{"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}
{"title":"Transcatheter mitral valve replacement (TMVR) for degenerated mitral valve bioprosthesis - A case series","authors":"Viveka Kumar, Mitendra Singh Yadav, Sangeeta Dhir","doi":"10.1016/j.ihjccr.2023.06.004","DOIUrl":"https://doi.org/10.1016/j.ihjccr.2023.06.004","url":null,"abstract":"<div><p>Mitral regurgitation (MR) is the leading cause of heart valve disease worldwide. In aging population, the incidence of mitral regurgitation (MR) has gradually surpassed that of aortic valve stenosis. We present a report of 5 cases,with history of rheumatic heart disease and old malfunction bioprosthetic valve, presenting with dyspnea, poor ejection fraction.Investigations revealed severe mitral stenosis and regurgitation. TMVR (trans catheter mitral valve replacement) was done with successful outcome.</p></div>","PeriodicalId":100653,"journal":{"name":"IHJ Cardiovascular Case Reports (CVCR)","volume":"7 2","pages":"Pages 68-71"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49884398","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}
{"title":"Postcardiac injury syndrome complicated by pleural and pericardial effusion following transvenous pacemaker insertion","authors":"Anuj Sarma","doi":"10.1016/j.ihjccr.2023.06.003","DOIUrl":"https://doi.org/10.1016/j.ihjccr.2023.06.003","url":null,"abstract":"<div><p>Post-cardiac injury syndrome is an immune-mediated inflammatory process involving the pericardium and, to a lesser extent, the pleura, epicardium, and myocardium. It usually happens following cardiac surgery, myocardial infarction, or cardiac trauma, but can also develop after interventional procedures like transvenous pacemaker implantation. We present the case of an 83-year-old patient who underwent pacemaker upgradation(from VDD to DDR) with fixation of a new atrial screwing lead following the end of the life of the pulse generator. He presented to the emergency department within one week of the procedure with fever, chest pain, worsening respiratory difficulty, new onset pericardial and bilateral pleural effusion, and raised blood inflammatory markers. The patient responded well to anti-inflammatory medication and therapeutic pleural tapping and was subsequently discharged.</p></div>","PeriodicalId":100653,"journal":{"name":"IHJ Cardiovascular Case Reports (CVCR)","volume":"7 2","pages":"Pages 65-67"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49884399","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}
Narra Lavanya, K.N. Srinivasan, I. Sathyamurthy, Manodaya
{"title":"Acute myocardial infarction due to Polycythemia Vera - Stenting or lysis? – A case report","authors":"Narra Lavanya, K.N. Srinivasan, I. Sathyamurthy, Manodaya","doi":"10.1016/j.ihjccr.2023.05.001","DOIUrl":"https://doi.org/10.1016/j.ihjccr.2023.05.001","url":null,"abstract":"","PeriodicalId":100653,"journal":{"name":"IHJ Cardiovascular Case Reports (CVCR)","volume":"7 2","pages":"Pages 43-45"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49884417","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}
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}
Anju Bhardwaj, Ismael Salas De Armas, Dina Al Rameni, Manish Patel, Mehmet H. Akay, Biswajit Kar, Igor D. Gregoric
{"title":"Use of Impella 5.5 in patients with cardiogenic shock as a bridge to decision, recovery, or destination therapy","authors":"Anju Bhardwaj, Ismael Salas De Armas, Dina Al Rameni, Manish Patel, Mehmet H. Akay, Biswajit Kar, Igor D. Gregoric","doi":"10.1016/j.ihjccr.2023.06.002","DOIUrl":"https://doi.org/10.1016/j.ihjccr.2023.06.002","url":null,"abstract":"<div><p>The overall morbidity and mortality rates of cardiogenic shock are high. The Impella 5.5 is a temporary mechanical circulatory support device that treats cardiogenic shock by supporting a failing ventricle. It is used as a bridge to advanced therapy, decision, or recovery. We report our initial experience with this device.</p></div>","PeriodicalId":100653,"journal":{"name":"IHJ Cardiovascular Case Reports (CVCR)","volume":"7 2","pages":"Pages 61-64"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49884420","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}
{"title":"Ostial total occlusion of ARSA with subclavian steal phenomenon treated with peripheral angioplasty and stenting- a very rare case report","authors":"Tammiraju Iragavarapu","doi":"10.1016/j.ihjccr.2023.01.004","DOIUrl":"https://doi.org/10.1016/j.ihjccr.2023.01.004","url":null,"abstract":"","PeriodicalId":100653,"journal":{"name":"IHJ Cardiovascular Case Reports (CVCR)","volume":"7 1","pages":"Pages 11-14"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49904321","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}
{"title":"A case of fatal familial edema","authors":"Sriram Easwaran , Milind Phadke , Nitin Burkule , Ashwin Dalal , Pratap Nathani","doi":"10.1016/j.ihjccr.2023.02.001","DOIUrl":"https://doi.org/10.1016/j.ihjccr.2023.02.001","url":null,"abstract":"<div><p>Cardiac amyloidosis is an often-underdiagnosed cause of heart failure, and associated morbidity and mortality. AL (Primary amyloidosis) and ATTR (Amyloidosis, hereditary, transthyretin-related) variants most commonly affect the heart amongst the amyloidosis variants, and prompt diagnosis and variant delineation is paramount to initiation of appropriate treatment. Clinical suspicion with appropriate diagnostic tests guide towards accurate diagnosis. ATTR variant can either be sporadic or hereditary, differentiated based on genetic tests in family. Most documented cases of hereditary amyloidosis have presented with polyneuropathy, whereas we report the first case of genetically confirmed Cardiac amyloidosis in the Indian subcontinent with a pathogenic mutation.</p></div>","PeriodicalId":100653,"journal":{"name":"IHJ Cardiovascular Case Reports (CVCR)","volume":"7 1","pages":"Pages 29-32"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49879655","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}