181,248 results match your criteria Atrial Myxoma


Prognostic value of left atrial strain in predicting cardiovascular morbidity and mortality in the general population.

Eur Heart J Cardiovasc Imaging 2018 Dec 11. Epub 2018 Dec 11.

Department of Cardiology, Herlev & Gentofte Hospital, University of Copenhagen, Denmark.

Aims: Left atrial (LA) enlargement predicts cardiovascular risk. The prognostic value of left atrial peak reservoir strain (LA RS) by two-dimensional speckle tracking in the general population is currently unknown. This study sought to determine the prognostic value of LA RS in the general population. Read More

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December 2018

Simultaneous operative repair of pectus excavatum and concurrent congenital heart defects.

Interact Cardiovasc Thorac Surg 2018 Dec 11. Epub 2018 Dec 11.

Department of Cardiothoracic Surgery, Hunan Children's Hospital, Changsha, China.

Objectives: The aim of this study is to describe an effective surgical strategy for the treatment of children with pectus excavatum (PE) and concurrent congenital heart defect (CHD).

Methods: We retrospectively reviewed the medical records of all children (n = 16) who underwent simultaneous repair of PE with concurrent CHD at the Hunan Children's Hospital from July 2007 to December 2017. Among them, 7 patients had a simple atrial septal defect (ASD); 4 patients had a simple ventricular septal defect (VSD); 3 patients had both VSD and ASD; 1 patient had VSD, ASD and patent ductus arteriosus; and 1 patient had VSD complicated by pulmonary hypertension. Read More

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December 2018
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Right atrial pedunculated mass: myxoma or thrombus?

J Cardiovasc Med (Hagerstown) 2018 Dec 3. Epub 2018 Dec 3.

Department of Cardiology, Brugmann University Hospital, Brussels, Belgium.

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December 2018

Design and rationale of the Edoxaban Treatment in routiNe clinical prActice for patients with Atrial Fibrillation in Europe (ETNA-AF-Europe) study.

J Cardiovasc Med (Hagerstown) 2018 Dec 11. Epub 2018 Dec 11.

Institute of Cardiovascular Sciences, University of Birmingham, SWBH and UHB NHS Trusts, Birmingham, UK.

Aim: Edoxaban, a nonvitamin K antagonist oral anticoagulant, is an oral factor Xa inhibitor approved for the prevention of stroke and systemic embolism in adult patients with atrial fibrillation and for the treatment and secondary prevention in adult patients with venous thromboembolism (VTE). This study details the design of the Edoxaban Treatment in routiNe clinical prActice for patients with Atrial Fibrillation in Europe (ETNA-AF-Europe) study - a postauthorization observational study, which is part of the postapproval plan for edoxaban agreed with the European Medicines Agency.

Methods: The ETNA-AF-Europe study (Clinicaltrials. Read More

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December 2018
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Persistence on apixaban in atrial fibrillation patients: a retrospective multicentre study.

J Cardiovasc Med (Hagerstown) 2018 Dec 11. Epub 2018 Dec 11.

MA Provider, Milan, Italy.

Aims: Real-world data on treatment persistence, safety and effectiveness of non-Vitamin K antagonist oral anticoagulants (NOACs) play an important role in the assessment of risks and benefits of these drugs. Our aim was to evaluate persistence on treatment, incidence of major bleeding and incidence of a composite endpoint of major events, including all-cause death, myocardial infarction, stroke and systemic thromboembolism, during treatment with apixaban in a cohort of patients with nonvalvular atrial fibrillation (NVAF).

Methods: In this multicentre retrospective observational study, we retrieved data from medical records of five Italian hospitals on patients with a diagnosis of NVAF who initiated apixaban between 1 January 2014 and 31 March 2016 and had a first subsequent visit at the same hospital. Read More

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December 2018

Cardiotoxicity with trabectedin in the treatment of advanced soft tissue sarcoma.

Anticancer Drugs 2019 Jan;30(1):110-115

Department of Oncology, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge, UK.

Trabectedin is used routinely in the palliative management of patients with advanced soft tissue sarcoma. It is not generally considered to be cardiotoxic, and there is no specific caution for its use in patients with a history of cardiac disease or risk factors. Here, we report six cases from a single academic centre where life-threatening cardiotoxicity occurred acutely during treatment with trabectedin. Read More

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January 2019

Reason and Timing for Conversion to Sternotomy in Robotic-Assisted Coronary Artery Bypass Grafting and Patient Outcomes.

Innovations (Phila) 2018 Dec 5. Epub 2018 Dec 5.

From the Divisions of Cardiac Surgery and.

Objective: Conversion to sternotomy is a primary bailout method for robotically assisted coronary artery bypass grafting procedures. The aims of this study were to identify the primary reasons for conversion from robotically assisted coronary artery bypass grafting to sternotomy and to evaluate the in-hospital outcomes in such patients.

Methods: Prospectively collected data from February 2004 to April 2017 were reviewed for 72 patients (56 men; mean age = 63. Read More

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December 2018
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Hemorrhagic Transformation After Acute Ischemic Stroke in Atrial Fibrillation Patients.

J Stroke Cerebrovasc Dis 2019 Jan 26;28(1):234. Epub 2018 Oct 26.

Department of Radiology, Mayo Clinic, Florida. Electronic address:

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January 2019

Usefulness of Cardiac Resynchronization Therapy in Patients With Continuous Flow Left Ventricular Assist Devices.

Am J Cardiol 2019 Jan 2;123(1):93-99. Epub 2018 Oct 2.

University of Iowa.

The benefit of cardiac resynchronization therapy in patients supported by a left ventricular assist device (LVAD) is unknown. There are currently no guidelines regarding the continuation, discontinuation or pacemaker (PM) settings post-LVAD implant. The aim of the study was to assess the hemodynamic benefit of biventricular (BiV) pacing in LVAD patients. Read More

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January 2019

Meta-Analysis of Effects of Digoxin on Survival in Patients with Atrial Fibrillation or Heart Failure: An Update.

Am J Cardiol 2019 Jan 4;123(1):69-74. Epub 2018 Oct 4.

University Hospital Frankfurt, Goethe University, Frankfurt, Germany. Electronic address:

In 2015, 3 independent meta-analyses raised concerns about digoxin therapy being associated with an increased mortality risk in patients with atrial fibrillation (AF) and with heart failure (HF). Although several other studies have been published since then fostering these safety issues, the most recent 2016 European guidelines for AF still recommend this therapy as a class I indication. We performed an updated systematic review and random-effect meta-analysis on publications up to March 2018 reporting data on digoxin associated mortality in subjects with AF or HF. Read More

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January 2019
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Predictors, Burden, and the Impact of Arrhythmia on Patients Admitted for Acute Myocarditis.

Am J Cardiol 2019 Jan 27;123(1):139-144. Epub 2018 Sep 27.

Division of Cardiology, Wayne State University/Detroit Medical Center, Detroit, Michigan.

A significant proportion of patients with acute myocarditis experience sudden cardiac death presumably due to cardiac arrhythmia. In this study, we explore the burden, the predictors of arrhythmia in acute myocarditis and the association between arrhythmias and adverse in-hospital outcomes. After evaluating the frequency of various tachyarrhythmias and bradyarrhythmia in myocarditis population, we built a logistic model to determine the independent predictors of arrhythmias in myocarditis and a 1:1 propensity-matched analysis to examine the impact of arrhythmias. Read More

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January 2019

The Incremental Value of Right Ventricular Size and Strain in the Risk Assessment of Right Heart Failure Post - Left Ventricular Assist Device Implantation.

J Card Fail 2018 Dec 26;24(12):823-832. Epub 2018 Oct 26.

Division of Cardiovascular Medicine, Stanford University School of Medicine and Stanford Cardiovascular Institute, Palo Alto, California.

Background: Right heart failure (RHF) after left ventricular assist device (LVAD) implantation is associated with high morbidity and mortality. Existing risk scores include semiquantitative evaluation of right ventricular (RV) dysfunction. This study aimed to determine whether quantitative evaluation of both RV size and function improve risk stratification for RHF after LVAD implantation beyond validated scores. Read More

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December 2018

Cryoballoon Ablation for the Treatment of Atrial Fibrillation: A Meta-Analysis.

Curr Cardiol Rev 2018 Dec 11. Epub 2018 Dec 11.

Division of Cardiology, Nassau University Medical Center, East Meadow, NY. United States.

Background: Ablation therapy is the treatment of choice in antiarrhythmic drug refractory atrial fibrillation (AF). It is performed by either cryoballoon ablation (CBA) or radiofrequency ablation. CBA is gaining popularity due to simplicity with similar efficacy and complication rate compared with RFA. Read More

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December 2018

Fifty-Five Years Follow-Up of 111 Adult Survivors After Biventricular Repair of PAIVS and PS.

Pediatr Cardiol 2018 Dec 11. Epub 2018 Dec 11.

Division of Paediatric Cardiology, Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, 102, Pokfulam Road, Hong Kong, China.

There is paucity of long-term data on adult survivors after biventricular repair of pulmonary atresia with intact ventricular septum (PAIVS) and pulmonary stenosis (PS). This study aimed to determine the cardiac and non-cardiac outcomes of adult survivors after biventricular repair of PAIVS and PS. The cardiac, neurodevelopmental and liver problems of 111 adults, 40 with PAIVS and 71 with PS, were reviewed. Read More

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December 2018

Quantification of Beat-To-Beat Variability of Action Potential Durations in Langendorff-Perfused Mouse Hearts.

Front Physiol 2018 27;9:1578. Epub 2018 Nov 27.

State Key Laboratory of Agrobiotechnology, School of Life Sciences, Chinese University of Hong Kong, Hong Kong, China.

Beat-to-beat variability in action potential duration (APD) is an intrinsic property of cardiac tissue and is altered in pro-arrhythmic states. However, it has never been examined in mice. Left atrial or ventricular monophasic action potentials (MAPs) were recorded from Langendorff-perfused mouse hearts during regular 8 Hz pacing. Read More

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November 2018

Co-exposure subacute toxicity of silica nanoparticles and lead acetate on cardiovascular system.

Int J Nanomedicine 2018 21;13:7819-7834. Epub 2018 Nov 21.

Department of Toxicology and Sanitary Chemistry, School of Public Health, Capital Medical University, Beijing 100069, PR China,

Background: The harmful effects following the release of nanomaterials into environment are of great concern today.

Purpose: In this study, subacute effect due to co-exposure to low-dose silica nanoparticles (SiNPs) and lead acetate (Pb) on cardiovascular system was detected in Sprague Dawley male rats.

Materials And Methods: Histopathological and ultrastructural changes of heart, aortic arch and abdominal aorta were detected. Read More

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November 2018

Functional and structural studies of tolloid-like 1 (TLL1) mutants associated with atrial-septal defect 6 (ASD6).

Biosci Rep 2018 Dec 11. Epub 2018 Dec 11.

Molecular Biology and Genetics, Medical University of Silesia in Katowice, School of Medicine in Katowice, ul. Medykow 18, Bldg. C-1, Katowice, Poland

Inactive ( and mutations detected in tolloid-like 1 ( have been linked to the lack of the heart septa formation in mice and to a similar human inborn condition called atrial-septal defect 6 (ASD6; OMIM 613087, formerly ASD II). Previously, we reported four point mutations in found in approximately 20% of ASD6 patients. Three mutations in the coding sequence were M182L, V238A, and I629V. Read More

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December 2018

Association of occupational exposures with cardiovascular disease among US Hispanics/Latinos.

Heart 2018 Dec 11. Epub 2018 Dec 11.

Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA.

Objective: Cardiovascular disease (CVD) is a leading cause of mortality and morbidity in the USA. The role of occupational exposures to chemicals in the development of CVD has rarely been studied even though many agents possess cardiotoxic properties. We therefore evaluated associations of self-reported exposures to organic solvents, metals and pesticides in relation to CVD prevalence among diverse Hispanic/Latino workers. Read More

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December 2018

Cardiac valve calcification and use of anticoagulants: Preliminary observation of a potentially modifiable risk factor.

Int J Cardiol 2018 Nov 29. Epub 2018 Nov 29.

Department of Research, Innovation and Brand Reputation, ASST Papa Giovanni XXIII, Bergamo, Italy. Electronic address:

Aims: Direct oral anticoagulant (DOAC) has been recently introduced in the clinical practice. Rather than interfering with vitamin K-dependent posttranscriptional modification of various proteins, DOACs selectively inhibit factors involved in the coagulation cascade. In particular, in contrast with Warfarin, Rivaroxabn does not interfere with activation of matrix Gla Protein (MGP), a potent vascular calcification Inhibitor. Read More

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November 2018

Clinical Study Regarding Arrhythmogenic Risk Factors and Oxidative Stress Inductibility in Young People.

Curr Health Sci J 2015 Jul-Sep;41(3):251-258. Epub 2015 Mar 15.

Department of Rheumatology, University of Medicine and Pharmacy of Craiova.

Rhythm disorders in young people are often reported and when they are persistent, repetitive or with a severity degree, an ethiopathgenical assessment of arrhythmogenic risk factors and their implications is required.

Purpose: Arrhythmogenic risk factors evaluation and the possibility of determining oxidative stress in the arrhythmic pathology in young people.

Material And Methods: The study was conducted on 184 young subjects, aged 16-26 years old; the points of interest were: the presence or absence of cardiac dysrhythmias, the existence of proarrhythmogenic risk factors and determination of oxidative stress status modifications. Read More

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Radiofrequency catheter ablation of incessant atrial tachycardia in pregnant women with minimal radiation exposure: Lessons from two case studies.

J Cardiol Cases 2014 Jun 28;9(6):213-216. Epub 2014 Feb 28.

Yonsei University Health System, Seoul, Republic of Korea.

During pregnancy, incessant tachyarrhythmias may result in hemodynamic compromise in both the expectant mother and the fetus. The use of antiarrhythmic drugs is typically not safe during pregnancy, and some tachycardias are refractory to pharmacologic treatment due to a significant autonomic imbalance. Catheter ablation is thought to be more effective than medical therapy, but carries the risk of radiation exposure to the fetus. Read More

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A rectangular (quadrangular) heart.

J Cardiol Cases 2014 May 24;9(5):208-210. Epub 2014 Feb 24.

Division of Cardiology, SUNY Downstate Medical Center, Brooklyn, New York, NY, USA.

We report a case of "rectangular (quadrangular) heart" seen on the chest X-ray. Full evaluation showed massive enlargement of right-sided chambers shadowing the left-sided chambers. Primary etiology of the right-sided failure was attributed to severe mitral and tricuspid regurgitation for which the patient underwent surgery. Read More

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Multiple coronary fistula formation associated with a huge left atrial thrombus in rheumatic mitral valve stenosis.

J Cardiol Cases 2014 Mar 3;9(3):124-126. Epub 2014 Jan 3.

Atherosclerosis Prevention Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Acquired fistulous communication with the left atrial (LA) chamber has been described in the presence of LA mural thrombus in patients with rheumatic mitral stenosis (MS). Hereby, we present the case of a 74-year-old man with rheumatic MS and a huge LA thrombus found in echocardiography. Coronary angiography revealed an extensive fistula formation feeding mainly from the atrial branches of left circumflex and right coronary arteries and draining into the LA chamber. Read More

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Anaphylactic shock associated with intravenous amiodarone.

J Cardiol Cases 2014 Feb 12;9(2):61-62. Epub 2013 Dec 12.

Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Center, Istanbul, Turkey.

A 64-year-old woman was admitted to our emergency department with shortness of breath and palpitation which started 2 h before her admission. She had a history of rheumatic mitral valve disease and was on drug treatment with warfarin and metoprolol. The patient was orthopneic, blood pressure was 108/68 mmHg with an irregular pulse with a heart rate of 158 beats per minute, and respiratory rate was 23 times per minute. Read More

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February 2014
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Successful treatment of functional mitral regurgitation in severe heart failure with atrial pacing: A case report.

J Cardiol Cases 2014 Feb 13;9(2):50-53. Epub 2013 Dec 13.

Department of Disease Control and Homeostasis, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan.

Functional mitral regurgitation (MR) is a common complication accompanying left ventricular dysfunction. Increasing resting heart rate (HR) is demonstrated to be associated with increased mortality in heart failure (HF) patients. Thus, lowering HR is recommended by recent HF management guidelines. Read More

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February 2014

Post-operative intrapericardial hematoma presenting as isolated right atrial tamponade.

J Cardiol Cases 2014 Feb 16;9(2):48-49. Epub 2013 Dec 16.

Baylor College of Medicine, Section of Cardiology, Houston, TX, USA.

A 57-year-old male underwent mechanical mitral valve replacement for severe mitral regurgitation of a prolapsed myxomatous mitral valve. The patient's post-operative recovery period was uneventful until the eighth day when he decompensated into pulseless electrical activity arrest. A bedside transthoracic echocardiogram revealed a large, smooth-edged mass nearly obliterating the right atrial cavity. Read More

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February 2014

Aorta-right atrial tunnel leading to heart failure.

J Cardiol Cases 2011 Oct 7;4(2):e87-e89. Epub 2011 Jul 7.

Cardiology Department of Akdeniz University Medical Faculty Hospital, Antalya, Turkey.

Congential aorta-right atrial tunnel (ARAT) is a rare anomaly. Many patients are asymptomatic and diagnosis can be made during investigation of systolic and diastolic continuous murmur heard on cardiac oscultation. In some patients, symptoms such as palpitation, dyspnea, and fatigue on exertion can be seen. Read More

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October 2011

Editorial: Incidental tumor or ablation-promoted oncogenesis?

Authors:
Kazuhiro Satomi

J Cardiol Cases 2015 Jul 9;12(1):30-31. Epub 2015 May 9.

Department of Cardiology, Tokyo Medical University, Hachioji Medical Center, Tokyo, Japan.

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Pathological evaluation of massive left atrial calcification 35 years after mitral-aortic valve replacement.

J Cardiol Cases 2015 Feb 31;11(2):44-47. Epub 2014 Oct 31.

Department of Surgical Pathology, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.

Massive calcification of the left atrium is an uncommon complication of long-standing rheumatic valve disease, and is frequently revealed in patients with a previous operation on the mitral valve. An 84-year-old woman, who had a history of rheumatic valvulopathy and mitral-aortic valve replacement surgery 35 years previously, was admitted to our hospital due to congestive heart failure. Chest X-ray showed severe cardiomegaly with rim of calcification outlining the enlarged left atrium. Read More

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February 2015

Editorial: Resolution of left atrial thrombus with novel oral anticoagulants.

Authors:
Satoshi Fujii

J Cardiol Cases 2014 Dec 8;10(6):241-242. Epub 2014 Oct 8.

Department of Laboratory Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.

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December 2014

Two-week administration of rivaroxaban resolved left atrial thrombus.

J Cardiol Cases 2014 Dec 26;10(6):238-240. Epub 2014 Sep 26.

Department of Cardiovascular Disease, Dokkyo Medical University, Tochigi, Japan.

An 89-year-old man visited our hospital complaining of palpitation. Electrocardiography showed atrial fibrillation, and transthoracic echocardiography demonstrated a mobile thrombus of 28.6 mm × 20. Read More

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December 2014

Complete His-ventricular block, atrial flutter and ventricular tachycardia as arrhythmogenic activities in a patient with takotsubo cardiomyopathy.

J Cardiol Cases 2014 Dec 29;10(6):208-212. Epub 2014 Aug 29.

Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.

An association of atrial arrhythmias with takotsubo cardiomyopathy (TTC) has not been described previously. Here we report a 65-year-old male patient with TTC. The sudden appearance of atrioventricular block and subsequent bradycardia are believed to be key contributing factors for the development of TTC. Read More

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December 2014

Left atrial thrombus mimicking atrial myxoma on imaging studies in a patient with cardiac transplant.

J Cardiol Cases 2014 Oct 28;10(4):153-154. Epub 2014 Jul 28.

Department of Cardiovascular Diseases, University of Cincinnati Medical Center, Cincinnati, OH, USA.

Left atrial thrombus can develop in patients with atrial fibrillation and/or a dilated left atrium such as seen in patients with heart failure. In cardiac transplant patients with bi-atrial anastomosis, the suture line can be a potential nidus for thrombus formation. These thrombi can be either organized or unstable with ulcerated surfaces. Read More

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October 2014

Giant left atrial aneurysm.

J Cardiol Cases 2014 Oct 17;10(4):144-146. Epub 2014 Jul 17.

Department of Echocardiography, Shaheed Rajaei Heart Center, Tehran, Iran.

Congenital aneurysmal dilatation of the left atrium is a rare anomaly that could be associated with supraventricular arrhythmias and life-threatening systemic embolization. We describe a 32-year-old man with a giant left atrial aneurysm diagnosed with new imaging modalities that underwent surgical resection with good results. < Left atrial aneurysms are rare and characterized by their origin from an otherwise normal atrium, a clearly defined communication with the atrial cavity, and their intrapericardial location. Read More

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October 2014

Pulmonary hypertension in a patient with intravascular lymphomatosis.

J Cardiol Cases 2013 Jun 18;7(6):e181-e183. Epub 2013 Mar 18.

Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Oomiya-ku, Saitama 330-8503, Japan.

Intravascular lymphomatosis (IVL) is a rare subtype of lymphoma characterized by proliferation of lymphoma cells into small vessels. Clinical presentations of IVL are considerably varied among patients, and antemortem diagnosis is sometimes difficult. We report a 75-year-old Japanese female who presented with gradually worsening shortness of breath and pulmonary hypertension. Read More

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June 2013
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Left atrial myxofibrosarcoma: Diagnostic approach through imaging techniques.

J Cardiol Cases 2013 Jun 18;7(6):e164-e167. Epub 2013 Mar 18.

La Paz University Hospital, Paseo de la Castellana 261, 28046 Madrid, Spain.

Primary cardiac sarcomas are rare. A 63-year-old woman presented with progressive symptoms of fatigue, palpitations, and dyspnea. Transthoracic echocardiography detected a mass in the left atrium, fixed and probably attached to the interatrial septum suggestive of myxoma. Read More

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Conservative management of an elderly patient with Eisenmenger syndrome.

J Cardiol Cases 2013 Apr 30;7(4):e114-e116. Epub 2013 Mar 30.

Department of Internal Medicine, University of Michigan, 2F208 UH, 1500 E. Medical Center Dr., SPC 5052, Ann Arbor, MI 48109-5052, USA.

Background: Eisenmenger syndrome (ES) in the adult population has become exceedingly rare in developed countries owing to better recognition and treatment of congenital malformations of the heart. In the absence of transplantation, most patients survive an average of 20-30 years before succumbing to the cardiovascular and hemostatic sequelae. We present a rare case of an elderly woman with ES secondary to an uncorrected atrial-septum defect. Read More

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Cerebral embolism due to atrial myopathy in a cardiac amyloidosis patient diagnosed by cardiac magnetic resonance imaging.

J Cardiol Cases 2013 Mar 5;7(3):e78-e81. Epub 2013 Jan 5.

Department of Cardiology, Nagoya University Graduate School of Nagoya, Nagoya, Japan.

A 55-year-old woman was admitted with heart failure. On the third hospital day, she suddenly developed cerebral infarction. The resting 12-lead electrocardiography showed normal sinus rhythm, and atrial fibrillation or flutter were never detected on electrocardiographic monitoring throughout the whole hospital days. Read More

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Restored left ventricular function following transcatheter closure of a persistent ductus arteriosus in an adult.

J Cardiol Cases 2013 Mar 7;7(3):e64-e67. Epub 2012 Dec 7.

Department of Pediatrics, Showa University School of Medicine, Tokyo, Japan.

Recently, transcatheter device occlusion has become the first choice treatment for adult persistent ductus arteriosus (PDA). However, various complications such as atrial fibrillation requiring anticoagulation, pulmonary hypertension, and ventricular dysfunction may challenge the interventionist. We report a 61-year-old patient with a large PDA complicated by left ventricular dysfunction, atrial fibrillation, and left atrial thrombus. Read More

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Reversal of hoarseness with recognition of Ortner syndrome in a patient with severe mitral regurgitation.

J Cardiol Cases 2013 Feb 8;7(2):e48-e50. Epub 2012 Dec 8.

Department of Second Section of Cardiology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 5 Fuxing Street, Guishan Township, Taoyuan County 33305, Taiwan.

Loss of voice due to vocal cord paralysis, as in Ortner syndrome, is secondary to left recurrent laryngeal nerve palsy. Cardiovascular cause should be listed as a differential diagnosis of hoarseness and is incumbent upon the diagnostic physician to be familiar with the condition. A 56-year-old male presented to our emergency department with shortness of breath due to severe mitral regurgitation. Read More

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February 2013

Gerbode defect misinterpreted as pulmonary hypertension.

J Cardiol Cases 2013 Feb 29;7(2):e34-e36. Epub 2012 Nov 29.

Aventura Hospital and Medical Center, USA.

Survival into adulthood is now routine for patients with congenital heart disease (CHD). Adult cardiology practices increasingly encounter these patients, however, are often challenged by the complexity of the cardiac lesions, prior surgical interventions, and associated conditions. We describe a case of a 64-year-old woman with history of CHD and multiple operations, including surgical aortic valve replacement, who presented for routine evaluation. Read More

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February 2013

A primary cardiac osteosarcoma: Case report and review of the literature.

J Cardiol Cases 2013 Feb 24;7(2):e29-e33. Epub 2012 Oct 24.

Department of Pathology, Hospital Edgardo Rebagliati Martins, Lima, Peru.

Primary cardiac osteosarcoma is a rare and aggressive neoplasm that can be difficult to diagnose. We report a case of a previously healthy 49-year-old woman who presented with dyspnea, atrial flutter, and heart failure. A mass was visualized in her left atrium by echocardiography and cardiac computed tomography, and the diagnosis of cardiac myxoma was raised. Read More

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February 2013

Cardiogenic shock due to takotsubo cardiomyopathy associated with serotonin syndrome.

J Cardiol Cases 2013 Jan 19;7(1):e1-e3. Epub 2012 Aug 19.

Department of Cardiology, Yokohama Rosai Hospital, 3211 Kozukue-cho, Kohoku-ku, Yokohama 222-0036, Japan.

A 65-year-old woman, with valvular heart disease, atrial fibrillation, and depression, presented to the emergency room due to dyspnea with shock state accompanied by agitation. An electrocardiogram showed ST segment elevation in leads II, III, aV, I, aV, and V. An echocardiography revealed extensive akinesis in the apex, but hyperkinesis in the base, with apical ballooning appearance. Read More

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January 2013

Polymorphic ventricular tachycardia in a patient with hypertrophic cardiomyopathy and digitalis intoxication.

J Cardiol Cases 2012 Dec 6;6(6):e166-e169. Epub 2012 Jul 6.

Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan.

We report the case of a 74-year-old woman who presented with recurrent episodes of polymorphic ventricular tachycardia (PVT) with a normal QT interval due to digitalis intoxication (serum digoxin concentration, 5.0 ng/mL) and severe hyperkalemia (serum potassium level, 8.3 mEq/L). Read More

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December 2012

Effective delayed percutaneous coronary intervention for advanced atrial ventricular block in patients with recent myocardial infarction.

J Cardiol Cases 2012 Sep 12;6(3):e84-e87. Epub 2012 Jul 12.

The Department of Internal Medicine, Division of Cardiology, Memorial Heart Center, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan.

We present a case of effective late reperfusion for atrio-ventricular conduction recovery in a patient with recent myocardial infarction complicated by advanced atrio-ventricular block (AVB). A 50-year-old Japanese man was transferred to our hospital with a recent diagnosis of myocardial infarction 44 h after onset. We performed emergent coronary angiography on Day 5 because he developed bradycardia with two to one advanced AVB resistant to atropine without chest pain or ST-T changes. Read More

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September 2012

Complex venous malformation in an elderly female: A case report.

J Cardiol Cases 2012 Sep 23;6(3):e81-e83. Epub 2012 Jun 23.

Department of Medicine and Geriatrics, Kochi Medical School, Kohasu, Oko-cho, Nankoku-shi, Kochi 783-8505, Japan.

A 76-year-old female taking oral medications for chronic atrial fibrillation and hypertension was admitted to our hospital for examination of bilateral leg edema. Transthoracic echocardiography showed an enlarged coronary sinus of about 40 mm. Contrast-enhanced computed tomography revealed absence of the left innominate vein, a persistent left superior vena cava, and absence of the hepatic segment of the inferior vena cava. Read More

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September 2012
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Multiple vertebral fractures precipitate a platypnea-orthodeoxia syndrome in a patient with atrial septal defect and aortic root dilatation: When the upright position becomes intolerable.

J Cardiol Cases 2012 Aug 27;6(2):e45-e48. Epub 2012 Jun 27.

Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy.

Platypnea-orthodeoxia syndrome is a rare disease characterized by dyspnea and oxygen desaturation induced by the upright position and relieved by recumbency. We report a case of a 65-year-old woman with a recent history of traumatic hip and multiple vertebral fractures referred to our institute due to onset of severe acute dyspnea. Transthoracic and transesophageal echocardiography, conducted by intravenous administration of agitated saline contrast solution, revealed the presence of atrial septal defect (ASD) associated with an important bidirectional shunting that was right-to-left directed when the patient was in a sitting position. Read More

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Pulmonary arterial hypertension in adults with atrial septal defect.

Authors:
Manatomo Toyono

J Cardiol Cases 2012 Jul 11;6(1):e32-e33. Epub 2012 May 11.

Pediatrics, Akita University Hospital, Akita 010-8543, Japan.

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Immediate disappearance of large thrombus in left atrium without evidence of systemic embolization after heparin treatment.

J Cardiol Cases 2012 Jun 12;5(3):e160-e162. Epub 2012 Jan 12.

Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan.

We report an unusual case with giant left atrial thrombus which disappeared soon after starting anticoagulation without evidence of further systemic embolism. A 75-year-old female with non-valvular atrial fibrillation suddenly complained of pain of her right arm and left leg. Contrast-enhanced computed tomography showed occlusion of right brachial and left popliteal arteries. Read More

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A case of atrial tachycardia originating from pulmonary vein invaded by lung cancer.

J Cardiol Cases 2012 Apr 1;5(2):e118-e121. Epub 2012 Feb 1.

Department of Medicine and Biological Science, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma 371-8511, Japan.

A 59-year-old man during chemotherapy for squamous cell carcinoma of the lung, underwent catheter ablation of drug-refractory atrial tachycardia. Pulmonary venography and chest computed tomography revealed presence of stenotic, carcinomatous lesion of the left superior pulmonary vein. Excellent pace map and elimination of inducibility of atrial tachyarrhythmias after left pulmonary isolation suggested that the atrial tachycardia originated from the metastatic region. Read More

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