768 results match your criteria Case reports in cardiology[Journal]


Key Role of Left Atrial Appendage during Redo Ablation in a Case of Long-Standing Persistent Atrial Fibrillation.

Case Rep Cardiol 2020 19;2020:9691584. Epub 2020 Jun 19.

Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.

Extrapulmonary vein focal sources have been recognized as the source of atrial fibrillation in some cases, and empiric electric isolation of the left atrial appendage has been proposed for long-standing persistent atrial fibrillation by some. Here, we present a case of redo ablation of long-standing persistent atrial fibrillation in which the left atrial appendage played a key role in maintaining AF during ablation, and atrial fibrillation was terminated by electrical isolation of the LAA. During the ablation, a rare phenomenon of half of the atria in atrial fibrillation while the other half of the atria in atrial flutter was seen. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/9691584DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7321523PMC

Surgical Management of Right Atrial Mass Associated with a Vascular Access Catheter.

Case Rep Cardiol 2020 10;2020:4590147. Epub 2020 Jun 10.

Department of Cardiology, Liverpool Hospital, NSW, 2170 Sydney, Australia.

Atrial masses are an uncommon but serious clinical problem. The authors report a case of an atrial mass associated with a tunnelled vascular access catheter in an immunosuppressed haemodialysis patient. In the setting of immunosuppression with fevers, a broad differential for the atrial mass was considered. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/4590147DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305527PMC

Unique Findings and Novel Treatment Strategy of a Giant Coronary Artery Aneurysm Associated with a Significant Pericardial Effusion.

Case Rep Cardiol 2020 9;2020:8890806. Epub 2020 Jun 9.

Vital Heart & Vein, HCA Houston Healthcare, Kingwood, USA.

Giant coronary artery aneurysms are a rare, asymptomatic occurrence. Presently, there is a lack of substantial research performed in the U.S. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/8890806DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303761PMC

Acute Stent Thrombosis Associated with Eptifibatide-Induced Profound Thrombocytopenia.

Case Rep Cardiol 2020 9;2020:8386709. Epub 2020 Jun 9.

Cardiology and Cardiovascular Surgery Department, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.

Background: Eptifibatide is an inhibitor of the platelet glycoprotein (GP) IIb/IIIa receptor that is commonly used in patients undergoing percutaneous coronary intervention (PCI).

Case: We describe a case of a 62-year-old female patient admitted with acute ST-elevation myocardial infarction (STEMI) treated by primary coronary intervention (primary PCI) with a drug-eluting stent placement. She developed profound thrombocytopenia within 8 hours of first administration of eptifibatide and subsequent acute stent thrombosis next day. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/8386709DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303759PMC

Percutaneous Balloon Pericardiotomy (PBP) Revisited: A Case Report and Review of Literature.

Case Rep Cardiol 2020 31;2020:8121763. Epub 2020 May 31.

Al-Ahli Hospital, Hebron, State of Palestine.

Background: A Percutaneous Balloon Pericardiotomy (PBP) procedure is a reemerging nonsurgical technique that helps in preventing the reaccumulation of pericardial effusion. It is done percutaneously without general anaesthesia. It has been proved to be effective in alleviating and preventing recurrent pericardial effusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/8121763DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284951PMC

Takotsubo Cardiomyopathy Secondary to Adrenal Insufficiency: A Case Report and Literature Review.

Case Rep Cardiol 2020 7;2020:6876951. Epub 2020 Jun 7.

Department of Cardiology, University of Toledo Medical Center, Toledo, Ohio, USA.

We report a case of a middle-aged female who presented with altered mental status, hypotension, and hypoglycemia and was diagnosed with secondary adrenal insufficiency. She was also found to have elevated troponin I on initial evaluation with diffuse T wave inversions on electrocardiogram. Transthoracic echocardiogram revealed ejection fraction of 38% with apical akinesia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/6876951DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298333PMC

Early Disseminated Lyme Carditis Inducing High-Degree Atrioventricular Block.

Case Rep Cardiol 2020 3;2020:5309285. Epub 2020 Jun 3.

Department of Internal Medicine, Spectrum Health Butterworth Hospital, Grand Rapids, Michigan, USA.

Lyme disease is the most common tick-borne illness in the United States due to infection. This case demonstrates a 20-year-old male patient presenting with complaints of annular skin rash, malaise, fever, and lightheadedness after significant outdoor exposure. Physical exam revealed multiple large targetoid lesions on the back and extremities. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/5309285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292967PMC

Solely MRI-Guided Cardiac Catheterization for Assessment of Pulmonary Hypertension in a Pregnant Lady with Undiagnosed Congenital Heart Disease.

Case Rep Cardiol 2020 26;2020:3072869. Epub 2020 May 26.

Department of Radiology, Mitera Children's Hospital, Athens, Greece.

Pregnancy in women with complex congenital heart disease (CHD) can be poorly tolerated. Amongst pregnant women with CHD and pulmonary hypertension (PH), the mortality rate can be as high as 30%. Cardiac catheterization procedures for assessment of haemodynamics and pulmonary vascular resistance (PVR) are often required in this patient population for risk stratification. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/3072869DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277057PMC

Percutaneous Coronary Intervention (PCI) Strategies under Hemodynamic Support for Cardiogenic Shock: A Single-Center Experience with Two Patients.

Case Rep Cardiol 2020 28;2020:6260239. Epub 2020 May 28.

University of Maryland Medical Center, School of Medicine, USA.

We describe two cases of profound cardiogenic shock complicating acute myocardial infarction (CSAMI) requiring mechanical circulatory support (MCS) with venoarterial extracorporeal membrane oxygenation (VA-ECMO) allowing complex, high-risk, and staged percutaneous interventions with successful decannulation but with unfortunate outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/6260239DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275241PMC

Elevated CA-125 as Humoral Biomarker of Congestive Heart Failure: Illustrative Cases and a Short Review of Literature.

Case Rep Cardiol 2020 24;2020:1642914. Epub 2020 May 24.

Department of Physiopathology, G.E. Palade University of Medicine, Pharmacy, Science and Technology of Tirgu Mures, Tirgu Mures, Romania.

Despite the recent, remarkable achievements in cardiology, heart failure (HF) remains a major public health problem due to its increasing prevalence, frequent hospitalizations, and significant mortality. Humoral biomarkers in HF are capable to reflect different aspects of the cardiac morpho-functional changes and the related pathophysiological processes and could have important diagnostic, prognostic, and therapeutical roles. CA-125 is a well-known tumor marker (mainly for ovarian cancer), and also a useful, but less applied cardiac biomarker. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/1642914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271284PMC

Debate of Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting in a Multimorbidity Patient with Complex Coronary Lesions.

Case Rep Cardiol 2020 18;2020:9493519. Epub 2020 May 18.

Department of Cardiology, "Tzaneio" General Hospital of Piraeus, Piraeus, Greece.

Background: While complete revascularization in coronary artery disease is of high priority, the method of implementation in patients with complex coronary lesions and multiple comorbidities is not directed by published guidelines. . A 53-year-old female with a chronic total occlusion of the right coronary artery and a bifurcation lesion of the left anterior descending artery and the first diagonal branch, presented with non-ST elevation myocardial infarction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/9493519DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251425PMC

Esmolol Use in Dual Axis Defibrillation Resistant Ventricular Fibrillation.

Case Rep Cardiol 2020 17;2020:7297303. Epub 2020 May 17.

Division of Cardiovascular Sciences Rutgers, Robert Wood Johnson Medical School/Saint Peter's University Hospital, New Jersey, USA.

Cardiac arrest in an event of acute myocardial infarction most commonly results in life-threatening ventricular tachycardia or ventricular fibrillation (VF). Patients who remain in VF despite optimal epinephrine, amiodarone, and three or more attempts at 200 joules of biphasic current defibrillation are known to be in an electrical storm. Here, we describe a case of defibrillation refractory VF responding to intravenous esmolol resulting in a successful return of spontaneous circulation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/7297303DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251428PMC

Multisystem Myotilinopathy, including Myopathy and Left Ventricular Noncompaction, due to the Variant c.179C>T.

Case Rep Cardiol 2020 13;2020:5128069. Epub 2020 May 13.

Institute of Human Genetics, Germany.

Left ventricular hypertrabeculation/noncompaction is a myocardial abnormality of unknown etiology/pathogenesis, which is frequently associated with neuromuscular disorders or chromosomal defects. LVHT in association with a mutation has not been reported. The patient is a 72-year-old male with a history of strabismus in childhood, asymptomatic creatine-kinase elevation since age 42 years, slowly progressive lower limb weakness since age 60 years, slowly progressive dysarthria and dysphagia since age 62 years, and recurrent episodes of arthralgias and myalgias since age 71 years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/5128069DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244945PMC

Radiation-Induced Left Main Coronary Artery Stenosis in a Patient with Atretic Internal Mammary Arteries.

Case Rep Cardiol 2020 11;2020:7970305. Epub 2020 Mar 11.

Leon H. Charney Division of Cardiology, Department of Medicine, New York University School of Medicine, 530 First Avenue, Skirball 9U, New York, NY10016, USA.

Coronary artery disease (CAD) is a known potential complication of thoracic radiation treatment that typically affects the proximal segments of the coronary arteries, requiring coronary artery bypass grafting (CABG). We present a case of acute coronary syndrome occurring in a 57-year-old man with prior thoracic radiation therapy following resection of a chest wall chondrosarcoma. Coronary angiogram demonstrated significant areas of stenosis in the left main coronary artery (LMCA) and ostial left anterior descending (LAD) coronary artery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/7970305DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238366PMC

Retrograde Balloon Dilation outside the Main Branch Stent to Restore the Occlusion of Side Branch in Chronic Total Occlusion Bifurcation Lesions.

Case Rep Cardiol 2020 11;2020:7625415. Epub 2020 Jan 11.

Department of Cardiology, The First Affiliated Hospital of Air Force Military Medical University, Xi'an 710032, China.

Percutaneous coronary intervention (PCI) of a chronic total occlusion (CTO) can be challenging when a bifurcation is present at the distal cap. We described a case of retrograde balloon outside the main branch stent to restore the occlusion of side branch in CTO bifurcation lesion through the jailed wire. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/7625415DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201438PMC
January 2020

Monitored Anesthesia Care of Two Patients with Highly Elevated Subpulmonic Ventricular Pressure due to Adult Congenital Heart Disease.

Case Rep Cardiol 2020 11;2020:2040561. Epub 2020 Jan 11.

Department of Anesthesiology, Yokohama City University Medical Center, 4-57 Urahune, Minami-ku, Yokohama 2320024, Japan.

Procedural sedation and analgesia for patients with adult congenital heart disease (ACHD) and highly elevated subpulmonic ventricular pressure require proper anesthesia care to prevent a pulmonary hypertensive crisis. We describe the monitored anesthesia care (MAC) of two patients with ACHD (a complete atrioventricular septal defect and congenitally corrected transposition of the great arteries) and highly elevated subpulmonic ventricular pressure. In both patients, preprocedural transthoracic echocardiography was useful for detecting severely elevated subpulmonic ventricular pressure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/2040561DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201478PMC
January 2020

Giant Thrombosis at Left Anterior Descending Artery Aneurysm in a 10-Year Old Boy with Granulomatosis with Polyangiitis.

Case Rep Cardiol 2020 19;2020:3417910. Epub 2020 Apr 19.

Department of Pediatrics, Tehran University of Medical Science, Tehran, Iran.

Granulomatosis with polyangiitis (GPA), necrotizing vasculitis of small and medium-sized vessels, is traditionally believed to mainly affect respiratory tract with additional focal kidney involvements as its primary manifestations with a relatively rare annual incidence rate of 20-50 cases per million. Six percent of the affected cases have cardiac involvements; among which, aneurysms comprise the lowest penetrance. By this paper, we aim to cast light on clinical diagnostic and treatment methods of a rare case presentation, a 10-year-old male GPA patient, diagnosed with massive thrombosis at his coronary artery aneurysm. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/3417910DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193272PMC

A Case of Severe Tricuspid Regurgitation Related to Traumatic Papillary Muscle Rupture.

Case Rep Cardiol 2020 31;2020:8505894. Epub 2020 Mar 31.

Department of General Surgery, Division of Cardio-Thoracic Surgery, Charlotte Maxeke Hospital, University of the Witwatersrand, Johannesburg, South Africa.

A 25-year-old male presented after a motor vehicle accident with tricuspid valve (TV) regurgitation, due to a flail TV secondary to papillary muscle rupture. We highlight the importance of three-dimensional echocardiographic imaging of the tricuspid valve and its utility in aiding a successful surgical repair. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/8505894DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150701PMC

Masked Hypotension due to Elevated Venous Pressure in a Patient with Complex Adult Congenital Heart Disease.

Case Rep Cardiol 2020 31;2020:7148708. Epub 2020 Mar 31.

Division of Cardiology, Medical College of Georgia at Augusta University, Augusta, GA, USA.

An adult with surgically corrected Tetralogy of Fallot presented with profoundly elevated central venous pressure (CVP) and acute renal dysfunction thought secondary to acute on chronic right heart failure. Treatment with dopamine promoted diuresis and a stabilization of renal function. Repeated attempts to wean the patient from dopamine were associated with hypotension and worsening renal failure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/7148708DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150732PMC

Severe Hyponatremia-Induced Stress Cardiomyopathy: A Case Report and Review of Literature.

Case Rep Cardiol 2020 31;2020:2961856. Epub 2020 Mar 31.

Colombo North Teaching Hospital, Ragama, Sri Lanka.

Takotsubo or stress cardiomyopathy is a non ischemic disease affecting the myocardium, which presents with typical features of myocardial ischemia. Although the presentation with acute central chest pain and shortness of breath mimics acute myocardial ischemia, there is an absence of actual disruption of cardiac blood supply via the coronaries due to acute plaque rupture or vascular spasm. The underlying pathophysiology of this clinical entity remains largely unclear, but a definite association with physical or emotional stress has been well established, hence the term "stress cardiomyopathy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/2961856DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150708PMC

Patent Foramen Ovale Closure for Splenic Infarction: An Unusual Presentation and an Unusual Indication.

Case Rep Cardiol 2020 19;2020:9802908. Epub 2020 Mar 19.

Department of Interventional Cardiology, Intercor, Hospital Santo Antonio, Sinop, Brazil.

Background: Splenic infarction is a rare clinical condition. It is generally attributed to hematologic, vascular, cardioembolic, and infectious diseases or trauma. . Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/9802908DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7115189PMC

A Case of Acute Massive Bioprosthetic Mitral Valve Thrombosis Leading to Fulminant Heart Failure.

Case Rep Cardiol 2020 11;2020:7842591. Epub 2020 Jan 11.

Division of Cardiovascular Medicine, Toledo Hospital, 2142 N Cove Boulevard, Toledo, Ohio 43606, USA.

Bioprosthetic valve thrombosis has been considered to be extremely unlikely, typically freeing patients from the potential complications of long-term anticoagulation. However, there have been several documented cases of bioprosthetic valve thrombosis and there are concerns that its incidence may be underreported. Experience with diagnosis and management of this condition is limited. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/7842591DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102447PMC
January 2020

Saved by the VAC: Minimally Invasive Removal of a Surely Fatal Right Heart Thrombus in a Patient with Advanced Heart Failure.

Case Rep Cardiol 2020 18;2020:7579262. Epub 2020 Feb 18.

University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Intracardiac thrombi are associated with an increased morbidity and mortality due to their unpredictability and embolic potential. Right heart thrombus is infrequently encountered in clinical practice outside the scenario of acute pulmonary embolism with hemodynamic compromise, and even more uncommon is the presence of a massive right heart thrombus. Embolic potential is high, and historically, management has revolved around open surgical removal or systemic thrombolysis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/7579262DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109588PMC
February 2020

Coronary Embolism and Myocardial Infarction in a Transgender Male Undergoing Hormone Therapy: A Case Report and Review of the Literature.

Case Rep Cardiol 2020 23;2020:4829169. Epub 2020 Mar 23.

Ilmkreis-Kliniken, Clinic for Internal Medicine I, Bärwinkelstrasse 33, 99310 Arnstadt, Germany.

. Due to the complex interaction between the underlying disease, psychosocial factors, and the high-dose hormonal therapy, transgender patients pose a therapeutic and diagnostic challenge, especially during emergencies. This case presents one such clinical dilemma using the example of a case of myocardial infarction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/4829169DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7125482PMC

Atrial Septal Defect with Eisenmenger Syndrome: A Rare Presentation.

Case Rep Cardiol 2020 9;2020:8681761. Epub 2020 Mar 9.

Creighton University School of Medicine-Phoenix/Maricopa Integrated Health System, Department of Cardiology, 2601 E Roosevelt St., Phoenix, AZ 85008, USA.

Atrial septal defects (ASDs) are common congenital heart defects (CHD). The clinical course in patients without closure of the ASD is associated with significant morbidity and mortality in advanced age. A small percentage of patients may develop pulmonary arterial hypertension (PAH) due to left to right shunting that impacts morbidity and mortality. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/8681761DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085360PMC

Recurrent Acute Coronary Syndromes in a Patient with Idiopathic Thrombocytopenic Purpura.

Case Rep Cardiol 2020 12;2020:6738348. Epub 2020 Mar 12.

Department of Cardiology, University General Hospital of Larissa, Larissa, Greece.

A 53-year-old man was admitted to a peripheral hospital with the diagnosis of acute myocardial infarction without ST elevation. Due to the concomitant presence of first-diagnosed thrombocytopenia (platelet count 50.000/L), it was decided to be treated conservatively with clopidogrel. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/6738348DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093901PMC

A Cardiac Pseudoaneurysm as a Thromboembolic Source: Acute Visual Loss due to Cardiac Emboli.

Case Rep Cardiol 2020 11;2020:3192957. Epub 2020 Mar 11.

Cardiology Department, Leiria Hospital Center, Portugal.

Acute visual loss is rarely caused by a heart condition. This manuscript transcribes a case report of a 36-year-old patient with a 2-year history of aortic valve replacement due to bicuspid aortic valve endocarditis that presents to the emergency department with an acute right eye visual loss. After ophthalmologic investigation identified a central retinal artery occlusion, a transthoracic echocardiography was performed to search for a possible cardiac embolus, despite the patient presenting INR values of 2-2. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/3192957DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7086418PMC

A Rare Case of Multivessel SCAD Successfully Treated with Conservative Medical Management.

Case Rep Cardiol 2020 11;2020:8468730. Epub 2020 Jan 11.

Department of Internal Medicine, Hackensack Meridian Health Mountainside Medical Center, Montclair, New Jersey 07028, USA.

A female patient presented with severe, symptomatic multivessel spontaneous coronary artery dissection (SCAD) with no known medical history or risk factors. The affected vessels were left anterior descending artery (LAD), right coronary artery (RCA), and the ramus. She was treated with conservative medical management. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/8468730DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7083133PMC
January 2020

Right Coronary Artery to Coronary Sinus Fistula Post Endomyocardial Biopsy: A Case Report of a Rare Complication.

Case Rep Cardiol 2020 1;2020:7914737. Epub 2020 Mar 1.

Department of Cardiovascular Medicine, The University of Kansas Health System, USA.

Endomyocardial biopsy (EMB) continues to remain the gold standard for surveillance of rejection post orthotropic heart transplantation (OHT). It can be performed under fluoroscopic or echocardiographic guidance. In the hands of an experienced operator, the complications of EMB are uncommon with <1% chance of any serious acute complications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/7914737DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079234PMC

Use of Idarucizumab to Revert the Anticoagulant Effect of Dabigatran in Heart Transplant Surgery: An Institutional Experience.

Case Rep Cardiol 2020 6;2020:6927423. Epub 2020 Mar 6.

Cardiology Department, DIME Clínica Neurocardiovascular, Cali, Colombia.

Heart transplant is a surgical procedure with a high risk of perioperative bleeding in patients with a previous history of sternotomy, congestive liver disease, and/or use of oral anticoagulants. Anticoagulation is usually done with coumarin agents (warfarin, acenocoumarol), while on the waiting list, vitamin K is available allowing for partial reversal of the anticoagulant effect, although with variable INR and risk of uncontrolled bleeding. Direct oral anticoagulants have emerged as an alternative to the use of coumarins in patients with nonvalvular atrial fibrillation (NVAF). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/6927423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081017PMC

Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution.

Case Rep Cardiol 2020 2;2020:6398196. Epub 2020 Mar 2.

Department of Cardiology, The University of Toledo Medical Center, Toledo, Ohio, USA.

It is recommended to attempt vagal maneuvers as initial therapy in various types of supraventricular tachycardia. While various forms of vagal techniques have been described, a gag reflex-mediated vagal technique, to the best of our knowledge, has not been. We present a case of gag reflex-mediated restoration of sinus rhythm in a patient with atrial fibrillation and rapid ventricular response upon transesophageal probe insertion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/6398196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079257PMC

Giant Pericardial Lipoma Inducing Cardiac Tamponade and New Onset Atrial Flutter.

Case Rep Cardiol 2020 2;2020:6937126. Epub 2020 Mar 2.

Department of Internal Medicine, Henry Ford Macomb Hospital, Clinton Township, MI 48038, USA.

Although pericardial lipomas are both rare and benign, rapid or excessive growth can induce potentially fatal conditions such as pericarditis, arrhythmia, and cardiac tamponade. This case illustrates an example where a 65-year-old with atypical chest tightness unveiled a 10 × 15 cm anterior pericardial mass with circumferential effusion and progressive deterioration to cardiac tamponade. Initial transthoracic echocardiogram imaging was technically difficult in this patient due to habitus and body mass, which failed to illustrate underlying effusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/6937126DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7072116PMC

Acute Coronary Syndrome Mimicking Takotsubo Cardiomyopathy or Takotsubo Cardiomyopathy Mimicking Acute Coronary Syndrome?

Case Rep Cardiol 2020 21;2020:6562316. Epub 2020 Feb 21.

Cardiology Department, CHU Saint-Pierre, 322 rue Haute, B-1000 Brussels, Belgium.

A healthy 66-year-old female presented to the emergency department with acute chest pain, T-wave inversion in the anterior leads, and elevated troponin-I. Coronary angiography showed a stenosis in the midportion of the left anterior descending coronary artery (LAD), which did not wrap the left ventricle (LV) apex. LV angiography demonstrated a large LV apical akinetic systolic ballooning with a 45% ejection fraction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/6562316DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060413PMC
February 2020

A Case of an Abdominal Aortic Dissection in a Hemodynamically Stable Marfan Syndrome Patient Presenting without Pain.

Case Rep Cardiol 2020 23;2020:1704150. Epub 2020 Feb 23.

Department of Cardiology, Largo Medical Center, Largo, FL, USA.

. Marfan syndrome (MFS) is a rare connective tissue disorder attributed to a defect in the fibrillin-1 gene. Aortic aneurysms and dissection are common causes of morbidity and mortality in Marfan syndrome. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/1704150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060880PMC
February 2020

Long-Term Outcome of Thrombolytic Therapy for Massive Pulmonary Embolism in Pregnancy.

Case Rep Cardiol 2020 19;2020:9153618. Epub 2020 Feb 19.

Department of Internal Medicine Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.

A 25-year-old pregnant woman presented at 12 weeks of gestation with syncope and shortness of breath caused by massive pulmonary embolism. Due to persistent shock, fibrinolytic therapy with rtPA was administered. After fibrinolysis, clinical and hemodynamic response was excellent. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/9153618DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053479PMC
February 2020

Master of the Masquerade: An Atypical Presentation of Acute Aortic Dissection.

Case Rep Cardiol 2020 20;2020:5743985. Epub 2020 Feb 20.

Department of Cardiovascular Medicine, Beaumont Health System, Royal Oak, MI, USA.

Acute aortic dissection (AAD) is associated with unacceptably high mortality rate. As such, early diagnosis and aggressive management are essential in order to avoid life-threatening complications. Herein, we report an atypical presentation of AAD and clinical sequelae. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/5743985DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054764PMC
February 2020

Left Bundle Branch Block Chest Pain Conundrum.

Case Rep Cardiol 2020 19;2020:2724981. Epub 2020 Feb 19.

Division of Cardiology, St. John's Episcopal Hospital-South Shore, New York, New York, USA.

Left bundle branch block is a pattern of altered ventricular depolarization and subsequently affects repolarization. These obscure patterns can affect the traditional ST segment shift criteria for the electrocardiographic detection of coronary insufficiency syndromes. Previously, patients with coronary ischemic pain and LBBB judged to be "new" (not previously documented) were considered to have ST elevation myocardial infarction (STEMI) warranting acute thrombolytic therapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/2724981DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053445PMC
February 2020

Plaque Rupture-Induced Myocardial Infarction and Mechanical Circulatory Support in Alpha-Gal Allergy.

Case Rep Cardiol 2020 17;2020:5282843. Epub 2020 Feb 17.

MedStar Washington Hospital Center, Washington, DC, USA.

Alpha-gal (AG) allergy is an IgE-mediated allergic reaction to galactose-alpha-1,3-galactose found in mammalian meat. Heparin, being derived from porcine intestinal tissue, may have a degree of cross-reactivity with AG antigen and thus place patients at risk for allergic and even anaphylactic reactions. This is especially important in patients with myocardial infarction (MI) and mechanical circulatory support, such as a left ventricular assist device (LVAD), since anticoagulation is immediately required. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/5282843DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048905PMC
February 2020

Wedged Sensor in Distress? Lessons Learned from Troubleshooting Dampened Transmitted PA Waveforms of CardioMEMS Device.

Case Rep Cardiol 2020 11;2020:3856940. Epub 2020 Feb 11.

Providence Hospital, Michigan State University, USA.

. Cardiovascular disease is a leading cause of morbidity and mortality with heart failure constituting a large portion of this spectrum. Heart failure patients have 90-day readmission rates of nearly 41% associated with a high expense. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/3856940DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036126PMC
February 2020

Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: "Very" Very Late Stent Thrombosis.

Case Rep Cardiol 2020 6;2020:9628719. Epub 2020 Feb 6.

Department of Cardiology, Velammal Medical College Hospital and Research Institute, Madurai 625009, India.

Very late stent thrombosis (VLST) is a catastrophic and life-threatening complication after percutaneous coronary intervention which presents as an acute coronary syndrome with significantly high mortality and morbidity. VLST is a rare entity with drug-eluting stents and even rarer with bare metal stents. The exact pathophysiologic mechanism of VLST after BMS implantation is not known although various mechanisms have been proposed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/9628719DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026705PMC
February 2020

An Asymptomatic Patient with an Additional Cardiac Chamber Giant Left Atrial Appendage.

Case Rep Cardiol 2020 7;2020:6519089. Epub 2020 Feb 7.

3rd Department of Cardiology, Ippokratio Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

We present the case of an asymptomatic 54-year-old male, referred to our department for a follow-up cardiological consultation. Echocardiography assessment showed an unknown cavity adjacent to the lateral wall of the left ventricle. A large left atrial appendage was revealed in further investigations, and the treatment option was proved to be an impasse. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/6519089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029285PMC
February 2020

Severe Prinzmetal's Angina Inducing Ventricular Fibrillation Cardiac Arrest.

Case Rep Cardiol 2020 7;2020:3030878. Epub 2020 Feb 7.

Department of GME Internal Medicine, Community Memorial Hospital, Ventura, CA, USA.

Prinzmetal's angina is a vascular spasm of the coronary artery that can mimic acute coronary syndrome. It is rarely responsible for ventricular arrhythmias and cardiac arrest; however, survivors with these complications are at increased risk for recurrent ventricular arrhythmias and sudden cardiac death. This is true despite the presence of normal cardiac function and optimal medical therapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/3030878DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029291PMC
February 2020

Subaortic Membrane Papillary Fibroelastoma.

Case Rep Cardiol 2020 9;2020:2586730. Epub 2020 Jan 9.

Department of Cardiovascular Disease, Mayo Clinic Florida, 4500 San Pablo Road South, Jacksonville, Florida 32224, USA.

A 61-year-old male presented for an annual exam and received a transthoracic echocardiogram (TTE) which revealed a mobile mass arising from a subaortic membrane. Further investigations with a transesophageal echocardiogram (TEE) and cardiac computerized tomography angiography (CTA) confirmed the presence of a mobile 9 mm × 3 mm mass on a subaortic membrane. Cardiothoracic surgery was performed with an open operation removing the mass and subaortic membrane. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/2586730DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6977332PMC
January 2020

Sclerotherapy Induced Takotsubo Syndrome.

Case Rep Cardiol 2020 14;2020:5626078. Epub 2020 Jan 14.

Department of Cardiology, Long Island Jewish Forest Hills, Northwell Health, New York, USA.

A 66-year-old female was brought to the emergency department for acute-onset left-sided chest pain. Prior to arrival, she was at an outpatient appointment with a vascular surgeon for elective sclerotherapy treatment of her lower extremity varicose veins. After receiving an IV injection of polidocanol, she developed severe chest pain with left arm and jaw numbness for the first time in her life. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/5626078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983283PMC
January 2020

Epicardial Unipolar Lead Loss of Ventricular Capture during Radiofrequency Ablation of Atrial Fibrillation.

Case Rep Cardiol 2020 20;2020:4312315. Epub 2020 Jan 20.

Cardiology Section, Department of Medicine, Baylor College of Medicine, Houston, TX 77030, USA.

Abnormal pacemaker behavior can occur during radiofrequency ablation. The behaviors are varied and include loss of capture. The mechanisms in this context have not been well described in the literature. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/4312315DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995477PMC
January 2020

Pembrolizumab-Induced Mobitz Type 2 Second-Degree Atrioventricular Block.

Case Rep Cardiol 2020 28;2020:8428210. Epub 2020 Jan 28.

Department of Cardiology, SUNY Upstate Medical University, USA.

Pembrolizumab is a monoclonal antibody directed towards programmed cell death protein 1 (PD-1) and is an antineoplastic drug which has a growing variety of oncologic uses. Pembrolizumab is commonly associated with immune-related adverse events (IRAEs) but is infrequently noted to cause cardiotoxicities such as myocarditis, arrhythmias, and heart failure. The following case report illustrates the clinical course of a 67-year-old female patient with stage IV non-small-cell lung cancer who developed Mobitz type 2 second-degree atrioventricular block three weeks after receiving her first infusion of pembrolizumab. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/8428210DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007942PMC
January 2020

An Unusual Cause of Hypoxia: Ventricular Septal Defect, Pulmonary Artery Atresia, and Major Aortopulmonary Collaterals Diagnosed in the Adult Cardiac Catheterization Lab.

Case Rep Cardiol 2020 27;2020:4726529. Epub 2020 Jan 27.

Division of Cardiology, University of Texas Health Science Center at Houston, Houston, Texas, USA.

The association of pulmonary atresia, ventricular septal defect (VSD) and major aortopulmonary collaterals (MAPCA) is an extreme form of tetralogy of Fallot (TOF). It carries a high mortality risk if not intervened on during infancy with only 20% of unoperated patients surviving into adulthood. We present the case of a 40-year-old man who presented for evaluation prior to retinal surgery and was found to have hypoxia and a loud murmur. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/4726529DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007747PMC
January 2020

Case Report: TAVI in a Patient with Single Coronary Artery and Bicuspid Valve.

Case Rep Cardiol 2020 24;2020:2569506. Epub 2020 Jan 24.

Department of Cardiology, Mediclinic City Hospital, Dubai Health Care City, Building 37, Dubai, UAE.

A single coronary artery is a rare congenital abnormality which consists of one coronary artery arising from the aortic trunk by a single coronary ostium and providing the perfusion of the entire myocardium. Its prevalence is approximately 0.024-0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/2569506DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003266PMC
January 2020

First Reported Case of Endocarditis Related to Implantable Cardioverter-Defibrillator.

Case Rep Cardiol 2020 16;2020:6032873. Epub 2020 Jan 16.

Department of Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, TX, USA.

A 36-year-old male presented to the ED with acute chronic hyponatremia found on routine weekly lab work with one-week history of generalized weakness, confusion, nausea/vomiting, and diarrhea. The patient has nonischemic cardiomyopathy of unknown etiology diagnosed in his teens with an AICD device placed 8 years ago and receiving milrinone infusion 3 years ago via peripherally inserted central catheter (PICC) line. Two sets of blood cultures grew . Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/6032873DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988660PMC
January 2020

Incidental Anomalous Left Coronary Artery in a Transplanted Heart.

Case Rep Cardiol 2019 26;2019:2715896. Epub 2019 Dec 26.

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Anomalous coronary artery is an uncommon congenital cardiac anomaly that is often detected incidentally on coronary angiography. It has rarely been reported in the donor heart of patients who have undergone cardiac transplantation. Here, we report a case of a 72-year-old patient who received a second heart transplant and has been identified to have an anomalous left main coronary artery originating from the right coronary sinus on postoperative coronary angiography. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2019/2715896DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948275PMC
December 2019