18,850 results match your criteria European heart journal[Journal]


Corrigendum to: Fascicular parasystole and recurrent syncope - a case report.

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Eur Heart J Case Rep 2018 Jun 11;2(2):yty048. Epub 2018 Apr 11.

[This corrects the article DOI: 10.1093/ehjcr/yty020.][This corrects the article DOI: 10. Read More

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http://dx.doi.org/10.1093/ehjcr/yty048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177089PMC

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

Dasatinib-induced pulmonary arterial hypertension complicated with scleroderma: a case report.

Eur Heart J Case Rep 2019 Mar 15;3(1):ytz025. Epub 2019 Mar 15.

Department of Cardiology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Japan.

Background: Although the BCR-ABL tyrosine kinase inhibitor dasatinib is a potent treatment for chronic myeloid leukaemia, it is associated with the risk of dasatinib-induced pulmonary arterial hypertension (DASA-PAH), for which predisposing factors have yet to be elucidated. However, animal studies have shown that dasatinib exacerbates pulmonary hypertension (PH) in rodent models of PH but not in controls, providing support for a two-hit theory of DASA-PAH pathophysiology.

Case Summary: A 63-year-old man with worsening dyspnoea was diagnosed with severe DASA-PAH and concomitant scleroderma. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439368PMC

A case report: mechanical mitral valve thrombosis in pregnancy.

Eur Heart J Case Rep 2019 Mar 7;3(1):ytz024. Epub 2019 Mar 7.

Department of Cardiology, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW, Australia.

Background: Pregnancy in women with mechanical valves has a high risk of both valve thrombosis and bleeding as well as adverse effects on the foetus. There is limited data on achieving optimal anticoagulation in pregnancy and management of valve thrombosis, to achieve a successful foetal outcome, while prioritizing the mother's health. While warfarin may carry a lower risk of valve thrombosis, warfarin is teratogenic in the first trimester and is associated with increased foetal loss throughout the pregnancy. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439395PMC

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

Pulmonary vein perforation into bronchi: a rare but life-threatening complication of cryoballoon ablation.

Eur Heart J Case Rep 2019 Mar 4;3(1):ytz022. Epub 2019 Mar 4.

Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Tokyo, Japan.

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http://dx.doi.org/10.1093/ehjcr/ytz022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439370PMC

Percutaneous coronary intervention in recurrent spontaneous coronary artery dissection: a case report.

Eur Heart J Case Rep 2019 Mar 4;3(1):ytz021. Epub 2019 Mar 4.

Department of Cardiology, St Vincent's Hospital, 41 Royal Parade, Fitzroy, Victoria, Australia.

Background: Spontaneous coronary artery dissection (SCAD) is an infrequent but potentially life-threatening condition in patients with acute myocardial infarction. Conservative medical therapy is recommended in patients with SCAD. However, very little evidence exists in the management of recurrent SCAD when conservative medical therapy fails. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439372PMC

Large left ventricular apical pseudoaneurysm: a multimodal imaging approach guiding successful diagnosis and surgical management.

Eur Heart J Case Rep 2019 Mar 5;3(1):ytz020. Epub 2019 Mar 5.

Cardiology Department, East and North Hertfordshire NHS Trust, Hertfordshire, UK.

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http://dx.doi.org/10.1093/ehjcr/ytz020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439384PMC

Recurrent coronary syndromes in a patient with isolated very-high lipoprotein (a) and the prothrombin genetic variant rs1799963 (G20210A): a case report.

Eur Heart J Case Rep 2019 Mar 25;3(1):ytz019. Epub 2019 Feb 25.

Université de La Réunion, Inserm, UMR 1188 DéTROI, Plateforme CYROI, 2 Rue Maxime Rivière, Sainte-Clotilde, France.

Background: Elevated lipoprotein (a) [Lp(a)] is an under-diagnosed genetically inherited risk factor for coronary heart disease (CHD) and calcific aortic valve stenosis. Premature myocardial infarction (MI) could stem from the association between elevated Lp(a) and other non-traditional cardiovascular risk factors.

Case Summary: Here, we report a male patient with extremely high Lp(a) plasma levels [610 nmol/L (244 mg/dL); normal <75 nmol/L (<30 mg/dL)] associated with the genetic variant rs1799963 (G20210A) and no other CHD risk factor. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439380PMC

Recurrent haemorrhagic pericardial effusion due to idiopathic pericarditis: a case report.

Eur Heart J Case Rep 2019 Mar 25;3(1):ytz018. Epub 2019 Feb 25.

Cardiovascular Surgery Department, IIS-Fundación Jiménez Díaz University Hospital, Av. Reyes Católicos 2, Madrid, Spain.

Background: Haemorrhagic pericardial effusion (PE) has been described in pericarditis due to infection, neoplasm, collagen vascular disease, uraemia, pericardial inflammation after acute myocardial infarction, trauma, irradiation, and idiopathic pericarditis. Patients with large haemorrhagic PE develop recurrence or constrictive pericarditis (CP) frequently as complication without being treated intensively.

Case Summary: A 22-year-old female patient with a previous episode of pericarditis with severe PE was admitted for acute pericarditis. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439374PMC

Severe midaortic syndrome: a stepwise approach to treatment with drug-eluting balloons: a case report.

Eur Heart J Case Rep 2019 Mar 25;3(1):ytz017. Epub 2019 Feb 25.

Department of Cardiology, German Paediatric Heart Center, Arnold Janssen Str. 29, Sankt Augustin, Germany.

Background: Severe forms of the midaortic syndrome cause persistent arterial hypertension and can lead to angina abdominalis. Untreated, morbidity, and mortality are significant. In addition to palliation through bypass surgery, few other therapeutic approaches lead to a long-term relief. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439396PMC

Premature ventricular contraction-induced dilated cardiomyopathy: a case report.

Eur Heart J Case Rep 2019 Mar 25;3(1):ytz016. Epub 2019 Feb 25.

Cardiology Research Unit, University Hospital Geelong, Barwon Health, PO Box 281, Geelong, Victoria, Australia.

Background: Premature ventricular complexes (PVCs) are ectopic heartbeats caused by early myocardial depolarizations, previously thought to be benign. Recent studies found high PVC burden above 24% can induce or contribute to cardiomyopathy and heart failure. We present a case of PVC-induced dilated cardiomyopathy (DCM). Read More

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http://dx.doi.org/10.1093/ehjcr/ytz016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458864PMC

Long-term follow-up of an adult with left pulmonary artery stenting and absent right pulmonary artery: a case report.

Eur Heart J Case Rep 2019 Mar 20;3(1):ytz015. Epub 2019 Feb 20.

Paediatric Cardiology, Sir H N Reliance Hospital, Raja Rammohan Roy Road, Prarthana Samaj, Khetwadi, Girgaon, Mumbai, Maharashtra, India.

Background: Unilateral absence of pulmonary artery is a rare congenital abnormality with varied clinical presentations. We present a unique case of congenital absence of right pulmonary artery (RPA) with left pulmonary artery (LPA) origin stenosis without any intracardiac or extracardiac lesion and its long-term follow-up.

Case Summary: A 68-year-old woman underwent successful LPA stenting 23 years back for absent RPA and LPA origin stenosis. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439359PMC

Coronary artery disease concomitant with immunoglobulin G4-related disease: a case report and literature review.

Eur Heart J Case Rep 2019 Mar 18;3(1):ytz013. Epub 2019 Feb 18.

Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo, Japan.

Background: Immunoglobulin G4-related disease (IgG4-RD) is an autoimmune condition associated with high serum IgG4 levels which was first reported as autoimmune pancreatitis in 2001. Since then, many additional organs, such as bile duct, salivary gland, retroperitoneal organs, and liver, have been reported with high serum IgG4 levels in cases of IgG4-RD. However, evidence of the relationship between IgG4-RD and coronary artery disease (CAD) has been scare. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439393PMC

Transcatheter aortic valve implantation associated prosthetic valve endocarditis with hypo-attenuated leaflet thickening seen on multislice computed tomography.

Eur Heart J Case Rep 2019 Mar 11;3(1):ytz010. Epub 2019 Feb 11.

Department of Cardiology, Cardiovascular Center, Teine Keijinkai Hospital, 12-1-40, Maeda 1, Teine-ku, Sapporo, Hokkaido, Japan.

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http://dx.doi.org/10.1093/ehjcr/ytz010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439358PMC

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

QRS alternans due to localized intraventricular block during ventricular tachycardia in Uhl's anomaly: a case report.

Eur Heart J Case Rep 2019 Mar 25;3(1):ytz006. Epub 2019 Feb 25.

Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka, Japan.

Background: Uhl's anomaly is a rare congenital heart disease characterized by 'Paper-like thinning of the right ventricular (RV) wall'. Since most patients with Uhl's anomaly die in infancy or childhood, the adult cases of this disorder have been limitedly reported and there were no past report describing this anomaly with ventricular tachycardia (VT), in which catheter ablation was successfully performed.

Case Summary: We report the case of a 43-year-old man with a suggested Uhl's anomaly and VT. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439377PMC
March 2019
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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

Complete heart block in a boy with hyperostosis-hyperphosphataemia syndrome: a case report.

Eur Heart J Case Rep 2019 Mar 5;3(1):ytz003. Epub 2019 Feb 5.

Cardiology Department, Imam Khomeini Hospital, Tehran University of Medical Sciences, Keshavarz Blv, Tehran, Iran.

Background: Hyperostosis-hyperphosphataemia syndrome (HHS) is a rare metabolic disorder characterized by recurrent painful swelling of long bones and periosteal new bone formation.

Case Summary: A 6-year-old boy was referred to our centre due to bradycardia. He was diagnosed with HHS 3 years' prior, after investigation for the cause of joint pain and genu valgum. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439360PMC

Treatment of refractory vasospastic angina complicated by acute pulmonary oedema with levosimendan: a case report.

Eur Heart J Case Rep 2019 Mar 5;3(1):ytz002. Epub 2019 Feb 5.

Intensive Cardiac Care Unit, Centro Cardiologico Monzino, I.R.C.C.S., Via Parea 4, Milan, Italy.

Background: Vasospastic angina (VA) is an important cause of chest pain and patients often have 3- to 6-month clusters of recurrent attacks, separated by relatively asymptomatic periods. During these episodes the resulting myocardial ischaemia can lead to clinical complications of different severity, including acute myocardial infarction, acute heart failure, and cardiogenic shock. The management of severe and recurrent VA attacks is challenging, and no specific recommendations exist in recent cardiologic guidelines on the pharmacological strategy (inotropic/vasopressor agents) to adopt for this acute clinical setting. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439361PMC

Edge-to-edge mitral valve repair for acute mitral valve regurgitation due to papillary muscle rupture: a case report.

Eur Heart J Case Rep 2019 Mar 6;3(1):ytz001. Epub 2019 Feb 6.

Transcatheter Heart Valves Department, HYGEIA Hospital, Erythrou stavrou 9 str, Marousi, Athens 15123, Greece.

Background: Papillary muscle (PM) rupture is a devastating mechanical complication of myocardial infarction that leads to cardiogenic shock and death. In this case, we report a patient with acute mitral regurgitation due to PM rupture that was treated successfully with MitraClip.

Case Summary: An 85-year-old female patient with anterior ST-elevation myocardial infarction complicated with PM rupture and acute severe mitral regurgitation was admitted to our hospital. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439366PMC

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

Multivessel spontaneous coronary artery dissection involving the left main coronary artery: a case report.

Eur Heart J Case Rep 2019 Mar 12;3(1):yty168. Epub 2019 Jan 12.

Cardiology Department, Cardiovascular Institute (ICCV), Hospital Clínic, IDIBAPS, University of Barcelona, C/Villarroel, 170, 08036 Barcelona, Spain.

Background: Spontaneous coronary artery dissection (SCAD) is an infrequent and often misdiagnosis of a non-atherosclerotic cause of acute coronary syndrome (ACS). It is an important cause of ACS in young women, responsible for up to 25% of all cases in women <50 years of age without cardiovascular risk factors. Clinical presentation ranges from ST-segment-elevation myocardial infarction (MI) to ventricular fibrillation and sudden death. Read More

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http://dx.doi.org/10.1093/ehjcr/yty168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439423PMC

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
1 Read

A case report of atrial fibrillation in a patient with heparin resistance associated with an antithrombin III deficiency successfully treated by radiofrequency catheter ablation using a direct thrombin inhibitor.

Eur Heart J Case Rep 2019 Mar 9;3(1):yty166. Epub 2019 Jan 9.

Cardiovascular Center, Munakata Suikokai General Hospital, 5-7-1 Himakino, Fukutsu, Japan.

Background: Pulmonary vein antrum isolation has proven to be a useful strategy for radiofrequency catheter ablation (RFCA) of atrial fibrillation (AF) worldwide. Anticoagulation therapies are necessary to avoid thromboembolic events before, during, and after RFCA of AF. During the RFCA procedure for AF, it is recommended that the activated coagulation time be maintained between 300 s and 400 s using heparin as an anticoagulation therapy. 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/yty166DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439375PMC
March 2019
1 Read

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

Aneurysmal dilatation of pericardial patch closure of ventricular septal defect.

Eur Heart J Case Rep 2019 Mar 18;3(1):yty164. Epub 2019 Jan 18.

Department of Internal Medicine, Cardiovascular Section, University of Oklahoma Health Sciences Center, 800 Stanton L Young Blvd, AAT 6300, Oklahoma City, OK, USA.

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http://dx.doi.org/10.1093/ehjcr/yty164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439381PMC

Case report of an unusual and catastrophic presentation of coral reef aorta.

Eur Heart J Case Rep 2019 Mar 8;3(1):yty163. Epub 2019 Jan 8.

Département de médecine, Centre Hospitalier Universitaire de Sherbrooke, 3001, 12e Avenue Nord, Sherbrooke, Québec, Canada.

Background: Coral reef aorta (CRA) is a rare condition characterized by atherosclerosis and overt calcification of the aorta leading to severe luminal stenosis of the vessel. Most patients present with hypertension and intermittent claudication at the time of diagnosis. Risk factors associated with this condition are essentially the same as those associated with atherosclerosis. Read More

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http://dx.doi.org/10.1093/ehjcr/yty163DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439383PMC

Figure of 3-sign: a case report.

Eur Heart J Case Rep 2019 Mar 27;3(1):yty162. Epub 2018 Dec 27.

Department of Cardiology, Center for Congenital Heart Disease, University Hospital Inselspital, University of Bern, Freiburgstrasse 15, 3010 Bern, Switzerland.

Background: A 50-year-old mother of four children was newly diagnosed with arterial hypertension and bilateral neck pulsations.

Case Summary: Her current blood pressure was 170/100 mmHg in the right arm and 122 mmHg systolic in the right ankle. There was a radio-femoral delay palpable. Read More

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http://dx.doi.org/10.1093/ehjcr/yty162DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439367PMC

Successful extraction of refractory thrombus from an ectatic coronary artery using stent retriever during primary angioplasty for acute myocardial infarction: a case report.

Eur Heart J Case Rep 2019 Mar 9;3(1):yty161. Epub 2019 Jan 9.

Madras Medical College, Chennai 600001, Tamil Nadu, India.

Background: Ectatic coronary segments are nidi for thrombus formation due to altered flow dynamics and stasis-an important component of Virchow's triad. Ectasia accompanied by an adjacent coronary stenosis with or without a plaque event can lead to acute myocardial infarctions complicated by huge thrombus burden.

Case Summary: Here, we present a case of a young male with acute inferior wall myocardial infarction complicated by Type IV coronary artery ectasia of the right coronary artery and huge thrombus burden that was refractory to conventional methods of thrombus management like thrombo-suction and intracoronary cocktails including tenecteplase. 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/yty161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439382PMC
March 2019
1 Read

The unstable pacing thresholds of the leadless transcatheter pacemaker affected by body positions in subacute phase after implant.

Eur Heart J Case Rep 2019 Mar 27;3(1):yty160. Epub 2018 Dec 27.

Department of Medicine II, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi, Japan.

Background: If the threshold at implant of leadless transcatheter pacemakers (LTPs) is less than 2.0 V, pacing thresholds reportedly decrease significantly by 1 month and maintain an optimal value of less than 1.0 V by 6 months. Read More

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http://dx.doi.org/10.1093/ehjcr/yty160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439362PMC

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

Platypnea-orthodeoxia syndrome: a rare presentation of inferior vena cava thrombosis.

Eur Heart J Case Rep 2019 Mar 14;3(1):yty158. Epub 2018 Dec 14.

Department of Cardiology, Hospital Universitario San Juan, Alicante, Spain.

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http://dx.doi.org/10.1093/ehjcr/yty158DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439424PMC

Atrial fibrillation ablation in a patient with a peculiar common postero-inferior pulmonary vein trunk.

Eur Heart J Case Rep 2019 Mar 9;3(1):yty157. Epub 2019 Jan 9.

Division of Cardiology, Department of Medical Sciences, 'Città della Salute e della Scienza di Torino' Hospital, University of Turin, Corso Bramante 88, Turin, Italy.

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http://dx.doi.org/10.1093/ehjcr/yty157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439357PMC

Ticagrelor-associated ventricular pauses: a case report and literature review.

Eur Heart J Case Rep 2019 Mar 28;3(1):yty156. Epub 2018 Dec 28.

Cardiology Department, Ballarat Health Services, 1 Drummond Street, Ballarat, VIC, Australia.

Background: Ticagrelor is an oral anti-platelet agent that is a reversible and direct inhibitor of the adenosine diphosphate P2Y12 receptor. Ticagrelor's brady-arrhythmic potential was investigated in a sub-study of the PLATO trial, which concluded that the effects were transient and not clinically significant beyond the acute initiation phase. Since then, there have been emerging reports of ticagrelor-associated high-degree heart block, requiring drug discontinuation and pacemaker insertion. Read More

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http://dx.doi.org/10.1093/ehjcr/yty156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439364PMC

Omalizumab induced Takotsubo syndrome: case report.

Eur Heart J Case Rep 2019 Mar 3;3(1):yty155. Epub 2019 Jan 3.

Cardiology Department, Santa Maria University Hospital (CHLN), Lisbon Academic Medical Centre, and Centro Cardiovascular da Universidade de Lisboa, Faculdade de Medicina, Portugal.

Background: Omalizumab is a humanized monoclonal anti-immunoglobulin E antibody, approved for the treatment of spontaneous chronic urticaria, with high efficacy and an excellent safety profile. Although its adverse effects are rare, allergic reactions and cardiovascular events were previously described.

Case Summary: The authors describe the case of a 75-year-old woman, followed at the outpatient dermatology clinic due to spontaneous chronic urticaria, treated with omalizumab 300 mg every 4 weeks. Read More

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http://dx.doi.org/10.1093/ehjcr/yty155DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439385PMC

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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Recanalization of an atretic left internal mammary graft after bypass surgery for an anomalous left main coronary artery origin: a case report.

Eur Heart J Case Rep 2019 Mar 19;3(1):yty152. Epub 2018 Dec 19.

Cardiology Department, St. Vincent's Hospital, Victoria St, Darlinghurst, Sydney, Australia.

Background: The inter-arterial anomalous course of the left main coronary artery (LMCA) originating from the right coronary sinus of Valsalva is a rare, though potentially lethal pathology. Coronary artery bypass grafting is a potential surgical therapy with previously reported success, however, there is concern for the possibility of graft occlusion in the setting of competitive native vessel flow.

Case Summary: A 48-year-old gentleman presented to our facility with a non-ST elevation acute coronary syndrome. 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/yty152DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439389PMC
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

Intravascular B-cell lymphoma: case report of a rare cause of pulmonary arterial hypertension.

Eur Heart J Case Rep 2019 Mar 2;3(1):yty150. Epub 2019 Feb 2.

Department of Cardiology, Cedars Sinai Heart Institute, Cedars Sinai Medical Center, 127 S. San Vicente Blvd, Suite A3308, Los Angeles, CA, USA.

Background: Intravascular large B-cell lymphoma (IVLBCL) is a rare disease characterized by proliferation of malignant lymphoid cells within the small vessels of various organs resulting in diffuse thrombosis. It most commonly affects the central nervous system and the skin, but if it involves the pulmonary arteries it can cause acute severe pulmonary hypertension (PH) and right heart failure. Early diagnosis is essential as the clinical course is extremely aggressive. Read More

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http://dx.doi.org/10.1093/ehjcr/yty150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439388PMC

Myocarditis with checkpoint inhibitor immunotherapy: case report of late gadolinium enhancement on cardiac magnetic resonance with pathology correlate.

Eur Heart J Case Rep 2019 Mar 7;3(1):yty149. Epub 2019 Jan 7.

Department of Cardiology, Yale University School of Medicine, New Haven, CT, USA.

Background: Nivolumab is a human IgG4 anti-programmed cell death protein-1 (PD-1) monoclonal antibody that works by augmenting the immune response against tumour cells. It has the potential of causing multiple autoimmune-related events, including cardiac. However, the real incidence and diagnosis of cardiac complications remains unclear. Read More

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http://dx.doi.org/10.1093/ehjcr/yty149DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439394PMC

Challenges in diagnosing and treating a patient with renal artery fibromuscular dysplasia: case report.

Eur Heart J Case Rep 2019 Mar 9;3(1):yty144. Epub 2019 Jan 9.

Interventional Cardiologist, Clínica Las Américas, Medellín (Antioquia), Colombia.

Background: We present a patient with history of sinus venous thrombosis and hypertension during the last year. Her blood pressure was not controlled espite drugs, diet, and exercise. She denied symptoms. Read More

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http://dx.doi.org/10.1093/ehjcr/yty144DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439373PMC

The waffle procedure as treatment of a first episode of right heart failure: a case report.

Eur Heart J Case Rep 2018 Dec 14;2(4):yty148. Epub 2018 Dec 14.

Cardiovascular Institute, Hospital Clínico San Carlos, Universidad Complutense, c/Profesor Martín Lagos s/n, Madrid, Spain.

Background: Constrictive pericarditis is a rare condition which is characterized by pericardial layers thickening and it may not be relieved by conventional medical or surgical therapies. Some patients could profit from specific surgical techniques such as the waffle procedure which removes epicardial tissue strips of the visceral layer of the pericardium. It alleviates diastolic dysfunction, since it is known that the constrictive physiology observed in constrictive pericarditis depends mainly on the visceral layer. Read More

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http://dx.doi.org/10.1093/ehjcr/yty148DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426000PMC
December 2018

Case report: Unusual presentation of haemopericardium with haemodynamic instability secondary to a coronary graft pseudoaneurysm treated by an endovascular approach.

Eur Heart J Case Rep 2018 Dec 7;2(4):yty147. Epub 2018 Dec 7.

Division of Cardiology, Department of Medicine, Windsor Regional Hospital, Windsor, ON, Canada.

Background: We report the successful endovascular treatment of a coronary graft pseudoaneurysm using a technique often seen in intracranial aneurysm coiling.

Case Summary: We present an unusual case of a patient who presents with haemopericardium and haemodynamic instability after saphenous vein bypass grafting. A pseudoaneurysm rapidly expanded from 5 cm to 7 cm over the follow-up period producing compressive mass effect on the lateral right ventricle with transient haemodynamic instability. Read More

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http://dx.doi.org/10.1093/ehjcr/yty147DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426035PMC
December 2018

Killing two birds with one stone-MitraClip for flail P2 and systolic anterior motion of mitral valve: a case report.

Eur Heart J Case Rep 2018 Dec 11;2(4):yty146. Epub 2018 Dec 11.

National Heart Centre Singapore, 5 Hospital Drive, Singapore, Singapore.

Background: The MitraClip system has been used extensively in high-risk patients with severe degenerative mitral regurgitation (MR). Recent reports have demonstrated the feasibility of using the MitraClip device to treat systolic anterior motion (SAM) of the mitral valve in obstructive hypertrophic cardiomyopathy (HOCM).

Case Summary: We report the case of a 76-year-old lady who had both symptomatic severe degenerative MR and HOCM that were refractory to medical therapy. Read More

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http://dx.doi.org/10.1093/ehjcr/yty146DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426007PMC
December 2018

Fibrinolysis-treated myocardial infarction in a patient with missed spontaneous coronary artery dissection associated with takotsubo syndrome: case report.

Eur Heart J Case Rep 2018 Dec 7;2(4):yty145. Epub 2018 Dec 7.

Coronary and Vascular Heart Disease, Heart and Vascular Theme, Department of Medicine, Karolinska Institute and Karolinska University Hospital, Huddinge, Stockholm, Sweden.

Background: Spontaneous coronary artery dissection (SCAD) is an under-recognized acute cardiac disease entity. It is often missed, or misdiagnosed as coronary spasm, coronary atherosclerotic lesion, or thrombotic coronary occlusion. During the last years, SCAD also has been reported to be 'misdiagnosed as takotsubo syndrome (TS)' in patients with features consistent with both conditions. Read More

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http://dx.doi.org/10.1093/ehjcr/yty145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426041PMC
December 2018