IHJ Cardiovascular Case Reports (CVCR)最新文献_第2页

Acute symptomatic COVID-19 myocarditis: Case series 急性症状性COVID-19心肌炎:病例系列

IHJ Cardiovascular Case Reports (CVCR) Pub Date : 2023-04-01 DOI: 10.1016/j.ihjccr.2023.05.004

Abderrahmane Bouchaala , Oualid Kerrouani , Yassine Yassini , Sidi Jawad Tadili , Rajae Tachinante , Latifa Oukerraj , Mohamed Cherti , Mustapha Alilou

{"title":"Acute symptomatic COVID-19 myocarditis: Case series","authors":"Abderrahmane Bouchaala , Oualid Kerrouani , Yassine Yassini , Sidi Jawad Tadili , Rajae Tachinante , Latifa Oukerraj , Mohamed Cherti , Mustapha Alilou","doi":"10.1016/j.ihjccr.2023.05.004","DOIUrl":"https://doi.org/10.1016/j.ihjccr.2023.05.004","url":null,"abstract":"<div><h3>Background</h3><p>Coronavirus disease 2019 COVID-19 still remains a major cause of morbidity and mortality worldwide, mainly due to Acute Respiratory Distress Syndrome (ARDS). Nevertheless, other extra-pulmonary pathological aspects of COVID-19, notably cardiovascular, were disclosed as the global understanding of the pathogen agent advanced.</p></div><div><h3>Objectives</h3><p>To detect and evaluate acute myocarditis in patients with active and symptomatic COVID-19 infection.</p></div><div><h3>Materials and methods</h3><p>In this prospective analysis, patients presented with active COVID-19 illness and meeting the inclusion criteria were identified at the University Hospital Complex of Rabat between January and September 2021.</p></div><div><h3>Results</h3><p>Fifteen patients (8 males and 7 females) aged from 17 to 52 were included during the analysis period, the average delay between the confirmation of COVID-19 and the onset of myocarditis symptomatology was 17 days. The symptomatology was dominated by chest pain, unexplained cardiogenic shock and palpitations. The ECG showed essentially diffuse repolarization disorders. The inflammatory markers were significantly disturbed with an elevation of ultra-sensitive cardiac troponin I in all patients. Cardiac MRI showed impaired global longitudinal strain (GLS) myocardial edema, early and late subepicardial Gadolinium enhancement, compared to the control group (p < 0,01).</p></div><div><h3>Conclusion</h3><p>Cardiac involvement was detected in a proportion of patients with active COVID-19. Age, gender, clinical and electrical presentations didn't seem to influence the diagnosis. Cardiac MRI played an essential role for detecting and evaluating active myocarditis. Patients who presented myocardial injury had to have a longer follow-up as current understanding of long-term prognosis is still lacking.</p></div>","PeriodicalId":100653,"journal":{"name":"IHJ Cardiovascular Case Reports (CVCR)","volume":"7 2","pages":"Pages 53-57"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49884419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case report: Percutaneous Intervention for a Mechanical Prosthetic Valve Thrombosis as a Bailout procedure 病例报告:经皮介入治疗机械瓣膜血栓形成作为紧急救助程序

IHJ Cardiovascular Case Reports (CVCR) Pub Date : 2023-04-01 DOI: 10.1016/j.ihjccr.2023.05.003

Veena Nanjappa , Hema Raveesh , K.S. Sadanand , C.N. Manjunath

引用次数: 1

Transcatheter mitral valve replacement (TMVR) for degenerated mitral valve bioprosthesis - A case series 经导管二尖瓣置换术(TMVR)治疗退化的二尖瓣生物假体-一个病例系列

IHJ Cardiovascular Case Reports (CVCR) Pub Date : 2023-04-01 DOI: 10.1016/j.ihjccr.2023.06.004

Viveka Kumar, Mitendra Singh Yadav, Sangeeta Dhir

引用次数: 0

Postcardiac injury syndrome complicated by pleural and pericardial effusion following transvenous pacemaker insertion 经静脉植入起搏器后并发胸膜和心包积液的心后损伤综合征

IHJ Cardiovascular Case Reports (CVCR) Pub Date : 2023-04-01 DOI: 10.1016/j.ihjccr.2023.06.003

Anuj Sarma

引用次数: 0

Acute myocardial infarction due to Polycythemia Vera - Stenting or lysis? – A case report 真性红细胞增多症引起的急性心肌梗死——支架植入还是溶解?-个案报告

IHJ Cardiovascular Case Reports (CVCR) Pub Date : 2023-04-01 DOI: 10.1016/j.ihjccr.2023.05.001

Narra Lavanya, K.N. Srinivasan, I. Sathyamurthy, Manodaya

引用次数: 0

Safety and efficacy of Excimer laser coronary angioplasty for diffuse instent restenosis – Our initial experience 准分子激光冠状动脉成形术治疗弥漫性再狭窄的安全性和有效性-我们的初步经验

IHJ Cardiovascular Case Reports (CVCR) Pub Date : 2023-04-01 DOI: 10.1016/j.ihjccr.2023.04.001

K. Dhamodaran, Abhishek Kasha, Robert Mao, I. Sathyamurthy

引用次数: 0

Rare case of very late coronary stent infection with resultant coronary cameral fistula and infective endocarditis: Diagnosis and management 罕见的晚期冠状动脉支架感染并发冠状动脉cameral瘘和感染性心内膜炎病例:诊断和处理

IHJ Cardiovascular Case Reports (CVCR) Pub Date : 2023-04-01 DOI: 10.1016/j.ihjccr.2023.06.001

Palled Santosh , Christopher Johann , Punna Praveen kumar , Rama Subramanyam G , Khanapur Raghavendra

{"title":"Rare case of very late coronary stent infection with resultant coronary cameral fistula and infective endocarditis: Diagnosis and management","authors":"Palled Santosh , Christopher Johann , Punna Praveen kumar , Rama Subramanyam G , Khanapur Raghavendra","doi":"10.1016/j.ihjccr.2023.06.001","DOIUrl":"https://doi.org/10.1016/j.ihjccr.2023.06.001","url":null,"abstract":"<div><p>66yrs old, Male, presented to our hospital with history of low-grade fever of one month duration. Only significant past history was right coronary artery (RCA)stenting done a year ago. Physical examination no localizing signs of fever. Blood culture identified pseudomonas aeruginosa. Electrocardiogram (ECG) showed old inferior wall myocardial infarction changes. Echocardiography (ECHO) detected myocardial abscess along the right atrioventricular groove and vegetation on tricuspid valve. Coronary angiogram showed totally occluded and infected RCA stent with formation of coronary cameral fistula, draining into right atrium. A positron emission tomography (PET) scan and a computed tomography (CT) scan showed increased tracer uptake in RCA stent, <em>peri</em>-stent abscess. Infected stent, artery, and vegetation removed surgically, then graft given to distal RCA. The multi-diagnostic modality helped in identifying this condition early. Timely surgical intervention helped the patient to recover in otherwise life-threatening complication.</p></div>","PeriodicalId":100653,"journal":{"name":"IHJ Cardiovascular Case Reports (CVCR)","volume":"7 2","pages":"Pages 58-60"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49884421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of Impella 5.5 in patients with cardiogenic shock as a bridge to decision, recovery, or destination therapy 在心源性休克患者中使用Impella 5.5作为决定、恢复或终点治疗的桥梁

IHJ Cardiovascular Case Reports (CVCR) Pub Date : 2023-04-01 DOI: 10.1016/j.ihjccr.2023.06.002

Anju Bhardwaj, Ismael Salas De Armas, Dina Al Rameni, Manish Patel, Mehmet H. Akay, Biswajit Kar, Igor D. Gregoric

引用次数: 0

Ostial total occlusion of ARSA with subclavian steal phenomenon treated with peripheral angioplasty and stenting- a very rare case report 外周血管成形术和支架置入术治疗锁骨下窃血现象的ARSA口全闭塞-一例罕见病例报告

IHJ Cardiovascular Case Reports (CVCR) Pub Date : 2023-01-01 DOI: 10.1016/j.ihjccr.2023.01.004

Tammiraju Iragavarapu

引用次数: 0

Disseminated mucormycosis with pericardial involvement: A case report 弥散性毛霉病伴心包受累1例

IHJ Cardiovascular Case Reports (CVCR) Pub Date : 2023-01-01 DOI: 10.1016/j.ihjccr.2023.01.002

T. Ashish Devalkar, Salman Shafeeque Ahemad, B. Adilakshmi

{"title":"Disseminated mucormycosis with pericardial involvement: A case report","authors":"T. Ashish Devalkar, Salman Shafeeque Ahemad, B. Adilakshmi","doi":"10.1016/j.ihjccr.2023.01.002","DOIUrl":"https://doi.org/10.1016/j.ihjccr.2023.01.002","url":null,"abstract":"<div><h3>Background</h3><p>Mucormycosis is an invasive fungal infection most commonly seen in immune compromised patients. Diabetic ketoacidosis, haematopoietic transplantation, iron overload states, and deferoxamine therapy are considered to be some of the classical risk factors. While cutaneous and rhino-sinusoidal forms may be seen in immune competent individuals, cardiac and mediastinal involvement is rare. In this report, we describe a young patient with disseminated Mucormycosis who presented as rhino orbital Mucor mycosis with pericardial involvement.</p></div><div><h3>Case summary</h3><p>A 17-year-old female presented with intermittent high-grade fever of 1 month duration. She was diagnosed as Rhino orbital Mucormycosis as evidenced by MRI brain and orbits and biopsy of maxillary sinus. Patient underwent left endoscopic debridement of sinuses and left endoscopic Denker's procedure with left orbital decompression and was treated with Amphotericin B subsequently. During the course of hospitalisation, patient developed large pericardial effusion with cardiac tamponade secondary to invasive mucor infection as evidenced by pericardial fluid culture.</p></div><div><h3>Conclusion</h3><p>Disseminated Mucor mycosis is a rare condition that involves two or more non-contiguous organ systems. Disseminated Mucor mycosis is the least common and the worst prognosis type, and it mostly starts with lesions in the lungs and then disseminates to other sites. Cardiac dissemination of rhino orbital Mucor mycosis, like in our case, is unusual and often diagnosed post-mortem; an antemortem diagnosis is very rare. Cardiac involvement is a rare, yet fatal, complication that can occur in disseminated disease and a strong index of suspicion is necessary for prompt treatment, especially in high-risk patients.</p></div>","PeriodicalId":100653,"journal":{"name":"IHJ Cardiovascular Case Reports (CVCR)","volume":"7 1","pages":"Pages 4-6"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49904325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1