keyword
https://read.qxmd.com/read/34136265/association-of-autosomal-dominant-polycystic-kidney-disease-asymptomatic-multiple-giant-coronary-arteries-aneurysms-and-abdominal-aortic-aneurysm-a-case-report
#21
Abdullah Rida Hindawy, Baraa Daboul, Ibrahem Hanafi, Sami Albitar
Autosomal dominant polycystic kidney disease (ADPKD) is a systemic disease characterized by the formation of multiple cysts in several organs. The formation of aneurysms accompanying this disease is being increasingly reported in the literature, and mutations in PKD-1 and PKD-2 are suspected in this etiology. Although the association between ADPKD and multiple coronary arteries aneurysms (CAA) was reported several times, we are presenting a case with the combination of ADPKD, multiple giant CAAs, abdominal aortic aneurysms and a suspected intracranial aneurysm, which has never been reported...
December 2020: Oxford Medical Case Reports
https://read.qxmd.com/read/34079734/automatic-tool-segmentation-and-tracking-during-robotic-intravascular-catheterization-for-cardiac-interventions
#22
JOURNAL ARTICLE
Olatunji Mumini Omisore, Wenke Duan, Wenjing Du, Yuhong Zheng, Toluwanimi Akinyemi, Yousef Al-Handerish, Wanghongbo Li, Yong Liu, Jing Xiong, Lei Wang
BACKGROUND: Cardiovascular diseases resulting from aneurism, thrombosis, and atherosclerosis in the cardiovascular system are major causes of global mortality. Recent treatment methods have been based on catheterization of flexible endovascular tools with imaging guidance. While advances in robotic intravascular catheterization have led to modeling tool navigation approaches with data sensing and feedback, proper adaptation of image-based guidance for robotic navigation requires the development of sensitive segmentation and tracking models without specificity loss...
June 2021: Quantitative Imaging in Medicine and Surgery
https://read.qxmd.com/read/33854568/early-anti-il-1-treatment-replaces-steroids-in-refractory-kawasaki-disease-clinical-experience-from-two-case-reports
#23
Maria Vincenza Mastrolia, Giulia Abbati, Claudia Signorino, Ilaria Maccora, Edoardo Marrani, Ilaria Pagnini, Gabriele Simonini
Refractory Kawasaki disease (KD) is related to a major risk of coronary arteries abnormalities and its treatment is not standardized. In this regard, anakinra (ANA), an interleukin (IL)-1 receptor antagonist, represents an emerging therapeutic option. We report two cases of children, diagnosed with KD, nonresponsive to two doses of intravenous immunoglobulins, successfully treated with ANA, without a prior use of steroids. Patient 2 developed a coronary dilatation, that improved significantly after ANA therapy...
2021: Therapeutic Advances in Musculoskeletal Disease
https://read.qxmd.com/read/33778151/cardiac-abnormalities-due-to-multisystem-inflammatory-syndrome-temporally-associated-with-covid-19-among-children-a-systematic-review-and-meta-analysis
#24
REVIEW
Behzad Haghighi Aski, Ali Manafi Anari, Farhad Abolhasan Choobdar, Ramin Zareh Mahmoudabadi, Maryam Sakhaei
BACKGROUND: Cardiac defects due to multisystem inflammatory syndrome in children (MIS-C) have been abundantly reported leading high morbidity among children affected by Covid-19. We aimed to systematically assess the incidence of such cardiac abnormalities due to MIS-C in children suffering Covid-19. METHODS: The manuscript databases including Medline, Web of knowledge, Google scholar, Scopus, and Cochrane were deeply searched by the two blinded investigators for all eligible studies based on the relevant keywords...
April 2021: IJC Heart & Vasculature
https://read.qxmd.com/read/33748422/surgical-myocardial-revascularization-outcomes-in-kawasaki-disease-systematic-review-and-meta-analysis
#25
JOURNAL ARTICLE
Antonio Salsano, Jingda Liao, Ambra Miette, Massimo Capoccia, Giovanni Mariscalco, Francesco Santini, Antonio F Corno
Background: Kawasaki disease (KD) is a systemic inflammatory condition occurring predominantly in children. Coronary artery bypass grafting (CABG) is performed in the presence of inflammation and aneurysms of the coronary arteries. The objectives of our study were to assess which CABG strategy provides better graft patency and early and long-term outcomes. Methods: A systematic review using Medline, Cochrane, and Scopus databases was performed in February 2020, incorporating a network meta-analysis, performed by random-effect model within a Bayesian framework, and pooled prevalence of adverse outcomes...
2021: Open Medicine (Warsaw, Poland)
https://read.qxmd.com/read/33731148/cyclophosphamide-use-in-treatment-of-refractory-kawasaki-disease-with-coronary-artery-aneurysms
#26
REVIEW
Olha Halyabar, Kevin G Friedman, Robert P Sundel, Annette L Baker, Margaret H Chang, Patrick W Gould, Jane W Newburger, Mary Beth F Son
BACKGROUND: Despite timely administration of IVIG, some patients with Kawasaki disease (KD) develop rapidly progressive or giant coronary artery aneurysms (CAA). CASE PRESENTATION: We describe our experience using cyclophosphamide (CYC) for the treatment of such cases as well as a review of the literature on the use of CYC in KD. Through a retrospective chart review of our KD population, we identified ten children treated for KD with intravenous CYC (10 mg/kg/dose) for one or two doses...
March 17, 2021: Pediatric Rheumatology Online Journal
https://read.qxmd.com/read/33568249/rare-case-of-kawasaki-disease-with-cardiac-tamponade-and-giant-coronary-artery-aneurysms
#27
JOURNAL ARTICLE
Andrea Vergara, Emanuele Monda, Cinzia Mautone, Francesca Renon, Antonio Di Masi, Mario Giordano, Giuseppe Limongelli, Paolo Calabrò, Giovanbattista Capozzi, Maria G Russo
Kawasaki disease is an acute systemic vascular disease, generally self-limited and typically affecting children <5 years old, which leads to coronary artery aneurysms in about 25% of untreated cases. Cardiovascular involvement is characterised by transient pancarditis, in acute phase, while coronary illness, ranging from mild dilation to giant CAAs occurs late, rarely before the 10th day since fever onset. Here, we describe a peculiar case of KD, which occurred in a 4-month-old infant and presented with exudate cardiac tamponade and early giant aneurism of both the proximal right coronary artery) and the left circumflex coronary artery, in acute phase of the disease...
February 11, 2021: Cardiology in the Young
https://read.qxmd.com/read/33447712/a-case-report-of-a-coronary-artery-fistula-to-coronary-sinus-with-giant-aneurysm-risk-does-not-end-with-repair
#28
JOURNAL ARTICLE
Giulia Poretti, Mauro Lo Rito, Alessandro Varrica, Alessandro Frigiola
Background: Isolated coronary arteriovenous fistulas are extremely rare, accounting for 0.08-0.4% of all congenital heart disease. Closure of the fistula is recommended in cases of large dimensions, relevant left-right shunt, or ischaemic events. Thrombosis of the coronary aneurysms may occur as a postoperative complication. Case summary: We report a case of a coronary fistula between the circumflex artery and coronary sinus with giant aneurysm. After a failed percutaneous closure attempt, the patient was surgically treated without major postoperative complications...
December 2020: European Heart Journal. Case Reports
https://read.qxmd.com/read/33204983/complex-cardiac-surgery-in-a-high-risk-patient-with-new-onset-severe-mitral-regurgitation-and-aorta-to-right-ventricular-fistula-after-transcatheter-aortic-valve-implantation-a-case-report
#29
Mario Verdugo-Marchese, Pierre Monney, Olivier Muller, Matthias Kirsch
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is the procedure of choice for aortic stenosis in high surgical risk patients, but it is no free from complications. CASE SUMMARY: A 86-year-old patient with severe aortic stenosis underwent TAVI 3 years ago with an Edwards Sapiens valve by femoral access. In the echocardiography follow-up, an aorta-right ventricular (Ao-RV) fistula was noted with restrictive flow and no significant shunt and it was treated conservatively...
October 2020: European Heart Journal. Case Reports
https://read.qxmd.com/read/32815793/ascending-aortic-aneurysm-repair-in-the-setting-of-tako-tsubo-cardiomyopathy
#30
JOURNAL ARTICLE
Matteo Matteucci, Sandro Ferrarese, Claudio Corazzari, Gaia Telli, Vittorio Mantovani, Roberto Lorusso, Cesare Beghi
Tako-tsubo cardiomyopathy (TC) is characterized by acute but transient ventricular dysfunction without obstructive coronary artery disease, generally precipitated by emotional and physical triggers. We describe this syndrome in a 76-year-old woman who was admitted with thoracic pain secondary to TC as shown by echocardiographic assessment, with a concurrent diagnosis of giant ascending aortic aneurism. Surgical intervention was delayed to allow ventricular recovery and then to perform ascending aorta replacement...
May 2021: Perfusion
https://read.qxmd.com/read/32556506/long-term-follow-up-of-coronary-artery-lesions-in-children-in-kawasaki-syndrome
#31
JOURNAL ARTICLE
Ilaria Maccora, Giovanni Battista Calabri, Silvia Favilli, Alice Brambilla, Sandra Trapani, Edoardo Marrani, Gabriele Simonini
To describe clinical and epidemiological characteristics of a Kawasaki syndrome cohort. In a monocentric, retrospective, observational study, between February 1982 and August 2018, we enrolled 361 children, aged 1 month to 24.4 years. Coronary artery lesions were detected in 20.2% of patients: 16% had coronary ectasia, and 4.15% had coronary aneurisms. A significant difference regarding age at disease onset (p = 0.025), fever duration (p < 0.0001), CRP (p = 0.001) and day of first IVIG administration (p < 0...
January 2021: European Journal of Pediatrics
https://read.qxmd.com/read/32457855/resolution-of-giant-coronary-aneurisms-in-a-child-with-refractory-kawasaki-disease-treated-with-anakinra
#32
Alessandro Gambacorta, Danilo Buonsenso, Gabriella De Rosa, Ilaria Lazzareschi, Antonio Gatto, Federica Brancato, Davide Pata, Piero Valentini
Kawasaki disease (KD) is an acute, febrile illness of unknown etiology that mainly affects children under 5 years of age. intravenous immunoglobulin (IVIG), the standard treatment, has reduced coronary involvement to <5%. Patients who do not improve after an initial IVIG have a higher risk of developing coronary arteries aneurysms, and its optimal treatment remains controversial. We present a case of IVIG, steroids, and infliximab-resistant KD in a 9-month-old child, which developed giant aneurysms and was successfully treated with anakinra, a recombinant antagonist of the IL-1 receptor...
2020: Frontiers in Pediatrics
https://read.qxmd.com/read/32385513/monstrous-pulmonary-artery-aneurism-threatens-the-left-coronary-artery
#33
JOURNAL ARTICLE
Robert Sabiniewicz, Jarosław Meyer-Szary, Bożena Zięba, Dariusz Ciećwierz
No abstract text is available yet for this article.
May 8, 2020: European Heart Journal
https://read.qxmd.com/read/32187886/infarct-like-myocarditis-with-coronary-vasculitis-and-aneurysm-formation-caused-by-epstein-barr-virus-infection
#34
Cristina Chimenti, Romina Verardo, Claudia Grande, Marco Francone, Andrea Frustaci
Myocardial infection by Epstein-Barr virus (EBV) may manifest with inflammatory cardiomyopathy, coronary syndrome X, and rarely with infarct-like myocarditis. The aim of the report is to describe a case of myocardial EBV infection causing acute myocarditis with heart failure, necrotizing coronary vasculitis, and multiple left ventricular (LV) aneurysms. A 67-year-old woman presented with fever, chest pain, and heart failure. She underwent non-invasive cardiac studies including electrocardiography, 2D-echocardiography, cardiac magnetic resonance, hematochemical exams with Troponin T determination, and invasive studies including cardiac catheterization, coronary angiography, and LV endomyocardial biopsy...
March 18, 2020: ESC Heart Failure
https://read.qxmd.com/read/31766965/giant-cell-arteritis-related-aortitis-with-positive-or-negative-temporal-artery-biopsy-a-french-multicentre-study
#35
MULTICENTER STUDY
C Agard, G Bonnard, M Samson, C de Moreuil, C Lavigne, P Jégo, J Connault, M Artifoni, T Le Gallou, C Landron, P Roblot, J Magnant, C Belizna, F Maillot, E Diot, A Néel, M Hamidou, O Espitia
Objective : To compare the clinical presentation and outcome of giant cell arteritis (GCA)-related aortitis according to the results of temporal artery biopsy (TAB). Method : Patients with GCA-related aortitis diagnosed between 2000 and 2017, who underwent TAB, were retrospectively included from a French multicentre database. They all met at least three American College of Rheumatology criteria for the diagnosis of GCA. Aortitis was defined by aortic wall thickening > 2 mm on computed tomography scan and/or an aortic aneurysm, associated with an inflammatory syndrome...
November 2019: Scandinavian Journal of Rheumatology
https://read.qxmd.com/read/31635216/spontaneous-splenic-rupture-as-a-rare-initial-presentation-in-an-acute-lymphoblastic-leukemia-patient
#36
Meng-Yu Wu, Woei-Yau Kao, Cheng-Yi Chan, Giou-Teng Yiang, Wan-Ting Liao, Chien-Sheng Chen
A spontaneous rupture of the spleen is a rare but critical diagnosis of an acute abdomen, which may accompany unspecific symptoms mimicking acute pancreatitis, rupture of aortic aneurism, or acute coronary syndrome, delaying diagnosis and treatment. In patients that have experienced a severe spleen rupture, hypovolemic shock may cause catastrophic clinical outcomes. Therefore, early diagnosis is very important in order for physicians to declare the etiology for prevention and timely correction of the shock status...
October 18, 2019: Diagnostics
https://read.qxmd.com/read/31540572/-long-term-survival-of-patients-with-ischemic-heart-disease-after-surgical-correction-of-moderate-ischemic-mitral-regurgitation
#37
JOURNAL ARTICLE
Yu E Karevа, V U Efendiev, S S Rakhmonov, A M Chernyavsky, V L Lukinov
AIM: to assess effect of correction of moderate ischemic mitral regurgitation (IMR) in patients with ischemic cardiomyopathy (IMC) in immediate and remote period. MATERIALS AND METHODS: We included in a single center prospective study 76 patients with IMC, left ventricular ejection fraction ≤35 %, and moderate IMR. Patients with indications to postinfarction aneurism repair were not included. For randomization we used the method of envelopes. Thirty-eight patients were randomized in the group where coronary artery bypass grafting (CABG) was combined with of mitral valve repair (MVR), and 38 patients in the control group of isolated CABG...
September 20, 2019: Kardiologiia
https://read.qxmd.com/read/31378382/coronary-artery-aneurysms-insights-from-the-international-coronary-artery-aneurysm-registry-caar
#38
MULTICENTER STUDY
Iván J Núñez-Gil, Enrico Cerrato, Mario Bollati, Luis Nombela-Franco, Belén Terol, Emilio Alfonso-Rodríguez, Santiago J Camacho Freire, Pedro A Villablanca, Ignacio J Amat Santos, José M de la Torre Hernández, Isaac Pascual, Christoph Liebetrau, Benjamín Camacho, Marco Pavani, Juan Albistur, Roberto Adriano Latini, Ferdinando Varbella, Víctor Alfonso Jiménez-Díaz, Davide Piraino, Massimo Mancone, Fernando Alfonso, José Antonio Linares, Ramón Rodríguez-Olivares, Jesús M Jiménez Mazuecos, Jorge Palazuelos Molinero, Alejandro Sánchez-Grande Flecha, Joan Antoni Gomez-Hospital, Alfonso Ielasi, Íñigo Lozano, Pierluigi Omedè, Rodrigo Bagur, Fabrizio Ugo, Massimo Medda, Boshra F Louka, Petr Kala, Javier Escaned, Daniel Bautista, Gisela Feltes, Pablo Salinas, Mohamad Alkhouli, Carlos Macaya, Antonio Fernández-Ortiz
BACKGROUND: Coronary Aneurysms are a focal dilatation of an artery segment >1.5-fold the normal size of adjacent segments. Although some series have suggested a prevalence of 0.3-12%, data are lacking. In addition, they are not mentioned in practice guidelines. Our aim was investigate its prevalence, management and long-term outcomes. METHODS AND RESULTS: The coronary artery aneurysm registry (CAAR) involved 32 hospitals across 9 countries in America and Europe...
January 15, 2020: International Journal of Cardiology
https://read.qxmd.com/read/30802584/a-unique-bailout-method-for-the-repair-of-abdominal-aortic-aneurism-with-a-narrow-iliac-bifurcation
#39
JOURNAL ARTICLE
Hakan Orbay, Desmond Khor, Cynthia Xu, Greg Steiner, Khanjan Harish Nagarsheth, Thomas Stacy Monahan, Shahab Toursavadkohi
BACKGROUND: Endovascular aneurysm repair (EVAR) became the procedure of first choice for the repair of the abdominal aortic aneurysms (AAAs) in the last decades. However, narrow distal aorta remains to be the main limiting factor for the use of EVAR. A limited number of bail-out procedures have been described in the literature to overcome this problem. METHODS: A 69-year-old male was transferred to our institution for the repair of a ruptured AAA. His initial presentation mimicked an acute coronary syndrome, provoking a cardiac catheterization that documented a ruptured AAA...
August 2019: Annals of Vascular Surgery
https://read.qxmd.com/read/30603641/red-blood-cell-distribution-width-rdw-is-an-independent-predictor-of-post-implantation-syndrome-in-patients-undergoing-endovascular-aortic-repair-for-abdominal-aortic-aneurysm
#40
JOURNAL ARTICLE
Gian Franco Veraldi, Luca Mezzetto, Lorenzo Scorsone, Marco Macrì, Chiara Bovo, Fabio Simoncini, Paolo Criscenti, Giuseppe Lippi
Background: This observational, retrospective study aims establishing the role of red blood cell distribution width (RDW) for identifying abdominal aortic aneurism (AAA) patients at risk of developing post-implantation syndrome (PiS) after endovascular aneurysm repair (EVAR). Methods: The study population consisted of all patients undergoing EVAR for AAA at the University Hospital of Verona (Italy), between June 1, 2016 and May 31, 2018. Blood samples for measuring hemoglobin, mean corpuscular volume (MCV) and RDW were collected at hospital admission and the day after EVAR...
December 2018: Annals of Translational Medicine
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