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Cureus 2021 Mar 1;13(3):e13646. Epub 2021 Mar 1.

Cardiothoracic Surgery, Rehman Medical Institute, Peshawar, PAK.

Introduction Mitral valve abnormalities in rheumatic heart disease commonly lead to functional tricuspid regurgitation. Tricuspid annuloplasty (TA) is often performed in these cases along with mitral valve replacement (MVR). Our aim was to compare the perioperative morbidity and mortality among those patients that underwent mitral valve replacement with tricuspid annuloplasty versus those that underwent isolated mitral valve replacement. Read More

J Pediatr Intensive Care 2021 Mar 29;10(1):79-82. Epub 2020 Apr 29.

Division of Pediatric Cardiology, Morgan Stanley Children's Hospital of NewYork-Presbyterian, Columbia University Medical Center, New York, United States.

Congenital coronary artery anomalies are extremely rare causes of early cardiac failure. Several cardiac lesions are associated with coronary anomalies such as pulmonary atresia with intact ventricular septum. Isolated coronary ostial atresia is extremely rare and described in only a few published case reports. Read More

Cureus 2021 Jan 29;13(1):e12986. Epub 2021 Jan 29.

Cardiovascular Diseases, University of Maryland Capital Region Health, Cheverly, USA.

Quadricuspid aortic valve (QAV) is a rare congenital cardiac anomaly that commonly becomes symptomatic in the fifth or sixth decade of life and can present as an isolated finding or in association with other congenital cardiovascular abnormalities. Previously, QAV was mainly a postmortem or intraoperative diagnosis and data was very limited on its natural history, associated complications, and long-term outcomes. In recent decades, however, there has been an increase in the reported cases of QAV, considering the advances in the diagnostic modalities such as transthoracic echocardiography (TTE), transesophageal echocardiography (TEE), and cardiac magnetic resonance (CMR). Read More

BMC Cardiovasc Disord 2021 Feb 2;21(1):68. Epub 2021 Feb 2.

Immunology Research Center (IRC), Institute of Immunology and Infectious Disease, Iran University of Medical Sciences, Shahid Hemmat Highway 14496, Tehran, Iran.

Background: Coronary artery disease (CAD) is characterized by narrowing/ blockade of coronary arteries that is mainly caused by atherosclerotic plaques. Considering the involvement of platelet abnormalities, such as defective aggregation and adhesion, in the cardiovascular-related disorders, genetic variations in human platelet alloantigens (HPA) have been implicated in the CAD susceptibility. Herein, we intended to determine the association of HPA-1 to -6, -9, and -15 biallelic polymorphisms with CAD in an Iranian population. Read More

Scand J Med Sci Sports 2021 May 28;31(5):1078-1085. Epub 2021 Jan 28.

Clinique du Sport, Bordeaux-Mérignac, Mérignac, France.

The value of echocardiography in the screening of athletes in addition to the electrocardiogram is debated and still unclear. 336 rugby players in French professional divisions (Top 14, Pro D2) were prospectively assessed with electrocardiogram and echocardiography. 75% were Caucasian, 16. Read More

J Invasive Cardiol 2021 Jan;33(1):E45-E51

Texas Children's Hospital, Baylor College of Medicine, 6651 Main Street, MC E1920, Houston, TX 77030 USA.

Background: Invasive fractional flow reserve (FFR) is considered the gold standard to evaluate coronary artery flow. Stress cardiovascular magnetic resonance (sCMR) is an emerging non-invasive tool to evaluate myocardial perfusion in children. We sought to compare sCMR with FFR to determine impaired intracoronary flow in children with anomalous aortic origin of a coronary artery (AAOCA) and/or myocardial bridge (MB) who presented concern for myocardial ischemia. Read More

J Card Surg 2021 Feb 8;36(2):731-734. Epub 2020 Dec 8.

Division of Cardiovascular Surgery, Pronto Socorro Cardiológico de Pernambuco - PROCAPE, Recife, Pernambuco, Brazil.

Background: The adult type of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is characterized by late presentation due to collateral coronary flow. Patients often present with long time recurrent angina or dyspnea. Surgical correction can be a challenge due to the vast collateral coronary circulation. Read More

Cureus 2020 Oct 20;12(10):e11053. Epub 2020 Oct 20.

Department of Cardiology, Bursa Postgraduate Hospital, Bursa, TUR.

Introduction The pathophysiology of isolated coronary artery ectasia (iCAE) has not been clearly identified, although multiple abnormalities, including arteritis, endothelial dysfunction, and vascular destruction, have been reported. In this study, we aimed to analyze serum cystatin C concentrations in patients with iCAE and controls. Methods Forty-seven patients with iCAE (mean age: 55. Read More

J Thorac Cardiovasc Surg 2020 Oct 10. Epub 2020 Oct 10.

Cardiac Surgery, Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine, Chicago, Ill.

Objective: Postoperative atrial fibrillation (POAF) is a common complication after coronary artery bypass grafting (CABG). Currently, there is no reliable way to determine preoperatively which patients will develop POAF following CABG. The aim of this study was to determine whether preoperative left atrial (LA) strain analysis might identify patients destined to develop POAF following CABG. Read More

J Saudi Heart Assoc 2020 10;32(2):127-133. Epub 2020 May 10.

Pediatric Cardiac Intensive Care Division, Department of Cardiac Sciences, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.

Objective: Aortopulmonary window (APW) is a rare congenital heart defect. It occurs as an isolated cardiac lesion or in association with other cardiac anomalies and rarely with abnormal coronary arteries. The spectrum of cardiovascular anomalies associated with APW and overall management and outcome in the current era were reviewed. Read More

Echocardiography 2020 11 4;37(11):1855-1859. Epub 2020 Oct 4.

Department of Cardiology, King's College Hospital, London, UK.

Papillary muscle (PM) rupture can usually complicate inferior or posterior myocardial infarctions, but selective PM infarction is extremely rare, and the exact underlying pathophysiological mechanism is not entirely clear. We present a case of PM rupture due to isolated PM infarction in a patient with unobstructed coronary arteries, which could be misdiagnosed as a vegetation or other mass given the absence of regional wall motion abnormalities (RWMAs) on transthoracic echocardiogram. Our case highlights that in patients with severe mitral regurgitation and associated mitral valve mass, the absence of RWMAs should not exclude ischemic PM rupture from differential diagnosis. Read More

J Card Surg 2020 Dec 29;35(12):3573-3574. Epub 2020 Sep 29.

Department of Radiodiagnosis, SMS Medical College and Attached Hospitals, Jaipur, Rajasthan, India.

We present the computed tomography angiogram images of a 43-year-old lady with an isolated single coronary artery arising from the nonadjacent sinus of aortic root. Read More

Cardiovasc Diagn Ther 2020 Aug;10(4):902-907

Department of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Cardiogenic shock is a severe disease caused by primary failure of cardiac function. Myocardial infarction is the most common cause of cardiogenic shock. It is common in adults but rare in children. Read More

Eur J Pediatr 2021 Mar 21;180(3):877-884. Epub 2020 Sep 21.

Cardiologie infantile, CHU Hautepierre, Strasbourg University Hospital, 1 rue de Molière, 67200, Strasbourg, France.

Myocarditis and Kawasaki disease are common but usually distinct diseases in children. During the coronavirus pandemic (COVID-19), reports of a new form of myocarditis with clinical features of Kawasaki appeared. We investigated the place of this new disease in the spectrum encompassing Kawasaki disease and myocarditis. Read More

J Card Surg 2020 May 17;35(5):1152-1155. Epub 2020 Apr 17.

Department of Anaesthesia and Critical Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Congenital aneurysmal dilatation of coronary artery with coronary cameral fistula is rare in childhood. We report an even rarer association of congenital right coronary artery aneurysm and right coronary artery to right ventricle fistula with bicuspid pulmonary valve stenosis and an intact ventricular septum in a 3-year-old child. Read More

Am J Cardiol 2020 05 11;125(9):1446-1448. Epub 2020 Feb 11.

Departments of Cardiac Transplantation, Internal Medicine (Division of Cardiology), Cardiac Surgery, and the Baylor Scott & White Heart and Vascular Institute, Baylor University Medical Center, Dallas, Texas. Electronic address:

Described herein is a 42-year-old woman who suddenly developed a spontaneous isolated coronary arterial dissection which led to massive acute myocardial infarction with shock, unsuccessful coronary artery bypass grafting, transiently successful extracorporeal life support, and finally successful heart transplant. Such a sequence of events is exceedingly rare for patients with coronary dissection and prompted this report. Read More

Stroke 2020 04 4;51(4):1100-1106. Epub 2020 Mar 4.

Departments of Medicine and Pathology, University of Vermont Medical Center, Burlington (M.C.).

Background and Purpose- In previous studies, isolated nonspecific ST-segment and T-wave abnormalities (NSSTTAs), a common finding on ECGs, were associated with greater risk for incident coronary artery disease. Their association with incident stroke remains unclear. Methods- The REGARDS (Reasons for Geographic and Racial Differences in Stroke) study is a population-based, longitudinal study of 30 239 white and black adults enrolled from 2003 to 2007 in the United States. Read More

Clin Case Rep 2020 Jan 9;8(1):211-212. Epub 2019 Dec 9.

Department of Cardiovascular Surgery Hamamatsu Rosai Hospital Hamamatsu Japan.

We experienced a very rare case of isolated single coronary artery, in which the left main coronary artery passes between the aorta and pulmonary artery. It is the most potentially serious among the coronary artery anomalies, because it has the risk of myocardial infarction and sudden death in young ages. Read More

Curr Med Imaging Rev 2019 ;15(4):427-429

Department of Radiology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.

Background: Hypoplastic coronary artery disease is a rare congenital coronary artery anomaly. It is often detected incidentally, and its true incidence in the general population is not known.

Discussion: Symptoms of HCAD are syncope, palpitations, dyspnea, and chest pain. Read More

Eur Heart J Case Rep 2019 Dec 8;3(4):1-4. Epub 2019 Oct 8.

Pediatric Cardiology, Department of Surgery, Pediatric Heart Center, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland.

Background: Anomalous left coronary artery from pulmonary artery (ALCAPA) is a rare coronary abnormality. Although it exists usually as an isolated abnormality, ALCAPA has been described with aortic pathologies like coarctation or aortopulmonary window.

Case Summary: An 18-day-old female was admitted to the paediatric intensive care unit because of a heart murmur and weak femoral pulses. Read More

Anatol J Cardiol 2019 Nov;22(6):5013

Department of Cardiology, Medical Sciences University, Bağcılar Training and Research Hospital; İstanbul-Turkey.

Eur Heart J Case Rep 2019 Sep 11;3(3):ytz104. Epub 2019 Jul 11.

Department of Cardiology, St. Mary's Hospital, 56 Franklin Street, Waterbury, CT, USA.

Background: Cardiac myxomas are the most common benign primary tumour of the heart. Clinical presentation is variable and ranges from constitutional symptoms to clinical features due to intracardiac obstruction, such as mitral stenosis, coronary embolization, or systemic embolization. Surgical resection is the only effective treatment to prevent its debilitating and catastrophic complication. Read More

J Card Surg 2019 Nov 19;34(11):1356-1358. Epub 2019 Sep 19.

Department of Cardiovascular Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, China.

Background: While anatomical variations in the cardiac circulation are quite commonly encountered, isolated congenital coronary artery anomalies are rare. These conditions are only reported in 1% of patients who underwent coronary angiogram and 0.3% of patients at autopsy. Read More

J Clin Imaging Sci 2019 14;9:29. Epub 2019 Jun 14.

Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.

Objective: Partial anomalous pulmonary venous connection (PAPVC) is one of the rare congenital cardiac diseases with a prevalence of 0.4-0.7% of autopsies. Read More

Eur Heart J Case Rep 2019 Jun;3(2)

MacNeal Hospital, 3231 S. Euclid Ave, Suite 203, Berwyn, IL, USA.

Background: A painless presentation of aortic dissection is rare in about 5% of cases. A few case reports discussed about involvement of coronary arteries causing bradycardia. In our case, we are presenting a rare presentation of aortic dissection with initial presentation as bradycardia without involvement of coronary arteries and without cardiac symptoms. Read More

Pediatr Radiol 2019 12 22;49(13):1823-1839. Epub 2019 Aug 22.

Pediatric Cardiology and Cardiac Surgery Department, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Computed tomography (CT) has a well-established diagnostic role in the assessment of coronary arteries in adults. However, its application in a pediatric setting is still limited and often impaired by several technical issues, such as high heart rates, poor patient cooperation, and radiation dose exposure. Nonetheless, CT is becoming crucial in the noninvasive approach of children affected by coronary abnormalities and congenital heart disease. Read More