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Case Reports in Cardiology

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https://www.readbyqxmd.com/read/27891259/neurocardiogenic-syncope-and-supraventricular-tachycardia-in-association-with-a-rare-congenital-aortic-valve-abnormality
#1
Yashwant Agrawal, Jagadeesh K Kalavakunta, Vishal Gupta, William Lapenna
We report a case of a 26-year-old woman who presented with multiple episodes of syncope over a five-months period of time. Transthoracic echocardiogram had shown a normal functioning quadricuspid aortic valve (QAV) which was also confirmed on a transesophageal echocardiogram. Computed tomographic angiography of heart and coronary arteries showed the QAV with equal size of all aortic cusps and normal coronary arteries. Intermittent chest pain and palpitations warranted an exercise stress test. The stress test revealed normal aerobic exertion, with achievement of 101% of maximal peak heart rate...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27891258/lyme-carditis-an-interesting-trip-to-third-degree-heart-block-and-back
#2
Maxwell Eyram Afari, Fady Marmoush, Mobeen Ur Rehman, Umama Gorsi, Joseph F Yammine
Carditis is an uncommon presentation of the early disseminated phase of Lyme disease. We present the case of a young female who presented with erythema migrans and was found to have first-degree heart block which progressed to complete heart block within hours. After receiving ceftriaxone, there was complete resolution of the heart block in sequential fashion. Our case illustrates the importance of early recognition and anticipation of progressive cardiac conduction abnormalities in patients presenting with Lyme disease...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27891257/melas-syndrome-with-cardiac-involvement-a-multimodality-imaging-approach
#3
Sara Seitun, Laura Massobrio, Anna Rubegni, Claudia Nesti, Margherita Castiglione Morelli, Sara Boccalini, Athena Galletto Pregliasco, Irilda Budaj, Luca Deferrari, Gian Marco Rosa, Fabrizio Montecucco, Alberto Valbusa
A 49-year-old man presented with chest pain, dyspnea, and lactic acidosis. Left ventricular hypertrophy and myocardial fibrosis were detected. The sequencing of mitochondrial genome (mtDNA) revealed the presence of A to G mtDNA point mutation at position 3243 (m.3243A>G) in tRNA(Leu(UUR)) gene. Diagnosis of cardiac involvement in a patient with Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-like episodes syndrome (MELAS) was made. Due to increased risk of sudden cardiac death, cardioverter defibrillator was implanted...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27882249/surviving-all-odds-a-unique-case-of-multiple-congenital-unruptured-sinus-of-valsalva-aneurysms-involving-both-left-and-right-coronary-sinuses-with-biventricular-dysfunction-and-heart-block
#4
Aniketh Vijay B, Vikrant Vijan, Navin Mathew
Aneurysms of the sinus of Valsalva are very uncommon, with an incidence ranging from 0.1 to 3.5% of all congenital heart defects. Very few cases have been reported in the literature that presented with involvement of two or more sinuses. We report a case of 27-year-old male with a history of exertional breathlessness of one-month duration. After complete evaluation using transesophageal echocardiography (TEE) and multiple detector computed tomography (MDCT) scanning, the patient was diagnosed to have large congenital unruptured sinus of Valsalva aneurysms involving both left and right coronary sinuses with extension into the interventricular septum...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27882248/successful-interventional-management-for-pulmonary-arterial-injury-secondary-to-pacemaker-implantation
#5
Hiroyuki Tokue, Azusa Tokue, Hideo Morita, Yoshito Tsushima
Subclavian vein puncture is a relatively fast and safe technique to access the right heart for placement of pacemaker leads. Hemothorax related to injury of the pulmonary artery (PA) is a rare complication of subclavian vein access but can be life-threatening. We report a case of hemothorax occurring after subclavian vein puncture for pacemaker implantation. No cases of transcatheter arterial embolization for PA injury secondary to pacemaker implantation have been reported. Understanding of this rare complication after pacemaker implantation along with its specific clinical presentation may lead to early diagnosis and intervention...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27867667/spontaneous-renal-artery-dissection-in-a-patient-with-neurofibromatosis-type-i
#6
Nicolas W Shammas, Majid Z Chammas, Jon Robken, Edmund Coyne
We present a case of spontaneous renal artery dissection (SRAD) in a 28-year-old female with history of neurofibromatosis type I (NF-1) treated successfully with endovascular stenting. The clinical presentation, diagnostic testing, and treatment options are discussed. An endovascular approach with stenting was successfully performed after failure of medical treatment with subcutaneous low molecular weight heparin. Patient's blood pressure and symptoms improved significantly. This may be the first reported case of SRAD in a patient with NF-1 successfully treated with endovascular stenting...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27847650/massive-thrombosis-of-the-right-atrium-extended-to-the-superior-vena-cava-at-the-diagnosis-of-acute-myeloid-leukemia
#7
Bienvenu Houssou, Gnon Gourou Orou-Guiwa, Rachida Habbal, Meryem Qachouh, Asmaa Quessar
Introduction. Venous thromboembolic disease is a common complication found in 8% of patients with acute myeloid leukemia. The location at the right atrium is exceptional. These last fifty years, only 6 cases of thrombosis of the atrium in the diagnosis of acute myeloid leukemia were published on PubMed search engine. Case Presentation. 35-year-old farmer, who had been admitted by emergency department for superior vena cava syndrome and had a hyperleukocytic AML with complex karyotype associated with a significant thrombosis of the right atrium, extended all along the superior vena cava...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27840744/successful-ablation-for-atrial-tachycardia-originated-from-sinus-venosa-with-tachycardia-induced-cardiomyopathy
#8
Sou Takenaka, Hideaki Sato, Mikio Yuhara, Takashi Uchiyama
A 74-year-old male suffering from congestive heart failure with atrial tachycardia (AT) with 2 : 1 atrioventricular conduction was admitted to our hospital. After the therapy with diuretics and β-blocker, his rapid AT was still sustained. He took the catheter ablation for his AT. Postpacing interval mapping from entrainment and noncontact mapping system revealed the mechanism of his AT, originated from sinus venosa. His AT was successfully terminated and eliminated by radiofrequency catheter ablation. After the successful ablation, he has been free from any AT, and his cardiac function was also improved...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27833764/an-endomyocardial-biopsy-of-the-left-ventricle-in-an-anorexia-nervosa-patient-with-sinus-bradycardia-and-left-ventricular-systolic-dysfunction
#9
Satoshi Takahashi, Takanao Mine
Anorexia nervosa (AN) is an eating disorder characterized by an abnormally low body weight, an intense fear of gaining weight, and a distorted perception of body weight. AN is a life-threatening condition that significantly increases the risk of death due to cardiac complications, such that at least one-third of all deaths in patients with AN are associated with cardiac causes including sudden death. In many reports, sudden death has been linked to reduced left ventricular function, structural changes, and QT abnormalities...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27830095/corrigendum-to-a-striking-coronary-artery-pattern-in-a-grown-up-congenital-heart-disease-patient
#10
Fortunato Iacovelli, Martino Pepe, Gaetano Contegiacomo, Vito Alberotanza, Filippo Masi, Alessandro Santo Bortone, Stefano Favale
[This corrects the article DOI: 10.1155/2016/5482578.].
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27807484/a-case-of-haemorrhagic-constrictive-pericarditis-with-bilateral-pleural-effusions
#11
Hans A Reyes, Julie Islam, Soheila Talebi, Eder Cativo, Savi Mushiyev, Gerald Pekler, Ferdinand Visco
Presentation of pericardial disease is diverse, with the viral aetiology being the most common cause; however, when haemorrhagic pericardial effusion is present, these causes are narrowed to few aetiologies. We present a case of a young female of African descent who presented with diffuse abdominal pain and vomiting. Initial work-up showed pericardial effusion with impending echocardiographic findings of cardiac tamponade and bilateral pleural effusions. Procedures included a left video-assisted thoracoscopic surgery (VATS) with pericardial window...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27807483/a-sizable-aortic-root-paravalvular-mycotic-pseudoaneurysm
#12
Ahmad Saeed Azhar, Noran M Abu-Ouf
Mycotic aneurysm is an established condition first identified in 1885 by Sir William Osler. It is linked to malignant endocarditis. With prevalence of 0.7-2.6% of all cases of aortic aneurysms, it is associated with a significant rate of mortality and morbidity. Physicians should be highly cautious, as diagnosis and effective treatment for this condition are difficult. The following is a case report of a 13-year-old pediatric patient diagnosed with mycotic aneurysm. Before an adequate treatment plan could be developed and implemented, patient's status worsened swiftly and was ultimately terminal...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27803818/response-to-comment-on-symptomatic-trifascicular-block-in-steinert-s-disease-is-it-too-soon-for-a-pacemaker
#13
COMMENT
Glenmore Lasam, Roberto Roberti, Gina LaCapra, Roberto Ramirez
No abstract text is available yet for this article.
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27800191/successful-left-atrial-appendage-occlusion-with-the-new-generation-amulet%C3%A2-device-after-late-occurring-embolization-of-an-amplatzer%C3%A2-cardiac-plug-in-a-patient-with-repetitive-strokes
#14
Marco R Schroeter, Wolfgang Schillinger
The Amplatzer Cardiac Plug (ACP) is one of the most commonly used devices for percutaneous left atrial appendage (LAA) closure in order to prevent a stroke in patients with atrial fibrillation and contraindication for long-term oral anticoagulation therapy. We have previously described a patient who had experienced an embolization of the ACP device about 12 months after implantation and the device could be percutaneously retrieved. A few years later, he suffered from a posterior stroke and a stroke located in the brainstem as well as a transischemic attack (TIA)...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27800190/multifactorial-etiology-pulmonary-hypertension-in-a-patient-with-sarcoidosis
#15
Barreto Ana Terra Fonseca, Barreto Lucas Vinícius da Fonseca, Cavalcante Felipe Naze Rodrigues, Oliveira Joselina Luzia Menezes, Almeida-Santos Marcos Antônio, Garcez Juliane Dantas Seabra, Barreto-Filho José Augusto Soares, Sousa Antônio Carlos Sobral
Differential diagnosis between pre- and postcapillary pulmonary hypertension (PH) in patients with diastolic heart failure (DHF) is a challenge in clinical practice. The presence of PH is implicated in worse prognosis in patients with this disease. This case report approaches the process of investigation of pulmonary hypertension in adult patient with DHF, double mitral lesion, and sarcoidosis with poor clinical outcome.
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27738531/pseudopheochromocytoma-associated-with-domestic-assault
#16
H M Le, G Carbutti, D Ilisei, E Bouccin, X Vandemergel
Pseudopheochromocytoma has a clinical presentation that is similar to pheochromocytoma. It manifests itself with paroxysmal hypertension crises, associated with various symptoms such as headaches, chest pain, nausea, palpitations, and dizziness. Patients are usually asymptomatic in between the crises. Unlike pheochromocytoma, there is no catecholamines overproduction in this pathology: hypertensive peaks are caused by a hyperactivation of the sympathetic nervous system, which is often triggered by a psychological trauma in the past...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27738530/aortic-dissection-in-a-healthy-male-athlete-a-unique-case-with-comprehensive-literature-review
#17
Balraj Singh, Jennifer M Treece, Ghulam Murtaza, Samit Bhatheja, Steven J Lavine, Timir K Paul
A young otherwise healthy 27-year-old male who has been using anabolic steroids for a long time developed Type I aortic dissection associated with heavy weightlifting. The patient did not have a recent history of trauma to the chest, no history of hypertension, and no illicit drug use. He presented with severe chest pain radiating to back and syncopal event with exertion. Initial vitals were significant for blood pressure of 80/50 mmHg, pulse of 80 beats per minute, respirations of 24 per minute, and oxygen saturation of 92% on room air...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27738529/metastatic-calcinosis-of-aortic-valve-secondary-to-renal-failure-mimicking-infective-endocarditis
#18
Noman Ahmed Jang Khan, Masroor A Khan, Guillermo Juan Morell Chardon
End stage renal disease has a list of consequences, cardiovascular being the most common. Inefficient dialysis can cause significant deposition of calcium all over the body, including heart valves making heart function impaired. We illustrate a case of 38-year-old female with end stage renal disease on peritoneal dialysis. The patient had been complaining of pain and swelling of the right hand for the last few months and had been seen by hand surgeon and was admitted electively for the biopsy of hand lesions...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27721998/an-obstructed-anomalous-left-anterior-descending-coronary-artery-arising-from-the-right-coronary-artery-requiring-surgical-intervention
#19
Alexander Mironov, Sean Galligan, Aleksandre Kakauridze, Jonathan D Marmur
A 47-year-old female presented to our hospital with symptoms of stable angina. Cardiac catheterization revealed a rare coronary artery anomaly of the left anterior descending (LAD) artery branching off the right coronary artery ostium. Furthermore, the anomalous LAD artery exhibited significant atherosclerotic obstruction. Our review of the literature found only nine such previously described cases. Due to the unique nature of coronary artery anomalies and their complications, we would like to contribute our case to the medical literature...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27688916/comment-on-a-rare-case-of-renal-infarct-due-to-noncompaction-cardiomyopathy-a-case-report-and-literature-review
#20
Josef Finsterer, Sinda Zarrouk-Mahjoub
No abstract text is available yet for this article.
2016: Case Reports in Cardiology
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