keyword
https://read.qxmd.com/read/38531395/post-pulmonary-embolism-syndrome-an-update-based-on-the-revised-awmf-s2k-guideline
#1
JOURNAL ARTICLE
F Joachim Meyer, Christian Opitz
In survivors of acute pulmonary embolism (PE), the post-PE syndrome (PPES) may occur. In PPES, patients typically present with persisting or progressive dyspnea on exertion despite 3 months of therapeutic anticoagulation. Therefore, a structured follow-up is warranted to identify patients with chronic thromboembolic pulmonary disease (CTEPD) with normal pulmonary pressure or chronic thromboembolic pulmonary hypertension (CTEPH). Both are currently understood as a dual vasculopathy, that is, secondary arterio- and arteriolopathy, affecting the large and medium-sized pulmonary arteries as well as the peripheral vessels (diameter < 50 µm)...
March 26, 2024: Hämostaseologie
https://read.qxmd.com/read/38529941/an-idiopathic-floating-ascending-aorta-thrombus-in-a-triple-rule-in-ct
#2
JOURNAL ARTICLE
Alessandro Barbarossa, Luca Finori, Paolo Berretta, Antonio Dello Russo, Marco Di Eusanio
No abstract text is available yet for this article.
March 26, 2024: European Heart Journal Cardiovascular Imaging
https://read.qxmd.com/read/38526363/-a-case-of-right-heart-failure-when-it-is-not-pulmonary-embolism
#3
JOURNAL ARTICLE
Enrico Tadiello, Emma Zimelli, Giulia Urbani, Tommaso Hinna Danesi, Daniela Reghellin, Claudio Bilato
A 66-year-old patient with recent instrumental findings (echocardiogram, cardiac magnetic resonance imaging) of right ventricular failure was hospitalized due to worsening signs and symptoms of right heart failure, while waiting for diagnostic definition. Pulmonary computed tomography angiography revealed findings compatible with bilateral pulmonary thromboembolism involving the main pulmonary artery. Anticoagulant therapy was initiated with initial benefit, partial relief of symptoms, and moderate improvement in right ventricular function...
April 2024: Giornale Italiano di Cardiologia
https://read.qxmd.com/read/38519765/the-role-of-echocardiography-in-pulmonary-embolism-for-the-prediction-of-in-hospital-mortality-a-retrospective-study
#4
JOURNAL ARTICLE
Michele Domenico Spampinato, Andrea Portoraro, Soccorsa M Sofia, Francesco Luppi, Marcello Benedetto, Luca D'Angelo, Giorgio Galizia, Irma Sofia Fabbri, Teresa Pagano, Benedetta Perna, Matteo Guarino, Giulia Passarini, Rita Pavasini, Angelina Passaro, Roberto De Giorgio
PURPOSE: Pulmonary Embolism (PE) is the third leading cause of cardiovascular death, following myocardial infarction and stroke. The latest European Society of Cardiology (ESC) guidelines on PE recommend short-term prognostic stratification based on right ventricular (RV) overload detected by transthoracic echocardiography (TTE) or contrast-enhanced chest CT. The aim of the study is to find out which of the signs of right ventricular dysfunction best predicts in-hospital mortality (IHM)...
March 23, 2024: Journal of Ultrasound
https://read.qxmd.com/read/38516862/3-d-transesophageal-echocardiography-aids-in-assessment-of-embolic-stroke-due-to-aortic-atherosclerotic-plaque-a-case-series
#5
Songnan Wen, Tasneem Z Naqvi
Atherosclerosis is the most common cause of heart disease and stroke. Plaque thickness ≥4 mm in the ascending aorta or aortic arch is strongly correlated with cerebral embolic events and ischemic stroke. However, despite imaging workup, the cause of embolic stroke remains unidentified in many patients. Transesophageal echocardiography (TEE) is the preferred echocardiographic method for the evaluation of cardiac source of emboli. 2D TEE imaging evaluates aortic root and aortic arch in a single plane or two planes with biplane imaging...
March 2024: Echocardiography
https://read.qxmd.com/read/38516490/successful-reversal-of-late-severe-thrombotic-bioprosthetic-mitral-valve-stenosis-with-anticoagulation-therapy
#6
Juliet Galtes, Victor Gomez, Alejandro Sarria Arbocco
Late bioprosthetic valve thrombosis (bPVT) is a rare and potentially life-threatening complication following valve replacement with thrombus formation leading mostly to valvular stenosis or embolic phenomena. Clinically, it manifests as symptoms of fatigue, dyspnea, or reduced exercise capacity. The existing treatment guidelines lack clear recommendations for managing this specific presentation. In this case study, we present a distinct clinical scenario wherein the use of anticoagulation, specifically apixaban, successfully reversed very late, severe thrombotic stenosis in a 78-year-old woman with a Medtronic Hancock II porcine mitral valve (Dublin, Ireland)...
February 2024: Curēus
https://read.qxmd.com/read/38491358/decision-making-of-iatrogenic-coronary-embolism-after-savr-a-case-report
#7
JOURNAL ARTICLE
Atsuyuki Mitsuishi, Kazumasa Orihashi, Yujiro Miura, Ren Saito
BACKGROUND: Acute coronary artery obstruction is a rare but lethal complication of surgical aortic valve replacement (SAVR), which may be caused by embolization of resected native tissue such as calcium plaque, thrombus, or perivalvular aortic tissue like fat embolus. Coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) are the main treatment modalities. PCI is less invasive, but it is difficult to determine its feasibility intraoperatively. CASE PRESENTATION: We report an 86-year-old woman who had asymptomatic severe aortic stenosis...
March 15, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38487870/left-atrial-shape-as-a-marker-of-atrial-myopathy-in-embolic-stroke-of-undetermined-source
#8
JOURNAL ARTICLE
Aaisha Ferkh, Kasun De Silva, Jennifer Pham, Luke Stefani, Karen Byth, Amy Clark, Siddharth J Trivedi, Sai Nagaratnam, Andrew Duggins, Eddy Kizana, Aravinda Thiagalingam, Liza Thomas
AIMS: Embolic Stroke of Undetermined Source (ESUS) results in significant morbidity. A left atrial (LA) myopathy is implicated in a proportion of these patients. We hypothesized that LA shape varies by cause of stroke (cardioembolic versus ESUS). METHODS AND RESULTS: 236 ischemic stroke, atrial fibrillation (AF) patients and controls were recruited prospectively. AF was classified as paroxysmal (PAF) or persistent AF (PersAF). Stroke patients comprised cardioembolic stroke (CE) secondary to AF and ESUS...
March 15, 2024: European Heart Journal Cardiovascular Imaging
https://read.qxmd.com/read/38484943/assessing-left-atrial-size-and-pump-function-in-ischemic-stroke-patients-is-cardiac-mri-superior-to-transthoracic-echocardiography
#9
JOURNAL ARTICLE
Maxwell Isaac, Senthil A Kumar, Gregory F Petroski, Alex Shinn, Ashir Mehra, Camilo R Gomez
OBJECTIVES: Current guidelines recommend transthoracic echocardiography (TTE) following an ischemic stroke as the primary technique to identify cardiac abnormalities associated with an increased risk of cerebral embolism. It is unclear whether cardiac magnetic resonance imaging (cMRI), a technique shown to provide increased imaging resolution, may also enhance the cardiac assessment of ischemic stroke patients. We compared cMRI with TTE in the evaluation of LA size and pump function in a cohort of 44 patients with ischemic stroke...
March 12, 2024: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/38483553/-endocarditis-and-ischemic-stroke-of-rare-cause
#10
JOURNAL ARTICLE
L Schönfeld, G Scheumann, J Jöckel
A 60-year-old male patient presented with ischemic-embolic stroke. Transesophageal echocardiography revealed the cause to be aortic valve endocarditis with highly eccentric aortic valve regurgitation. The blood cultures taken several times remained sterile. The indication for surgical aortic valve replacement was made. Conventional microbiological work-up of the heart valve did not reveal any pathogens. The additional molecular genetic testing using eubacterial PCR ("polymerase chain reaction" [PCR]) finally demonstrated the presence of Tropheryma whipplei...
March 14, 2024: Inn Med (Heidelb)
https://read.qxmd.com/read/38479829/giant-coronary-sinus-aneurysm-an-incidental-discovery-in-a-case-of-acute-coronary-syndrome
#11
JOURNAL ARTICLE
Raghav Nagpal, Kanhai Lalani, Padmakumar Ramachandran
Coronary sinus (CS) anomalies, although infrequent, are increasingly diagnosed with advances in interventional procedures and imaging techniques. Most cases are asymptomatic and incidentally diagnosed. We present a case of an elderly male without comorbidities who presented with acute angina. Coronary catheterisation revealed a double-vessel disease, but incidentally, sequential angiograms captured contrast filling in the levophase of CS, revealing a giant CS. Primary percutaneous angioplasty of the right coronary artery was performed successfully...
March 13, 2024: BMJ Case Reports
https://read.qxmd.com/read/38468264/cardiopulmonary-exercise-test-to-detect-cardiac-dysfunction-from-pulmonary-vascular-disease
#12
REVIEW
Mona Alotaibi, Jenny Z Yang, Demosthenes G Papamatheakis, W Cameron McGuire, Timothy M Fernandes, Timothy A Morris
BACKGROUND: Cardiac dysfunction from pulmonary vascular disease causes characteristic findings on cardiopulmonary exercise testing (CPET). We tested the accuracy of CPET for detecting inadequate stroke volume (SV) augmentation during exercise, a pivotal manifestation of cardiac limitation in patients with pulmonary vascular disease. METHODS: We reviewed patients with suspected pulmonary vascular disease in whom CPET and right heart catheterization (RHC) measurements were taken at rest and at anaerobic threshold (AT)...
March 11, 2024: Respiratory Research
https://read.qxmd.com/read/38467167/aortic-valve-fibroelastoma-presenting-with-myocardial-infarction-with-non-obstructive-coronary-arteries-minoca-a-case-report-and-review-of-the-literature
#13
Martino Pepe, Rocco Tritto, Maria Ludovica Naccarati, Simona Quarta, Andrea Marzullo, Marco Matteo Ciccone
Cardiac papillary fibroelastomas (CPFs) are rare benign cardiac tumors more often involving the left-sided valves and related with threatening embolic complications. We report the case of a 35-year-old woman presenting with relapsing-remitting chest pain and elevated cardiac troponins. After a negative coronary angiography, an integrated imaging assessment based on echocardiography and cardiac magnetic resonance showed a pedunculated mass on the aortic valve causing an intermittent obstructive engagement of the right coronary ostium...
March 9, 2024: Cardiovascular Pathology: the Official Journal of the Society for Cardiovascular Pathology
https://read.qxmd.com/read/38465762/hypereosinophilic-syndrome-associated-with-multiple-thromboses-requiring-icu-admission-a-case-report
#14
JOURNAL ARTICLE
Islem Ouanes, Sarra Toumi, Yasser Ben Cheikh, Oussama Ben Rejeb, Nadia Mama
Hypereosinophilic syndrome (HES) is a leucoproliferative disorder, characterized by marked blood eosinophilia and organ damage due to tissue eosinophilia. Pulmonary involvement may lead to life-threatening acute respiratory failure and intensive care unit (ICU) admission. Association between eosinophilia and thromboembolism has been previously described. However, simultaneous venous and arterial thromboses are less reported. We report a case of a 25-year-old man, admitted to the ICU and developed acute respiratory failure, laboratory tests revealed hyperleukocytosis (39,700 /µL) with high eosinophil count (27393 /µl), Computed tomographic (CT) pulmonary angiography on admission showed a right pulmonary embolism and foci of splenic infarctions...
October 5, 2023: La Tunisie Médicale
https://read.qxmd.com/read/38465696/differentiating-electrocardiographic-indications-of-massive-and-submassive-pulmonary-embolism-a-cross-sectional-study-in-southern-iran-from-2015-to-2020
#15
JOURNAL ARTICLE
Zahra Bahreini, Maliheh Kamali, Fatemeh Kheshty, Hamed Bazrafshan Drissi, Shahrokh Sadeghi Boogar, Mehdi Bazrafshan
BACKGROUND: Although using electrocardiogram (ECG) for pulmonary embolism (PE) risk stratification has shown mixed results, it is currently used as supplementary evidence in risk stratification. This cross-sectional study aimed to assess and compare ECG findings of massive and submassive PE versus segmental PE. METHODS: This cross-sectional study included 250 hospitalized patients with a confirmed diagnosis of acute PE from 2015 to 2020 in Southern Iran. Demographic variables, clinical data, troponin levels, on-admission ECG findings, echocardiography findings, and ECG findings 24 h after receiving anticoagulants or thrombolytics were extracted...
March 2024: Clinical Cardiology
https://read.qxmd.com/read/38464844/missile-embolism-from-pulmonary-vein-to-left-ventricle-report-of-a-case
#16
Mohammadrafie Khorgami, Fattaneh Khalaj, Maziar Gholampour, Hassan Tatari
Missile embolization is rare in penetrating trauma, occurring in 0.3% of cases. Bullet embolism into the left ventricle is less frequent, with few instances described in the literature. This paper describes an instance of left ventricular bullet embolism from the pulmonary venous system following gunshot chest trauma. A 7-year-old boy sustained a gunshot wound to his chest during an assault accident. Despite thoracic pain, he remained conscious and exhibited vital signs. A CXR and CT scan revealed a bullet in the left mediastinum...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38462621/left-atrial-myxoma-with-cardiogenic-shock-following-a-myocardial-infarction-a-case-report
#17
JOURNAL ARTICLE
Ian Lancaster, Tara Hrobowski-Blackman, Deep Patel, Lubna Chatoor, Joshini Simon, Andrew Willinger
BACKGROUND: Myxomas are the most common primary cardiac tumor and typically originate in the left atrium. Atrial myxomas may present following complications of obstruction and emboli. If an atrial myxoma goes untreated, complications such as congestive heart failure, embolic stroke, and sudden death can occur. CASE PRESENTATION: A 58-year-old Caucasian male presented following a cardiac arrest. He was taken emergently to the cardiac catheterization lab and received two drug eluting stents...
March 11, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38458388/contrast-free-left-atrial-appendage-occlusion-in-patients-using-the-lambre%C3%A2-device
#18
JOURNAL ARTICLE
Vivian Vij, Tobias Friedrich Ruf, Jean-Benoit Thambo, Lara Vogt, Saddam M A Al-Sabri, Dominik Nelles, Jan-Wilko Schrickel, Thomas Beiert, Georg Nickenig, Ralph Stephan von Bardeleben, Xavier Iriart, Alexander Sedaghat
BACKGROUND: Advances in imaging have led to procedural optimization of left atrial appendage closure (LAAC). Contrast-free approaches, guided merely by echocardiography, have been established, however data on this topic remains scarce. In this analysis, we assessed contrast-free procedural results with the LAMBRE LAAC device. METHODS: The multicenter retrospective BoBoMa (Bonn/Bordeaux/Mainz)-Registry included a total of 118 patients that underwent LAAC with LAMBRE devices omitting contrast-dye...
March 6, 2024: International Journal of Cardiology
https://read.qxmd.com/read/38456278/low-pneumoperitoneum-pressure-reduces-gas-embolism-during-laparoscopic-liver-resection-a-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Wenchen Luo, Danfeng Jin, Jian Huang, Jinlin Zhang, Yongfeng Xu, Jiahui Gu, Caihong Sun, Jian Yu, Peiyao Xu, Luping Liu, Zhenyu Zhang, Chenyue Guo, Hongjin Liu, Changhong Miao, Jing Zhong
OBJECTIVE: To compare the effect of low and standard pneumoperitoneal pressure (PP) on the occurrence of gas embolism during laparoscopic liver resection (LLR). BACKGROUND: LLR has an increased risk of gas embolism. Although animal studies have shown that low PP reduces the occurrence of gas embolism, clinical evidence is lacking. METHODS: This parallel, dual-arm, double-blind, randomized controlled trial included 141 patients undergoing elective LLR...
April 1, 2024: Annals of Surgery
https://read.qxmd.com/read/38449977/the-role-of-transesophageal-echocardiogram-in-the-diagnosis-and-treatment-of-intracardiac-tumors-a-case-of-atrial-myxoma
#20
Filipa Côrte-Real, Hugo Côrte-Real
Cardiac myxoma is the most common primary heart tumor in adults. Although biologically benign, they can be life-threatening by obstructing heart function. They typically develop in the left atrium and can be polypoid (causing more obstruction) or papillary (more likely to cause embolizations). Symptoms are nonspecific, and diagnosis is relatively rare. Echocardiography is essential for quick diagnosis, and surgical removal is the primary treatment with low mortality rates, excellent postoperative survival, and low recurrence rates...
February 2024: Curēus
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