European Heart Journal: Case Reports最新文献_第10页

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European Heart Journal: Case Reports Pub Date : 2024-09-03 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae477

Sylvain Diop, Vincent Thomas De Montpreville, Julien Guihaire

引用次数: 0

Rest, replace, and recover: TandemHeart to transcatheter aortic valve replacement-a case report. 休息、置换、恢复：TandemHeart 经导管主动脉瓣置换术--病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-02 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae465

Syed H Haq, Sidra R Shah, David Eapen, Anna Kleman, Mallory Knous, Amanda Laird, William Cole, Sandeep M Patel

{"title":"Rest, replace, and recover: TandemHeart to transcatheter aortic valve replacement-a case report.","authors":"Syed H Haq, Sidra R Shah, David Eapen, Anna Kleman, Mallory Knous, Amanda Laird, William Cole, Sandeep M Patel","doi":"10.1093/ehjcr/ytae465","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae465","url":null,"abstract":"Background: Severe aortic stenosis (AS) can present insidiously, with the end stages resulting in significant valvular-induced cardiomyopathy and can lead to cardiogenic shock (CS). Such cases result in a myriad of complex manifestations and are often associated with a poor prognosis. These patients require emergent cardiac evaluation and valvular intervention. Unfortunately, the immediate nature of the CS provides little time for a detailed valvular evaluation. Possible management involves use of mechanical circulatory support (MCS) prior to urgent transcatheter aortic valve replacement (TAVR).Case summary: The patient was a 70-year-old female who developed refractory CS, and acute decompensated heart failure was complicated by AV block secondary to severe AS. Due to progressively worsening haemodynamics, the need for MCS for cardiovascular support and eventual valve replacement resulted in the decision to pursue TandemHeart® (TH; LivaNova Inc, Pittsburgh, PA, USA). We discuss the novel implementation of the TH as a means of bridging to TAVR.Discussion: TandemHeart system provides the benefits of improving haemodynamic support in CS while allowing unencumbered access to the stenotic valve for balloon aortic valvuloplasty (BAV) or TAVR. In our evaluation, we discuss the utilization and benefits associated with TH to TAVR in allowing for cardiac rest, replacement of the valve, and recovery of left ventricular function.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11407279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282337","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

Surgical treatment of chronic aortic dissection with liver dysfunction due to constrictive pericarditis caused by IgG4-related disease: a case report. IgG4相关疾病引起的缩窄性心包炎导致的慢性主动脉夹层合并肝功能异常的手术治疗：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-02 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae471

Akie Shimada, Taira Yamamoto, Shizuyuki Dohi, Daisuke Endo, Minoru Tabata

{"title":"Surgical treatment of chronic aortic dissection with liver dysfunction due to constrictive pericarditis caused by IgG4-related disease: a case report.","authors":"Akie Shimada, Taira Yamamoto, Shizuyuki Dohi, Daisuke Endo, Minoru Tabata","doi":"10.1093/ehjcr/ytae471","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae471","url":null,"abstract":"Background: Severe liver failure with ascites may be associated with cardiac disease and may be the primary manifestation of constrictive pericarditis or aortic dissection. We report a case of a patient with a chief complaint of ascites for whom close examination revealed that the liver injury was attributed to constrictive pericarditis and chronic aortic dissection, with immunoglobulin G4 (IgG4)-related disease (IgG4-RD) as the primary cause.Case summary: A 72-year-old man presented to the emergency department with scrotal oedema and ascites. Initially, the patient was hospitalized in the Department of Hepatology. However, computed tomography (CT) revealed aortic dissection (DeBakey type II), pericardial thickening, and impaired right ventricular dilatation. Therefore, we performed an ascending aortic replacement. IgG4 staining of the aortic wall revealed an IgG4/IgG-positive cell ratio of 35%. Pathological examination did not confirm the diagnosis of IgG4-related aortitis; however, the patient was diagnosed with IgG4-RD because of decreased blood IgG4 levels in response to steroid medication and the presence of heterogeneous thickened lesions in the pericardium. The patient took prednisolone 5 mg/day for 1 month post-operatively. His IgG4 level decreased but re-elevated above the baseline value after discontinuation of oral medication.Discussion: Liver cirrhosis was suspected given the ascites, although a CT scan on admission confirmed insufficiency of systemic circulation due to cardiac constrictive pericarditis with aortic dissection. Despite the complexity of various pathologies in this patient, collaborative efforts and effective communication within the medical team enabled successful aortic surgery, averting life-threatening complications.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282341","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

An adult case of Bland-White-Garland syndrome with Vieussens' arterial ring. 一个伴有维尤森动脉环的布兰德-怀特-加兰综合征成人病例。

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European Heart Journal: Case Reports Pub Date : 2024-09-02 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae468

Hikaru Hagiwara, Hirokazu Komoriyama, Yoshiya Kato, Toshihisa Anzai

引用次数: 0

Large focal pericardial effusion secondary to coronary artery perforation post complex coronary intervention mimics a mass. 复杂冠状动脉介入术后继发于冠状动脉穿孔的大面积局灶性心包积液模仿肿块。

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European Heart Journal: Case Reports Pub Date : 2024-09-02 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae470

Christopher N Kanaan, Charles Cannan, Reza Arsanjani, Chadi Ayoub

引用次数: 0

Bipolar catheter ablation of a left atrial anteroseptal line in a patient with peri-mitral atrial flutter: a case report. 双极导管消融左心房前隔线，用于一名窦房扑动患者：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-02 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae455

Nadja Martins, Ulf Landmesser, Philipp Attanasio, Martin Huemer

引用次数: 0

Pharmacological resynchronisation with flecainide in an infant with Ebstein anomaly and Wolff-Parkinson-White pattern: a case report. 用弗来奈德对患有爱博斯坦畸形和沃尔夫-帕金森-怀特模式的婴儿进行药物再同步化治疗：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-02 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae442

Gajon Uthayakumaran, Hiroko Asakai, Ganesh Gnanappa

{"title":"Pharmacological resynchronisation with flecainide in an infant with Ebstein anomaly and Wolff-Parkinson-White pattern: a case report.","authors":"Gajon Uthayakumaran, Hiroko Asakai, Ganesh Gnanappa","doi":"10.1093/ehjcr/ytae442","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae442","url":null,"abstract":"Background: Conduction abnormalities are frequently encountered in patients with Ebstein anomaly. The following case describes the safe use of flecainide in an infant with accessory-pathway mediated left ventricular dysfunction in the setting of Ebstein anomaly.Case summary: An infant with an antenatal diagnosis of Ebstein anomaly developed progressive left ventricular dilatation and dysfunction over the first 2 months of life. ECG demonstrated persistent Wolff-Parkinson-White pattern with delta-wave polarity suggesting a right-sided septal accessory pathway. In the absence of SVT, accessory-pathway mediated dyssynchrony was suspected as the cause for left ventricular dilatation and dysfunction. He was commenced on flecainide which successfully blocked antegrade conduction via the accessory pathway resulting in a reduction in left ventricular volume and improvement in left ventricular systolic function. He remains asymptomatic at 12 months of age.Discussion: There is a known association between Ebstein anomaly and Wolff-Parkinson-White pattern. Right-sided septal accessory pathways can cause cardiomyopathy secondary to dyssynchronous left ventricular contraction. In patients who are unsuitable for accessory pathway ablation, flecainide can be used to block antegrade conduction via the accessory pathway resulting in improved left ventricular function, which was successful on this occasion.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282334","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

Congenital aneurysm of the muscular interventricular septum in an elderly patient. 一名老年患者的先天性室间隔肌肉动脉瘤。

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European Heart Journal: Case Reports Pub Date : 2024-09-02 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae469

Tingquan Zhou, Chengxing Shen

引用次数: 0

Low foetal heart rate, a potentially ominous finding: case report. 低胎心率，一个潜在的不祥发现：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-01 DOI: 10.1093/ehjcr/ytae440

Andreea Sorina Afana, Cristina Filip, Brindusa Cimpoca, Ioana Dumitrascu-Biris, Ruxandra Jurcut

{"title":"Low foetal heart rate, a potentially ominous finding: case report.","authors":"Andreea Sorina Afana, Cristina Filip, Brindusa Cimpoca, Ioana Dumitrascu-Biris, Ruxandra Jurcut","doi":"10.1093/ehjcr/ytae440","DOIUrl":"10.1093/ehjcr/ytae440","url":null,"abstract":"Background: Congenital long QT syndrome (LQTS) type 1 is characterized by abnormally prolonged ventricular repolarization caused by inherited defects in cardiac potassium channels. Patients are predisposed to ventricular arrhythmias and even sudden cardiac death. In some cases, foetal sinus bradycardia is the only sign, making prenatal diagnosis challenging. Physicians should be aware of this subtle presentation of LQTS. Early diagnosis and proactive treatment are crucial for preventing unexpected cardiac events.Case summary: A healthy and asymptomatic 25-year-old pregnant woman was referred to our institute for cardiac evaluation after persistent foetal sinus bradycardia was detected during repeated ultrasounds, despite the absence of any foetal morphological or functional cardiac anomalies. After a thorough assessment, the mother was diagnosed with LQTS type 1, as confirmed by molecular genetic testing. Appropriate management, including maternal medication and increased surveillance, was initiated. The infant was delivered safely, and his electrocardiogram revealed a significantly prolonged QTc interval. Genetic testing confirmed the maternally inherited variant in KCNQ1 gene, and beta-blocker therapy was started. No arrhythmic events were noted.Discussion: Detection and careful stratification of foetal heart rate (FHR) is crucial in every pregnancy. Foetal bradycardia can be caused by both maternal and foetal factors. Persistent low FHR should raise a high suspicion for LQTS. The condition may also present with atrioventricular blocks, torsades de pointes, or sudden intrauterine foetal demise. Accurate and early diagnosis of LQTS is essential for implementing appropriate management strategies, which include vigilant monitoring, effective medical treatment, careful planning of delivery, and post-natal care.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119308","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

Challenges in diagnosis and management of aortobronchial fistula: a case report. 主动脉支气管瘘的诊断和管理挑战：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-01 DOI: 10.1093/ehjcr/ytae437

Mohamed Hamza Abaydi, Safae Dhimene, Amine Ech-Chenbouli, Badre El Boussaadani, Zainab Raissuni

{"title":"Challenges in diagnosis and management of aortobronchial fistula: a case report.","authors":"Mohamed Hamza Abaydi, Safae Dhimene, Amine Ech-Chenbouli, Badre El Boussaadani, Zainab Raissuni","doi":"10.1093/ehjcr/ytae437","DOIUrl":"10.1093/ehjcr/ytae437","url":null,"abstract":"Background: Aortobronchial fistulas (ABFs) are rare but potentially life-threatening conditions, often presenting with haemoptysis. They can develop following various thoracic aortic conditions or procedures.Case presentation: A 70-year-old patient with a history of descending aorta replacement and ischaemic stroke presented with chest pain and upper gastrointestinal bleeding. Imaging revealed a fistula between the aortic prosthesis and the lung, along with other cardiovascular abnormalities. Despite the indication for anticoagulant therapy, tranexamic acid was initiated due to bleeding risk. The patient showed clinical improvement with tranexamic acid treatment but experienced recurrence of bleeding after discontinuation. Endovascular treatment for the contained rupture at the proximal stent anastomosis was indicated.Discussion: Haemoptysis is the primary symptom of ABFs, often recurring until the fistula enlarges. Postoperative aortic fistulas into the airways are uncommon and can occur years after surgery. Thoracic endovascular aortic repair has become the primary treatment for high-risk patients with thoracic aortic disease. Various diagnostic modalities can visualize a fistula tract, but practical visualization is rare. Untreated ABFs invariably lead to death.Conclusion: This case highlights the challenges in diagnosing and managing ABFs, emphasizing the need for a multidisciplinary approach and regular follow-up. Patient education and prompt reporting of symptoms are essential. Early intervention upon suspicion of recurrence is crucial for optimizing patient outcomes.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119307","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