention (PCI) involving the anomalous coronary artery is challenging with respect to difficulty in achieving stable catheterization. Rotational atherectomy (RA) can facilitate severely calcified lesions to improve stent delivery and stent expansion; however, its utility in tortuous and angulated coronary arteries is limited with difficulty in delivery of the RA burr. The mother-and-child technique is effective for complex PCIs with increased backup force for device delivery in such complicated cases...
2018: Case Reports in Cardiology
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