European Heart Journal: Case Reports最新文献

An epicardial problem case report: multimodality imaging assessment of a patient presenting with symptomatic ventricular tachycardia, secondary to a large, epicardial, lipomatous mass with myocardial infiltration. 心外膜问题病例报告：多模态影像学评估的病人表现为症状性室性心动过速，继发于一个大的，心外膜，脂肪瘤肿块心肌浸润。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2025-05-27 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf175

Rajesh Varma, Simon Corbett, James Shambrook, Benoy Nalin Shah, Eunice N Onwordi

引用次数: 0

Solid organ transplantation in heart transplant patients: description of two highly complex cases: a case series. 心脏移植患者的实体器官移植：两个高度复杂病例的描述：一个病例系列。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf226

Borja Guerrero Cervera, Raquel López-Vilella, Víctor Donoso Trenado, Julia Martínez Solé, Luis Martínez Dolz, Luis Almenar-Bonet

{"title":"Solid organ transplantation in heart transplant patients: description of two highly complex cases: a case series.","authors":"Borja Guerrero Cervera, Raquel López-Vilella, Víctor Donoso Trenado, Julia Martínez Solé, Luis Martínez Dolz, Luis Almenar-Bonet","doi":"10.1093/ehjcr/ytaf226","DOIUrl":"10.1093/ehjcr/ytaf226","url":null,"abstract":"Background: Heart transplantation has become a developed and routine technique, constituting the treatment of choice in advanced heart failure when other therapies have failed. The number of transplanted patients who require transplantation of another organ in their evolution or simultaneous transplantation is increasing. Experience in this scenario is still limited.Case summary: We present two unusual cases of patients who, after receiving a cardio-bipulmonary transplant and isolated cardiac transplant, respectively, require sequential transplantation of another organ in their evolution. In the first case, as a consequence of immunosuppressive drugs, there is a progressive deterioration of renal function that requires renal transplantation after years of peritoneal dialysis. In the second case, shortly after cardiac transplantation, severe emphysematous chronic obstructive pulmonary disease of quick evolution was diagnosed, requiring one-lung transplantation after needing ambulatory oxygen therapy. The evolutionary complications of both cases are presented.Discussion: Patients with multiple organ transplantation represent a challenge as this situation is less frequent, due to the added difficulties in the adjustment of immunosuppression and the specific complications of each organ. However, multidisciplinary follow-up of these patients has led to improved survival.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 5","pages":"ytaf226"},"PeriodicalIF":0.8,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

High-risk accessory pathway associated with a rare right atrial diverticulum: a case report. 高危副通路合并罕见右心房憩室1例。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf236

Alessio Petrone, Laura Perrotta, Giuseppe Ricciardi, Paolo Pieragnoli, Andrea Colella

{"title":"High-risk accessory pathway associated with a rare right atrial diverticulum: a case report.","authors":"Alessio Petrone, Laura Perrotta, Giuseppe Ricciardi, Paolo Pieragnoli, Andrea Colella","doi":"10.1093/ehjcr/ytaf236","DOIUrl":"10.1093/ehjcr/ytaf236","url":null,"abstract":"Background: Right atrial (RA) diverticulum is a rare malformation that can, in some cases, harbour an accessory pathway (AP). This report describes the case of a patient with RA diverticulum associated with a high-risk right posteroseptal AP. Successful radiofrequency catheter ablation was performed, eliminating the AP and resolving the patient's pre-excitation.Case summary: A 33-year-old man with a 15-years history of an AP presented with two isolated, self-limited episodes of palpitations. A 12-lead ECG during normal sinus rhythm showed pre-excitation consistent with a right posteroseptal AP. The electrophysiological study identified an inducible antidromic atrioventricular tachycardia (tachycardia cycle length = 220 ms) due to a high-risk AP with robust conduction in both antegrade and retrograde directions. The AP was localized inside a RA diverticulum near the tricuspid annulus, confirmed through angiography and 3D high-density mapping. Radiofrequency ablation was successfully performed at the top of the diverticulum at a site recording an AP potential. To further characterize the diverticulum, a cardiac magnetic resonance was performed, and showed a maximum dimension of 20 × 16 mm. Since the diverticulum did not cause any haemodynamic impact, surgical intervention was deemed unnecessary.Discussion: 'Anatomical' APs are rare, often described in the literature as diverticula of the coronary sinus. However, RA diverticula associated with APs are exceedingly uncommon, with only a few cases reported. This case underscores the importance of considering structural abnormalities like RA diverticula in patients presenting with unusual arrhythmic patterns and highlights the effectiveness of radiofrequency ablation as a definitive treatment in such complex scenarios.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 5","pages":"ytaf236"},"PeriodicalIF":0.8,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Excessive left ventricular trabeculations mimicking a thrombus. 左心室小梁过多，类似血栓。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2025-05-20 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf228

Gurnoor Singh, Matthew Shotwell, Dinesh Kalra

引用次数: 0

Perioperative management of transcatheter aortic valve implantation in acquired von Willebrand syndrome secondary to monoclonal gammopathy: a case report. 单克隆伽玛病继发的获得性血管性血肿综合征经导管主动脉瓣植入术围手术期处理1例。

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European Heart Journal: Case Reports Pub Date : 2025-05-20 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf205

Gaia Filiberti, Alessandro Giaj Levra, Mauro Chiarito, Bernhard Reimers, Gianluigi Condorelli

{"title":"Perioperative management of transcatheter aortic valve implantation in acquired von Willebrand syndrome secondary to monoclonal gammopathy: a case report.","authors":"Gaia Filiberti, Alessandro Giaj Levra, Mauro Chiarito, Bernhard Reimers, Gianluigi Condorelli","doi":"10.1093/ehjcr/ytaf205","DOIUrl":"10.1093/ehjcr/ytaf205","url":null,"abstract":"Background: Acquired von Willebrand syndrome (AvWS) is a rare bleeding disorder associated with conditions like monoclonal gammopathy of undetermined significance (MGUS). It results from monoclonal antibodies binding to von Willebrand factor (vWF), leading to rapid clearance of vWF and factor VIII (FVIII). Of note, any condition increasing shear stress, such as aortic stenosis (AS), can exacerbate AvWS.Case summary: We report the case of an 81-year-old man with AvWS secondary to MGUS who underwent transcatheter aortic valve implantation (TAVI) for severe aortic stenosis. Pre-operative intravenous immunoglobulins (IVIG) were administered, which normalized FVIII and vWF levels. TAVI was performed without specific haemostatic measures other than vascular closure devices. There were no bleeding complications, and the patient was discharged without antiplatelet therapy. At one-year follow-up, he had no thrombotic or haemorrhagic events.Discussion: We report the management of a patient affected by AvWS secondary to MGUS who underwent TAVI for severe AS. IVIG were administered preoperatively to temporarily normalize coagulation, as their mechanism of action directly inhibits the increased consumption of vWF. Due to the increased bleeding risk associated with AvWS, antiplatelet therapy was not initiated upon discharge.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 5","pages":"ytaf205"},"PeriodicalIF":0.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Constant direct oral anticoagulants therapy melts away multiple floating thrombi in the aorta. 持续的直接口服抗凝治疗可以融化主动脉中的多个漂浮血栓。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2025-05-16 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf244

Ryo Ikeda, Arudo Hiraoka

引用次数: 0

Transcatheter edge-to-edge repair for complex mitral regurgitation: a case report of prolapse with leaflet perforation. 经导管边缘对边缘修复复杂二尖瓣反流：脱垂伴小叶穿孔1例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf242

Yumi Yamamoto, Yasuhide Mochizuki, Ryota Kosaki, Hiroto Fukuoka, Toshiro Shinke

{"title":"Transcatheter edge-to-edge repair for complex mitral regurgitation: a case report of prolapse with leaflet perforation.","authors":"Yumi Yamamoto, Yasuhide Mochizuki, Ryota Kosaki, Hiroto Fukuoka, Toshiro Shinke","doi":"10.1093/ehjcr/ytaf242","DOIUrl":"10.1093/ehjcr/ytaf242","url":null,"abstract":"Background: Transcatheter edge-to-edge repair (TEER) is an established treatment for high-risk surgical candidates with severe mitral regurgitation (MR). However, its application in cases with leaflet perforation is rarely reported.Case summary: An 86-year-old woman presented with worsening dyspnoea. Transthoracic echocardiography revealed severe primary MR with P2 prolapse. Transoesophageal echocardiography (TOE) demonstrated chordae tendineae rupture and a 2.8 mm wide perforation at P2, suggestive of healed infective endocarditis. The distance from the tip of P2 in front of the perforation and the far end was measured to be ∼5.0 and 7.0 mm, measured using 3D multi-planar reconstruction. Given the patient's high surgical risk, TEER was planned after careful heart team discussion. The procedure successfully achieved intended grasping on the first attempt using one MitraClip® (XTW), reducing MR to mild without leaflet injury. One-week follow-up echocardiography showed no leaflet injuries or single leaflet device attachment. The patient's heart failure symptoms improved, with no recurrence or infection for a year.Discussion: Although TEER is not primarily recommended for MR with a perforation even in a patient at high surgical risk, this case demonstrates that TEER can be a viable option for high surgical risk patients with mitral valve prolapse and perforation when guided by detailed pre-operative TOE evaluation and careful heart team decision-making. The proximity of perforation to leaflet edge and use of appropriate clip size were crucial for successful repair.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 5","pages":"ytaf242"},"PeriodicalIF":0.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multimodality cardiac imaging for pre-operative evaluation in a paediatric criss-cross heart patient: a case report. 多模态心脏成像在儿科交叉心脏患者术前评估：一个病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf223

Kwannapas Saengsin, Surin Woragidpoonpol, Tanop Srisuwan, Rekwan Sittiwangkul, Krit Makonkawkeyoon

{"title":"Multimodality cardiac imaging for pre-operative evaluation in a paediatric criss-cross heart patient: a case report.","authors":"Kwannapas Saengsin, Surin Woragidpoonpol, Tanop Srisuwan, Rekwan Sittiwangkul, Krit Makonkawkeyoon","doi":"10.1093/ehjcr/ytaf223","DOIUrl":"10.1093/ehjcr/ytaf223","url":null,"abstract":"Background: Criss-cross heart (CCH) is considered as one of the most complex, challenging, and exceptionally rare congenital heart diseases (CHDs). Criss-cross heart is defined by the twisted atrioventricular connection and the crossing of inflow streams to both ventricles, caused by the rotation of the ventricular mass along its longitudinal axis. The treatment depends on the anatomical complexity. Diagnosis of CCH is difficult, and interpretation of imaging results may be challenging.Case summary: A one-year-old girl presented with cyanosis and abnormal heart sounds. We report a patient with complex congenital CCH who underwent successful biventricular repair using multimodality cardiac imaging, including echocardiography, cardiac computerized tomography, 3D printing, and 4D flow-CMR (cardiac magnetic resonance).Discussion: Criss-cross heart is one of the most complex and rare CHD. Multimodality cardiac imaging is essential for finding the answers and providing better care for complex CHD patients.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 5","pages":"ytaf223"},"PeriodicalIF":0.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144092359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When beats are hard to crack: electrical storm in a patient with severe myocardial calcification. 当心跳难以中断时：严重心肌钙化患者的电风暴。

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European Heart Journal: Case Reports Pub Date : 2025-05-14 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf197

Edgar Francisco Carrizales-Sepúlveda, Carlos E Guzmán, Timothy C Tan

引用次数: 0

Moped vs. truck: case of traumatic tricuspid valve rupture and successful repair. 摩托车与卡车：外伤性三尖瓣破裂及成功修复1例。

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European Heart Journal: Case Reports Pub Date : 2025-05-12 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf234

Michael Hii, Gareth Crouch, Kaylene Gluyas, Majo X Joseph

引用次数: 0