169,850 results match your criteria Echocardiography Mount Kisco N.Y.[Journal]


Time-sensitive predictors of embolism in patients with left-sided endocarditis: Cohort study.

PLoS One 2019 25;14(4):e0215924. Epub 2019 Apr 25.

Division of Cardiology, Sunnybrook Health Sciences Centre and University of Toronto, Toronto, Ontario, Canada.

Introduction: Accurate prediction of embolic events in infective endocarditis could inform critical clinical decisions, such as the timing of cardiac surgical intervention. However, many embolic events occur before hospital admission and echocardiography and are thus non-modifiable. We aimed to identify time-sensitive variables that predict embolic events in infective endocarditis, focusing on those that occur after diagnosis. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215924PLOS
April 2019
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Application of transthoracic echocardiography in patients receiving intermediate- or high-risk noncardiac surgery.

PLoS One 2019 25;14(4):e0215854. Epub 2019 Apr 25.

Division of Cardiology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Background: Cardiovascular events are the leading cause of perioperative complications among patients undergoing noncardiac surgery. However, the role of echocardiography for preoperative cardiac risk stratification prior to major noncardiac surgery is still controversial.

Methods: This retrospective study included a total of 1453 patients (51% male; age, 67 ± 16) who underwent intermediate- or high-risk major abdominal surgery or orthopedic surgery at two medical centers in South Taiwan between February 2013 and June 2016. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215854PLOS

Measuring cardiac output at the bedside.

Authors:
Stephen J Huang

Curr Opin Crit Care 2019 Jun;25(3):266-272

Department of Intensive Care Medicine, Nepean Hospital, The University of Sydney, Sydney, New South Wales, Australia.

Purpose Of Review: Bedside cardiac output (CO) measurement is an important part of routine hemodynamic monitoring in the differential diagnosis of circulatory shock and fluid management. Different choices of CO measurement devices are available. The purpose of this review is to review the importance of CO [or stroke volume (SV)] measurement and to discuss the various methods (devices) used in determination of CO. Read More

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http://dx.doi.org/10.1097/MCC.0000000000000599DOI Listing

Transthoracic echocardiography in the assessment of cardiogenic causes of ischemic stroke.

Neurol Neurochir Pol 2019 Apr 25. Epub 2019 Apr 25.

Medical University of Warsaw, 2nd Medical Faculty, Department of Sports Cardiology and Noninvasive Cardiovascular Imaging, Warsaw, Poland.

Introduction: One of the leading causes of death in Poland is stroke. Cardiogenic stroke is known to be one of the most important reasons for acute ischaemic stroke (AIS), comprising 25-30% of all AISs.

Aim Of Study: Assessment of the prevalence of different risk factors of cardiogenic causes of AIS using transthoracic echocardiography (TTE) MATERIAL AND METHODS: Transthoracic echocardiograms performed in patients with AIS admitted to a single neurological ward between October 2013 and September 2017 were analysed. Read More

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https://journals.viamedica.pl/neurologia_neurochirurgia_pols
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http://dx.doi.org/10.5603/PJNNS.a2019.0016DOI Listing

Traumatic aortic valve tear - role of echocardiography.

Acta Cardiol 2019 Apr 25. Epub 2019 Apr 25.

a Cardiology Department , Centro Hospitalar São João , Porto , Portugal.

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http://dx.doi.org/10.1080/00015385.2019.1584695DOI Listing

Pharmacodynamic Analysis of the Influence of Propofol on Left Ventricular Long-Axis Systolic Performance in Cardiac Surgical Patients.

J Korean Med Sci 2019 Apr 29;34(16):e132. Epub 2019 Apr 29.

Department of Anesthesiology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.

Background: Propofol induced a decline in the left ventricular (LV) systolic performance in non-cardiac surgery. We tested the hypothesis that propofol decreased the LV contractile function by dose dependent manner in cardiac surgery patients.

Methods: Anesthesia was maintained with target-controlled infusions of propofol and remifentanil in cardiac surgery patients. Read More

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http://dx.doi.org/10.3346/jkms.2019.34.e132DOI Listing

[Echocardiographic emergency diagnostics].

Herz 2019 Apr 24. Epub 2019 Apr 24.

Klinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Liebigstraße 20, 04103, Leipzig, Deutschland.

Echocardiography is a non-invasive, versatile imaging modality for the diagnostics and monitoring of life-threatening cardiac diseases. This article summarizes the currently valid recommendations on emergency echocardiography of the German Cardiac Society and the European Association of Cardiovascular Imaging and provides practical guidance for their implementation in emergency medicine. Echocardiography is especially important for the diagnostics of acute coronary syndrome and its potential complications, of pulmonary embolism and endocarditis as well as the differential diagnosis of patients in shock and in emergencies. Read More

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http://dx.doi.org/10.1007/s00059-019-4799-2DOI Listing

Unicuspid aortic valve replacement with development of complete heart block: a case report.

Eur Heart J Case Rep 2019 Mar 15;3(1):ytz026. Epub 2019 Mar 15.

Cardiovascular Department, Ascension Macomb Hospital, Warren, MI, USA.

Background: Aortic stenosis is a progressive disease that frequently remains undiagnosed until late in the disease course. In patients that present with symptoms of heart failure and a systolic murmur at a young age, a congenital valvular abnormality must be on the differential. With patients that have accelerated symptoms of aortic stenosis and valvular dysfunction, a unicuspid aortic valve (UAV) could be present. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458860PMC

Thrombosis of a biological pulmonary valve in a young patient on anticoagulant therapy with rivaroxaban: a case report.

Eur Heart J Case Rep 2019 Mar 5;3(1):ytz023. Epub 2019 Mar 5.

Department of Diagnostic and Interventional Radiology, University Hospital Center, University of Zagreb School of Medicine, Kispaticeva, Croatia.

Background: Patients with repaired tetralogy Fallot often develop severe pulmonary regurgitation (PR) and need surgical or catheter valve replacement/implantation. Early valve failure is not expected and thrombosis of a biological valve in a mid-term period after surgery on pulmonary position is rare.

Case Summary: We report a 33-year-old female patient, who presented with heart failure, 18 months after surgical implantation of a biological valve on pulmonary position for severe PR, after previous complete repair. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439391PMC

Oesophageal perforation: an unexpected complication during extraction of a pacing lead. A case report.

Eur Heart J Case Rep 2019 Mar 6;3(1):ytz008. Epub 2019 Feb 6.

Cardiology Clinical Academic Group, St. George's University Hospitals NHS Foundation Trust, St. George's, University of London, Blackshaw Road, London, UK.

Background: Peri-procedural transoesophageal echocardiography (TOE) is important in monitoring and minimizing major complications during pacing lead extraction. It is a widely accepted precautionary measure, especially in extractions considered to be higher risk. Pacing lead extraction may be challenging, and it is associated with significant risk of major bleeding from vascular trauma. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439371PMC

Thoracoscopic stapler-closure of left atrial appendage and epicardial clamp-isolation of pulmonary veins in a patient with non-valvular atrial fibrillation and short bowel: a case report.

Eur Heart J Case Rep 2019 Mar 6;3(1):ytz007. Epub 2019 Feb 6.

Department of Cardiovascular Surgery, Maebashi Red Cross Hospital, 389-1 Asakura-cho, Maebashi-shi, Gunma, Japan.

Background: Thromboembolic occlusion of the superior mesenteric artery (SMA) is a serious event in patients with atrial fibrillation (AF). Extensive bowel resection is frequently required, and the resulting short bowel syndrome hampers the intake of anticoagulant or anti-arrhythmic medication.

Case Summary: We report the case of thoracoscopic surgery consisting of stapler-closure of the left atrial appendage and bilateral epicardial clamp-isolation of the pulmonary veins performed in a 66-year-old male patient with symptomatic persistent non-valvular AF who became unable to take in anticoagulants or anti-arrhythmic drugs because of thromboembolic SMA occlusion and subsequent total resection of the small intestine. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439397PMC

Left atrial spindle cell sarcoma: a case report.

Eur Heart J Case Rep 2019 Mar 6;3(1):ytz005. Epub 2019 Feb 6.

Department of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.

Background: Primary cardiac spindle cell sarcomas are extremely rare with only a few cases reported. They are frequently misdiagnosed on cardiac magnetic resonance (CMR) imaging as benign myxoma or thrombi and the suspicion of a malignant sarcoma arises only during surgery. This case report describes a case of cardiac spindle cell sarcoma diagnosed after surgery, where the initial diagnostic possibilities included an intramural thrombus and a cardiac myxoma. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439379PMC

The added value of three-dimensional echocardiography in the late diagnosis of a pacemaker complication in a patient with severe congestive heart failure: a case report.

Eur Heart J Case Rep 2019 Mar 21;3(1):ytz004. Epub 2019 Feb 21.

Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

Background: Three-dimensional echocardiography (3DE) presents an increasingly important role in the management of interventional cardiac procedures, overcoming limitations of conventional two-dimensional echocardiography (2DE). Early use of 3DE might have an added value in the diagnosis of device-related complications, such as lead induced tricuspid regurgitation (LITR), by providing better understanding of its mechanisms and ensuring a prompt and individually tailored treatment strategy.

Case Summary: We report the case of a female patient with repeated hospitalizations for congestive heart failure in the past 2 years, who had a permanent single-chamber ventricular pacemaker (PM) implanted 10 years ago and a misleading diagnosis of severe tricuspid regurgitation (TR) secondary to annular dilation, based on 2DE. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439365PMC

A case report of mycotic pseudoaneurysm in childhood: an unusual complication of coarctation of the aorta.

Eur Heart J Case Rep 2019 Mar 4;3(1):yty170. Epub 2019 Mar 4.

Department of Congenital Cardiac Surgery, Toulouse University Hospital, 330 avenue de grande Bretagne Toulouse, France.

Background: We report on an unusual case of a 3 year-old girl with coarctation of the aorta complicated by mycotic pseudoaneurysm and infected with

Case Summary: The only symptoms and signs were fever and weak femoral pulses. The echocardiography confirmed a localised isthmic's coarctation. In order to complete the evaluation, a CT scan was performed. Read More

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http://dx.doi.org/10.1093/ehjcr/yty170DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439392PMC

Prominent right ventricular mass in a young patient with a history of classic testicular seminoma: a case report.

Eur Heart J Case Rep 2019 Mar 9;3(1):yty167. Epub 2019 Jan 9.

Department III of Internal Medicine, Heart Center, University Hospital of Cologne, Kerpener Str. 62, Cologne, Germany.

Background: The incidence of intracardiac masses is generally low. In most cases, the formation of a thrombus represents the principal diagnosis in clinical practice. The differential diagnosis mainly includes primary tumours of the heart as well as intracardiac metastases. Read More

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https://academic.oup.com/ehjcr/article/doi/10.1093/ehjcr/yty
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http://dx.doi.org/10.1093/ehjcr/yty167DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439369PMC
March 2019
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The pivotal role of cardiac computed tomography angiogram and F-fluorodeoxyglucose positron emission tomography-computed tomography in the diagnosis of right sided endocarditis: a case report.

Eur Heart J Case Rep 2019 Mar 8;3(1):yty165. Epub 2019 Jan 8.

Department of Cardiology, Haga Teaching Hospital, Postbus 40551, LN The Hague, The Netherlands.

Background: Infective endocarditis (IE) poses many clinical and diagnostic challenges. Echocardiography is regarded as the imaging modality of choice for the diagnosis of IE, and plays a key role in both the diagnosis and management of endocarditis. We report on a case in which one could have overlooked an endocarditis of a pulmonary homograft if one had relied on echocardiography alone. Read More

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http://dx.doi.org/10.1093/ehjcr/yty165DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439376PMC

Extensive intracardiac thrombi in a patient with heart failure and hepatic congestion: a case report.

Eur Heart J Case Rep 2019 Mar 27;3(1):yty159. Epub 2018 Dec 27.

Department of Cardiology, North Shore Hospital, 124 Shakespeare Road, Takapuna, Auckland, New Zealand.

Background: Left ventricular (LV) thrombi is a complication associated with anterior ST-elevation myocardial infarction, dilated cardiomyopathies, or LV aneurysms. Right sided intracardiac thrombi may be associated with other prothrombotic causes.

Case Summary: A 66-year-old man admitted with congestive heart failure was found to have extensive intracardiac masses on transthoracic echocardiography and cardiac magnetic resonance imaging (MRI). Read More

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http://dx.doi.org/10.1093/ehjcr/yty159DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439363PMC

Ventricular tachycardia: a presentation of Fabry disease case report.

Eur Heart J Case Rep 2019 Mar 22;3(1):yty154. Epub 2018 Dec 22.

Department of Internal Medicine-Cardiology, Faculty of Medicine and Dentistry, Palacký University and University Hospital Olomouc, Olomouc, Czech Republic.

Background: Fabry disease is an inherited rare metabolic disease caused by mutation in the gene, encoding lysosomal enzyme alpha-galactosidase A. The disorder is a systemic disease that manifests as cerebrovascular and cardiac disease, chronic renal failure, skin lesion, peripheral neuropathy, and other abnormalities. Ventricular tachycardia as a Fabry disease presentation is very rare. Read More

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https://academic.oup.com/ehjcr/article/doi/10.1093/ehjcr/yty
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http://dx.doi.org/10.1093/ehjcr/yty154DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439386PMC
March 2019
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Takotsubo cardiomyopathy and coronary artery disease: value of cardiac magnetic resonance imaging for diagnostic confirmation: a case report.

Eur Heart J Case Rep 2019 Mar 22;3(1):yty151. Epub 2018 Dec 22.

Departamento de Medicina Interna, Universidad de Valparaíso, 4 Poniente 332, Viña del Mar, Chile.

Background: Takotsubo cardiomyopathy (TCM) is a reversible acute cardiac disease that mimics acute myocardial infarction (AMI). In patients with a history of an old myocardial infarction who develop TCM, cardiac magnetic resonance imaging (CMRI) is the first-line non-invasive diagnostic tool for clearly discriminating between AMI and TCM.

Case Summary: A 65-year-old woman who suffered a myocardial infarction in 2012, was admitted to undergo sigmoid colon tumour surgery in January 2017. Read More

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http://dx.doi.org/10.1093/ehjcr/yty151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439425PMC

Fluoroscopy-free cryoablation of atrial fibrillation guided solely by transoesophageal echocardiography: a case report.

Eur Heart J Case Rep 2018 Dec 26;2(4):yty137. Epub 2018 Nov 26.

Department of Perioperative Medicine, Barts Heart Centre, St Bartholomew's Hospital, 1st Floor KGV Wing, London, UK.

Background: Atrial fibrillation (AF) ablation has been shown to be possible using minimal or no fluoroscopic imaging for guidance. However, the techniques previously described focus on radiofrequency ablation or rely on the use of resource-heavy technology such as intra-cardiac echocardiography. We describe the first reported case in the literature of successful fluoroscopy-free AF cryoablation guided solely by transoesophageal echocardiography (TOE). Read More

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http://dx.doi.org/10.1093/ehjcr/yty137DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426113PMC
December 2018

Concurrent true inferoposterior left ventricular aneurysm and ventricular septal rupture secondary to inferior myocardial infarction: a case report.

Eur Heart J Case Rep 2018 Dec 27;2(4):yty136. Epub 2018 Nov 27.

The Key Laboratory of Cardiovascular Remodelling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, The State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Department of Cardiology, Qilu Hospital of Shandong University, No 107 Wenhuaxi Road, Jinan, Shandong Province, China.

Background: Although left ventricular aneurysm (LVA) is the most common mechanical complication of myocardial infarction (MI), it rarely involves the inferior or posterior left ventricular wall. Ventricular septal rupture (VSR) may be a fatal mechanical complication of MI but rarely occurs in the posterior or inferior portion of the interventricular septum. Thus, LVA and VSR as two mechanical complications of MI in the same patient are extremely rare. Read More

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http://dx.doi.org/10.1093/ehjcr/yty136DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426050PMC
December 2018

New Fabry disease mutation confirms cardiomyopathy aetiology: a case report.

Eur Heart J Case Rep 2018 Dec 29;2(4):yty133. Epub 2018 Nov 29.

Department of Cardiology, Emergency Institute for Cardiovascular Diseases 'Prof. Dr C. C. Iliescu', Şos. Fundeni no 258, Bucharest, Romania.

Background: Aetiologic diagnosis should be a priority in cardiomyopathy patients, as some of them may benefit from efficient specific treatment. To achieve this, the best approach is to look for clinical and paraclinical 'red flags'.

Case Summary: A 55-year-old woman was referred to our centre with the diagnoses of hypertrophic cardiomyopathy (HCM), high blood pressure and dyslipidaemia. Read More

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http://dx.doi.org/10.1093/ehjcr/yty133DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426068PMC
December 2018

A case report: metastatic complete heart block.

Eur Heart J Case Rep 2018 Dec 29;2(4):yty131. Epub 2018 Nov 29.

Department of Cardiology, Seth GS Medical College, KEM Hospital, Achary Dhonde MargParel, Mumbai, Maharashtra, India.

Background: Though primary malignant tumours of the heart are rare, secondary metastatic affection of the heart is quite common. Common presentations include pericardial effusion, obstruction of inflow and outflow tracts and arrhythmias, most notably tachyarrhythmias, and very rarely complete heart blocks (CHBs).

Case Summary: A 28-year-old man suffering from carcinoma of the tongue underwent a surgery in the form of radical hemimandibulectomy. Read More

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https://academic.oup.com/ehjcr/article/doi/10.1093/ehjcr/yty
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http://dx.doi.org/10.1093/ehjcr/yty131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426093PMC
December 2018
1 Read

Prediction of mitral regurgitation resolution after coronary bypass graft surgery and cardiac resynchronization therapy by late gadolinium enhancement magnetic resonance imaging: a case report.

Eur Heart J Case Rep 2018 Dec 26;2(4):yty129. Epub 2018 Nov 26.

Department of Medical Science and Cardiorenal Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa, Yokohama, Kanagawa, Japan.

Background: Appropriate surgical management of moderate functional mitral regurgitation (MR) at the time of coronary artery bypass graft (CABG) surgery remains controversial. A recent study demonstrated no survival benefit from adding mitral repair to CABG for patients with moderate functional MR. Preoperative prediction of reverse remodelling is crucial in making the decision to add mitral valve repair to CABG. Read More

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https://academic.oup.com/ehjcr/article/doi/10.1093/ehjcr/yty
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http://dx.doi.org/10.1093/ehjcr/yty129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426028PMC
December 2018
1 Read

Unusual presence of 'ghosts' following lead extraction for recurrent reactive pericarditis: a case report.

Eur Heart J Case Rep 2018 Dec 26;2(4):yty127. Epub 2018 Nov 26.

Dipartimento Cardiotoracovascolare, ASST Grande Ospedale Metropolitano Niguarda, piazza dell'Ospedale Maggiore n° 3, Milano, Italia.

Background: The presence of a persistent fibrous sheath in right-sided heart chambers after transvenous lead extraction has already been described in some studies as echocardiographic tubular mobile masses called 'ghosts'. Their presence has been associated with cardiac device-related infective endocarditis or local device infection, but to the best of our knowledge, this is the first case where 'ghosts' have been reported among non-infected patients.

Case Summary: We present a case of a 73-year-old woman hospitalized due to worsening dyspnoea and a significant pericardial effusion, relapsed after pericardiocentesis with removal of about 1500 mL of non-haemorrhagic fluid. Read More

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http://dx.doi.org/10.1093/ehjcr/yty127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426005PMC
December 2018

Secondary right heart failure due to haemodynamically relevant iatrogenic atrial septal defect: does the sequence of structural interventions sometimes matter? A case report.

Eur Heart J Case Rep 2018 Dec 8;2(4):yty119. Epub 2018 Nov 8.

Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty, Heinrich-Heine-University, Moorenstr. 5, Düsseldorf, Germany.

Background: Edge-to-edge mitral valve repair is a common procedure for treating severe symptomatic mitral valve regurgitation in patients not eligible for surgery.

Case Summary: After necessary transseptal puncture during the MitraClip procedure, an iatrogenic atrial septal defect (iASD) routinely remains and closes spontaneously in most cases. We present a case in which this shunt persisted due to increased left heart pressure, causing repeated rehospitalization, and ultimately requiring interventional closure: after successful transcatheter edge-to-edge repair of severe, symptomatic mitral regurgitation, the iASD persisted presumably due to underestimated paradoxical low-flow, low-gradient aortic valve stenosis. Read More

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http://dx.doi.org/10.1093/ehjcr/yty119DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426032PMC
December 2018

A case report of an unusual cause of mitral stenosis in a young woman.

Eur Heart J Case Rep 2018 Dec 30;2(4):yty118. Epub 2018 Oct 30.

Department of Cardiology, Centre for Cardiovascular Diseases, University Hospital of Brussels, Laarbeeklaan 101, Jette, Belgium.

Background: Systemic lupus erythematosus (SLE) is an autoimmune disease, frequently associated with cardiovascular involvement. One of the most frequent complication is mitral valve regurgitation in more than one-third of the patients.

Case Summary: A 30-year-old woman with arthralgia, butterfly rash, and Raynaud phenomenon presented with a systolic murmur and renal impairment. Read More

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http://dx.doi.org/10.1093/ehjcr/yty118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426048PMC
December 2018

Cusp thrombosis of a self-expandable sutureless aortic valve treated by valve-in-valve transcatheter aortic valve implantation procedure: case report.

Eur Heart J Case Rep 2018 Dec 7;2(4):yty117. Epub 2018 Dec 7.

University Clinic of Cardiac Surgery, Medical University of Innsbruck, Anichstrasse 35, Innsbruck, Austria.

Background: Surgical implantation rates of bioprosthetic valves, especially the use of sutureless or rapid deployment valves, as well as the advent of transcatheter valve implantation (TAVR) have increased during the last decades mainly due to their excellent haemodynamic and clinical results. One common characteristic of all bioprosthetic types of surgical aortic valve replacement (SAVR) and TAVR is the risk of early degeneration, which leads to valve-dysfunction and is associated with higher rates of valve reinterventions. Recent studies have demonstrated that cusp thrombosis may play a role in early valve dysfunction. Read More

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http://dx.doi.org/10.1093/ehjcr/yty117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426046PMC
December 2018

Acute left main stem coronary occlusion following transcatheter aortic valve replacement in a patient without recognized coronary obstruction risk factors: a case report.

Eur Heart J Case Rep 2018 Dec 23;2(4):yty112. Epub 2018 Oct 23.

Structural Heart and Valve Center, New York Presbyterian Hospital/Columbia University Medical Center, 177 Fort Washington Ave, New York, NY, USA.

Background: Acute coronary obstruction following transcatheter aortic valve replacement (TAVR) is an uncommon but life-threatening event.

Case Summary: A 78-year-old man developed acute left main obstruction following transfemoral TAVR with a balloon-expandable valve. Cardiac arrest ensued, requiring emergent peripheral cardiopulmonary bypass. Read More

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http://dx.doi.org/10.1093/ehjcr/yty112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426119PMC
December 2018

Never forget the aorta: a case report of IgG4-related disease causing aortitis.

Eur Heart J Case Rep 2018 Dec 16;2(4):yty111. Epub 2018 Oct 16.

Cardiology Division, Department of Cardiothoracic Science, Azienda Sanitaria Universitaria Integrata Santa Maria della Misericordia, Piazzale S. Maria della Misericorda 15, Udine, Italy.

Background: Chest pain is a common reason for admission to the Emergency Department and aortic disease is a relatively frequent cause amongst the total number of admissions due to chest pain. IgG4-related disease (IgG4-RD) is a multi-organ immune-mediated condition that mimics several malignant, infectious, and inflammatory disorders.

Case Summary: We report a rare case of IgG4-related aortitis complicated with severe aortic regurgitation and multivessel coronary artery disease in a 64-year-old man with a history of atypical chest pain. Read More

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http://dx.doi.org/10.1093/ehjcr/yty111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426049PMC
December 2018

Prosthetic valve endocarditis secondary to following transcatheter aortic valve implantation: a case report.

Eur Heart J Case Rep 2018 Dec 18;2(4):yty109. Epub 2018 Oct 18.

Intensive Care Unit, Department of Internal Medicine, Zayed Military Hospital, Abu Dhabi, United Arab Emirates.

Background: Transcatheter aortic valve implantation (TAVI) has emerged as an alternative for the treatment of severe symptomatic aortic stenosis for patients at high risk for open surgery. Although experience with TAVI is increasing, few cases of post-TAVI endocarditis are reported.

Case Summary: We present a case of an 87-year-old female patient who presented with fever, unresponsive to empiric antibiotics 3 months after a TAVI procedure for severe aortic valve stenosis. Read More

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http://dx.doi.org/10.1093/ehjcr/yty109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426036PMC
December 2018

The first post-cardiac injury syndrome reported following transcatheter aortic valve implantation: a case report.

Eur Heart J Case Rep 2018 Dec 28;2(4):yty107. Epub 2018 Sep 28.

Department for Internal Medicine III, Cardiology, Angiology and Intensive Care Medicine, Saarland University Medical Center, Homburg, Germany.

Background: Post-cardiac injury syndrome is a form of secondary pericarditis with or without pericardial effusion, which typically occurs weeks to months following an injury to the heart or pericardium. Disease activity can be followed with serial testing of inflammatory markers e.g. Read More

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https://academic.oup.com/ehjcr/article/doi/10.1093/ehjcr/yty
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http://dx.doi.org/10.1093/ehjcr/yty107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426006PMC
December 2018
1 Read

Refractory cardiac myocarditis associated with drug rash with eosinophilia and systemic symptoms syndrome due to anti-bipolar disorder drugs: a case report.

Eur Heart J Case Rep 2018 Dec 10;2(4):yty100. Epub 2018 Oct 10.

Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-15 Nishi-7, Kita-Ku, Sapporo, Japan.

Background: Drug rash with eosinophilia and systemic symptoms (DRESS) syndrome is a severe adverse drug reaction accompanied by multiple organ dysfunction. Myocarditis is a manifestation, and once acute necrotizing eosinophilic myocarditis (ANEM) develops, the mortality rate is high.

Case Summary: We report the case of a 37-year-old man who developed myocarditis associated with DRESS syndrome after starting treatment with lithium and quetiapine for bipolar disorder. Read More

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http://dx.doi.org/10.1093/ehjcr/yty100DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426116PMC
December 2018

Solitary neuroendocrine carcinoma of the heart: a case report.

Eur Heart J Case Rep 2018 Sep 12;2(3):yty096. Epub 2018 Sep 12.

Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Martinistr.52, Hamburg, Germany.

Background: Cardiac tumours are of rare incidence and usually occur in the form of secondary tumours. Most metastatic tumours are melanomas, sarcomas, lung, and haematological malignancies. Neuroendocrine carcinomas (NECs) of the heart are extremely unusual. Read More

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http://dx.doi.org/10.1093/ehjcr/yty096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177085PMC
September 2018

Rupture of a giant aneurysm of the sinus of Valsalva leading to acute heart failure: a case report demonstrating the excellence of echocardiography.

Eur Heart J Case Rep 2018 Sep 2;2(3):yty090. Epub 2018 Aug 2.

Department of Cardiology, Amsterdam University Medical Centres, Meibergdreef 9, AZ Amsterdam, Netherlands.

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http://dx.doi.org/10.1093/ehjcr/yty090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177027PMC
September 2018

Recurrent valve obstruction in a patient with a pure carbon bileaflet metallic mitral valve: a case report.

Eur Heart J Case Rep 2018 Sep 27;2(3):yty089. Epub 2018 Jul 27.

Department of Cardiology, Glenfield Hospital, University Hospitals of Leicester, Groby Rd, Leicester, UK.

Background: Despite overcoming the morbidity from severe native valve disease, prosthetic metallic valve replacement is not without its inherent morbidity, in particular from prosthetic valve thrombosis (PVT). The contemporary pure carbon bileaflet metallic valve confers reduced thrombogenicity.

Case Summary: We describe the case of a 45-year-old woman with a pure carbon bileaflet metallic mitral valve replacement (27/29 mm On-X) 6 months previously for severe rheumatic mitral stenosis, who presented with a rapid onset of dyspnoea, paroxysmal nocturnal dyspnoea, and haemoptysis. Read More

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http://dx.doi.org/10.1093/ehjcr/yty089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176976PMC
September 2018

Case report: pericardial adhesions from a previous coronary artery bypass surgery contain a left ventricular free wall rupture after an acute myocardial infarction to form a pseudoaneurysm.

Eur Heart J Case Rep 2018 Sep 31;2(3):yty081. Epub 2018 Jul 31.

Department of Pediatric Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, 4A, Dr J J Nagar, Mogappair, Chennai, India.

Background: Fatal mechanical complications of acute myocardial infarctions include free wall rupture and ventricular septal rupture. If pericardial adhesions wall off a free wall rupture, it may lead to formation of pseudoaneurysms that are characterized by a narrow mouth. Even though pseudoaneurysms are common after myocardial infarctions, they may also occur following surgery, trauma, and infections rarely. Read More

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http://dx.doi.org/10.1093/ehjcr/yty081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177030PMC
September 2018

Post-ischaemic exuberant left ventricular mass: thrombus vs. tumour-case report.

Eur Heart J Case Rep 2018 Sep 11;2(3):yty077. Epub 2018 Jul 11.

Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, USA.

Background: We present a case that illustrates the diagnostic challenge of differentiating thrombus from tumour when confronted with a large left ventricular (LV) cardiac mass.

Case Summary: A 43-year-old Caucasian woman polysubstance-abuser presented to a regional hospital with an ST-elevation myocardial infarction and underwent aspiration-thrombectomy and successful circumflex artery bare metal stenting. She was noted to have an exuberant LV mass on transthoracic echocardiogram the following day and transferred to our care. Read More

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https://academic.oup.com/ehjcr/article/doi/10.1093/ehjcr/yty
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http://dx.doi.org/10.1093/ehjcr/yty077DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177049PMC
September 2018
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Cardiogenic shock following balloon post-dilatation in transcatheter aortic valve implantation: first case report of all three stuck leaflets.

Eur Heart J Case Rep 2018 Sep 2;2(3):1-5. Epub 2018 Jul 2.

Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Japan.

Background: A stuck leaflet and frozen cusp are reported complications following transcatheter aortic valve implantation (TAVI). These complications are rare but can drastically change haemodynamics and be potentially life-threatening; thus, their awareness during TAVI is indispensable. Leaflet malfunction generally presents in one of the three leaflets of a prosthetic valve; however, we encountered a case where all three leaflets were simultaneously stuck. Read More

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http://dx.doi.org/10.1093/ehjcr/yty073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177041PMC
September 2018

A rare late finding in corrected tetralogy of Fallot: a case report.

Eur Heart J Case Rep 2018 Jun 30;2(2):yty060. Epub 2018 Apr 30.

Department of Cardiology, Centro Hospitalar de Leiria, Leiria, Portugal.

Introduction: Isolated pulmonary valve endocarditis is a rare phenomenon. Pulmonary prosthesis endocarditis is even more unusual, with only about 50 descriptions in worldwide literature, and its diagnosis and treatment is a challenge. Due to the increasing number of surgically corrected tetralogy of Fallot (TOF) patients, that often include pulmonary valve implantation, this clinical scenario is likely to become more frequent. Read More

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https://academic.oup.com/ehjcr/article/doi/10.1093/ehjcr/yty
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http://dx.doi.org/10.1093/ehjcr/yty060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176975PMC
June 2018
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Successful balloon valvuloplasty of rheumatic mitral valve stenosis in a pregnant patient without fluoroscopy: a case report.

Eur Heart J Case Rep 2018 Jun 16;2(2):yty058. Epub 2018 May 16.

Department of Cardiology, Asklepios Klinik St. Georg, Lohmuehlenstr. 7, Hamburg, Germany.

Introduction: Rheumatic mitral stenosis (MS) is the most common rheumatic heart disease that complicates pregnancy. Percutaneous transvenous mitral commissurotomy (PTMC) has become the first-choice treatment, but is routinely performed with fluoroscopic guidance, which bears risks from ionizing radiation for the embryo when performed in pregnant patients.

Case Presentation: A pregnant patient was referred to our department for therapy of severe MS after she suffered from cerebral artery infarction. Read More

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http://dx.doi.org/10.1093/ehjcr/yty058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177101PMC

Successful transcatheter aortic valve implantation for severe aortic stenosis of a bicuspid valve with situs inversus totalis guided by advanced image processing: a case report.

Eur Heart J Case Rep 2018 Jun 4;2(2):yty049. Epub 2018 May 4.

Department of Cardiology and Cardiovascular Surgery, Centre Hospitalier Regional et Universitaire de Lille (CHRU de Lille), 2 Avenue Oscar Lambret, Lille, France.

Introduction: Transcatheter aortic valve implantation (TAVI) can be challenging in case of complex anatomy such as bicuspid aortic valve stenosis or situs inversus. This report illustrates a successful procedure in a patient with both conditions after careful pre-operative planning and per-operative guidance by means of a novel software.

Case Presentation: We report the case of a 71-year-old man that presented a type 0 bicuspid aortic valve stenosis and situs inversus. Read More

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http://dx.doi.org/10.1093/ehjcr/yty049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177026PMC

Endocardial linear infarct exclusion technique for non-ischaemic functional mitral regurgitation caused by cardiac sarcoidosis: a case report.

Eur Heart J Case Rep 2018 Jun 18;2(2):yty046. Epub 2018 Apr 18.

Department of Cardiovascular Surgery, Kyoto Daini Red Cross Hospital, 355-5 Haruobi-cho, Marutamachi Agaru, Kamanza-st, Nakagyo-ku, Kyoto, Japan.

Introduction: Damage to the posterior wall of the left ventricle (LV) can cause tethering mitral regurgitation (MR). We present a patient with non-ischaemic tethering MR and congestive heart failure due to cardiac sarcoidosis who was treated using an endocardial linear infarct exclusion technique.

Case Presentation: A 63-year-old woman with a history of uveitis presented to our hospital complaining of dyspnoea. Read More

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https://academic.oup.com/ehjcr/article/doi/10.1093/ehjcr/yty
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http://dx.doi.org/10.1093/ehjcr/yty046DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176962PMC
June 2018
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Bi-atrial cardiac myxoma with glandular differentiation: a case report with detailed radiologic-pathologic correlation.

Eur Heart J Case Rep 2018 Jun 16;2(2):yty045. Epub 2018 Apr 16.

Department of Pathology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Introduction: Myxoma is the most common cardiac benign tumour. While a typical myxoma is generally a straightforward diagnosis, some myxomas have unusual features that can make the diagnosis challenging. Glandular myxomas and metastatic adenocarcinomas, the most common type of metastatic carcinoma to the heart, can have very similar features. Read More

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http://dx.doi.org/10.1093/ehjcr/yty045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177082PMC

Malaise and fatigue following mitral valve repair: case report.

Eur Heart J Case Rep 2018 Jun 10;2(2):yty039. Epub 2018 Apr 10.

Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center Essen, University Hospital Essen, Hufelandstr. 55, Essen, Germany.

Introduction: Mitral valve regurgitation is the second most common valvular heart disease. In primary, degenerative mitral regurgitation (MR), valve repair is the preferred treatment option.

Case Presentation: We present a case of a 73-year-old man who was admitted to our cardiology department with progressively worsening shortness of breath (New York Heart Association-Classification IV) and fatigue 2 months after surgical mitral valve repair for MR. Read More

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http://dx.doi.org/10.1093/ehjcr/yty039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177080PMC

Diagnosis of a rare cardiac human herpesvirus-8 positive B-cell lymphoma manifestation: a case report of a transoesophageal echocardiography-guided trans-septal catheter biopsy.

Eur Heart J Case Rep 2018 Jun 9;2(2):yty037. Epub 2018 Apr 9.

Department of Cardiology, Klinikum rechts der Isar, Technical University Munich, Ismaningerstr. 22, Munich, Germany.

Introduction: Human herpesvirus-8-associated B-cell lymphoma is a common disease entity in immunocompromised individuals, particularly in patients with chronic HIV-infection or AIDS. However, cardiac manifestations are extremely rare. Tissue for histopathology of left cardiac tumours is most commonly obtained by open surgery. Read More

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http://dx.doi.org/10.1093/ehjcr/yty037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177094PMC

Prominent epicardial fat mimicking pericardial effusion on echocardiography.

Eur Heart J Case Rep 2018 Jun 20;2(2):yty034. Epub 2018 Mar 20.

Department of Cardiology, Hospital of the Government of the City of Buenos Aires 'Dr Cosme Argerich, Pi y Margall 750 (C1155AHB), Capital Federal, Ciudad Autónoma de Buenos Aires, Argentina.

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http://dx.doi.org/10.1093/ehjcr/yty034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177058PMC

An unprecedented case report of primary cardiac lymphoma exclusive to left ventricle: a diagnostic and therapeutic challenge.

Eur Heart J Case Rep 2018 Jun 29;2(2):yty029. Epub 2018 Mar 29.

Department of Cardiology, Cardiovascular Institute, Allegheny General Hospital, 320 East North Avenue, Pittsburgh, PA, USA.

Introduction: Primary cardiac lymphoma accounts for <2% of all primary cardiac tumours. It is uncommon in immunocompetent patients, often fatal and diagnosed at autopsy. Tumour usually involves the right heart chambers and pericardium. Read More

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http://dx.doi.org/10.1093/ehjcr/yty029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177073PMC

Alcohol septal ablation using myocardial contrast echocardiography on a patient with iodine contrast allergy.

Eur Heart J Case Rep 2018 Jun 21;2(2):yty010. Epub 2018 Mar 21.

Department of Cardiology, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Japan.

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http://dx.doi.org/10.1093/ehjcr/yty010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177072PMC

Biventricular infective endocarditis in an immunocompetent adult patient with a congenital ventricular septal defect: a case report.

Eur Heart J Case Rep 2018 Mar 14;2(1):yty031. Epub 2018 Mar 14.

MRCP (UK), King Salman Heart Center, King Fahad Medical City, PO Box 59046, Riyadh 11525, Kingdom of Saudi Arabia.

Introduction: Congenital heart defects predispose patients to a significantly increased risk of infective endocarditis (IE), and the incidence is even greater in the immunocompromised population. The involvement of multiple valves leads to a higher rate of complications and thus mortality. Moreover, biventricular IE is an uncommon condition with no specific guidelines for treatment. Read More

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http://dx.doi.org/10.1093/ehjcr/yty031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426001PMC