European Heart Journal: Case Reports最新文献_第2页

When play turns perilous: syncope in a young girl unmasked by electrocardiogram! 当游戏变得危险时：一个被心电图揭露的年轻女孩晕厥！

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European Heart Journal: Case Reports Pub Date : 2025-05-26 eCollection Date: 2025-06-01 DOI: 10.1093/ehjcr/ytaf249

Anagh T Shetru, Kalyan Munde, Samkit Mutha

引用次数: 0

A case report of delayed left ventricular rupture after mitral transcatheter edge-to-edge repair: clip entrapment in hypercontractile left ventricle. 二尖瓣边缘修复术后迟发性左室破裂1例：超收缩左室夹夹。

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European Heart Journal: Case Reports Pub Date : 2025-05-26 eCollection Date: 2025-06-01 DOI: 10.1093/ehjcr/ytaf265

Shinichi Kurashima, Makoto Amaki, Tomoyuki Fujita, Takeshi Kitai, Chisato Izumi

{"title":"A case report of delayed left ventricular rupture after mitral transcatheter edge-to-edge repair: clip entrapment in hypercontractile left ventricle.","authors":"Shinichi Kurashima, Makoto Amaki, Tomoyuki Fujita, Takeshi Kitai, Chisato Izumi","doi":"10.1093/ehjcr/ytaf265","DOIUrl":"10.1093/ehjcr/ytaf265","url":null,"abstract":"Background: Left ventricular (LV) rupture is an extremely rare but possible complication after mitral transcatheter edge-to-edge repair (M-TEER). We describe a delayed LV rupture after M-TEER that was successfully treated with surgical repair.Case summary: An 83-year-old Asian male with congestive heart failure was referred for treatment of severe mitral regurgitation (MR) due to A1/A2 segment prolapse with abnormally hypertrophied anterior papillary muscle. The patient was at high surgical risk, and M-TEER with MitraClip (Abbott Vascular, Minneapolis, MN, USA) was performed. During the procedure, an NT clip became entangled between the hypertrophied papillary muscle and the LV inferolateral wall. After disentangling the clip, we aimed the clip for a second attempt slightly towards the medial side and inserted it into the LV, avoiding interference with the subvalvular apparatus or LV wall. Grasping in this position significantly reduced MR to mild. The patient was initially stable, but sudden cardiac arrest occurred 75 min post-procedure, and subsequent echocardiography revealed massive pericardial effusion. Emergent sternotomy revealed a tear at the LV basal inferolateral wall just behind the anterior papillary muscle. Surgical patch repair and mitral valve replacement were performed, and the patient was discharged without neurological sequelae.Discussion: The entrapment of the clip between the hypertrophied papillary muscle and the hypercontractile LV wall may have caused a crack in the LV wall, disrupting the endocardium. In elderly patients with primary MR, especially those with commissural lesions and limited LV space, clinicians should be cautious of LV rupture even after the procedure.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 6","pages":"ytaf265"},"PeriodicalIF":0.8,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12150022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265663","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 autopsy case of idiopathic fulminant eosinophilic myocarditis: a case report. 特发性暴发性嗜酸性心肌炎尸检1例。

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European Heart Journal: Case Reports Pub Date : 2025-05-26 eCollection Date: 2025-06-01 DOI: 10.1093/ehjcr/ytaf262

Eiji Koyama, Masashi Yamaguchi, Hiroshi Koyama, Shinichi Teshima, Shigeru Saito

{"title":"An autopsy case of idiopathic fulminant eosinophilic myocarditis: a case report.","authors":"Eiji Koyama, Masashi Yamaguchi, Hiroshi Koyama, Shinichi Teshima, Shigeru Saito","doi":"10.1093/ehjcr/ytaf262","DOIUrl":"10.1093/ehjcr/ytaf262","url":null,"abstract":"Background: Eosinophilic myocarditis is a rare and fatal form of inflammatory myocardial disease. It is frequently caused by a systemic disorder, which can remain undetected in up to one-third of patients. Eosinophilic myocarditis can have mild to fulminant clinical presentation.Case summary: We present a case of fulminant eosinophilic myocarditis in a 68-year-old woman. The patient was admitted for cardiogenic shock with electrocardiographic abnormalities and elevated troponin I levels. After an unremarkable coronary angiography, a myocardial biopsy was performed. Right-heart catheterization revealed low cardiac output and elevated mean pulmonary arterial wedge pressure. A lower pulmonary artery pulsatility index (0.63) indicated right ventricular dysfunction. Despite intensive treatment including dobutamine, the patient suffered a cardiac arrest triggered by sustained ventricular tachycardia. The patient was successfully resuscitated using veno-arterial extracorporeal membrane oxygenation and intra-aortic balloon pumping (IABP). IABP was upgraded to Impella CP at our hospital after the patient could not maintain her blood pressure. A biopsy showed eosinophilic myocarditis, despite a stagnant peripheral blood eosinophil count. Initiating methylprednisolone and immunoglobulin therapies improved left ventricular function. However, right ventricular function did not improve. Despite these treatments, the patient died 31 days after admission. Autopsy revealed minimal infiltration of inflammatory cells, suggesting the effectiveness of this medication. However, extensive necrotic changes were observed in the myocardium.Discussion: This case involved fulminant eosinophilic myocarditis with biventricular dysfunction treated with mechanical circulatory support and steroid therapy. Prompt steroid treatment before confirmation of biopsy results may improve the prognosis.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 6","pages":"ytaf262"},"PeriodicalIF":0.8,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309769","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

Cardiopulmonary exercise testing surprise: deciphering a shifting QRS axis in right isomerism-electrocardiogram challenge. 心肺运动测试惊喜：解读右等分异构体中QRS轴的移位-心电图挑战。

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European Heart Journal: Case Reports Pub Date : 2025-05-24 eCollection Date: 2025-06-01 DOI: 10.1093/ehjcr/ytaf256

André Camille-Océane, Hubrechts Jelena, Vô Christophe

引用次数: 0

Infective endocarditis on a patent ductus arteriosus revealed by a ruptured pulmonary artery trunk aneurysm in the pericardium: a case report. 心包内肺动脉干动脉瘤破裂致动脉导管未闭并发感染性心内膜炎1例。

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European Heart Journal: Case Reports Pub Date : 2025-05-24 eCollection Date: 2025-06-01 DOI: 10.1093/ehjcr/ytaf267

Meryem Haboub, Mohamed Khaldi, Abdenasser Drighil

{"title":"Infective endocarditis on a patent ductus arteriosus revealed by a ruptured pulmonary artery trunk aneurysm in the pericardium: a case report.","authors":"Meryem Haboub, Mohamed Khaldi, Abdenasser Drighil","doi":"10.1093/ehjcr/ytaf267","DOIUrl":"10.1093/ehjcr/ytaf267","url":null,"abstract":"Background: Infective endocarditis on a patent ductus arteriosus (PDA) is a rare but serious condition that can lead to life-threatening complications, such as mycotic aneurysms. We report a case of endocarditis on a PDA, complicated by multiple mycotic aneurysms, including a partially ruptured aneurysm of the pulmonary artery (PA) trunk.Case summary: A 20-year-old female presented with progressive dyspnoea, worsening over 48 h, accompanied by fever. Echocardiography revealed a large pericardial effusion with cardiac tamponade, necessitating the drainage of 500 mL of haemorrhagic fluid. Imaging studies revealed a false aneurysm of the PA trunk, with contrast extravasation into the pericardial space. Blood cultures and pericardial fluid cultures were positive for Staphylococcus aureus. Emergency surgery involved resection of the aneurysm, ligation of the PDA, and pericardial drainage. The patient recovered after 4 weeks of intravenous antibiotics and was discharged with good clinical and biological outcomes.Conclusion: This case illustrates the importance of early diagnosis and management of infective endocarditis associated with congenital heart defects, as the delay can result in severe complications such as aneurysm rupture.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 6","pages":"ytaf267"},"PeriodicalIF":0.8,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274513","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

Preoperative multimodal imaging evaluation of a primary cardiac schwannoma of the right atrioventricular groove: a case report. 右房室沟原发性心脏神经鞘瘤的术前多模态影像学评价：1例报告。

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European Heart Journal: Case Reports Pub Date : 2025-05-23 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf238

Yue Ren, Hongkai Zhang, Yao Lu, Rui Liu, Lei Xu

引用次数: 0

Evaluation with a haemodynamic simulator undergoing mitral transcatheter edge-to-edge repair in a giant left atrium. 在巨大左心房进行二尖瓣经导管边缘到边缘修复的血流动力学模拟器的评估。

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European Heart Journal: Case Reports Pub Date : 2025-05-23 eCollection Date: 2025-06-01 DOI: 10.1093/ehjcr/ytaf261

Yusuke Watanabe, Akihisa Kataoka, Kento Kito, Takuya Nishikawa, Keita Saku

引用次数: 0

Implantable loop recorder migration as cause of unexplained chronic chest pain. 植入式环形记录器移位是不明原因的慢性胸痛的原因。

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European Heart Journal: Case Reports Pub Date : 2025-05-23 eCollection Date: 2025-06-01 DOI: 10.1093/ehjcr/ytaf259

Niels Verlinde, Jan Van Keer, Roel Beelen

引用次数: 0

Treat-and-repair strategy for atrial septal defect with left ventricular systolic dysfunction: a case report of cardiac resynchronization therapy responder. 房间隔缺损合并左室收缩功能障碍的治疗与修复策略：心脏再同步化治疗应答者1例报告。

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European Heart Journal: Case Reports Pub Date : 2025-05-22 eCollection Date: 2025-06-01 DOI: 10.1093/ehjcr/ytaf258

Takahiko Kinjo, Hiroaki Yokoyama, Shingo Sasaki, Kimitaka Nishizaki, Hirofumi Tomita

{"title":"Treat-and-repair strategy for atrial septal defect with left ventricular systolic dysfunction: a case report of cardiac resynchronization therapy responder.","authors":"Takahiko Kinjo, Hiroaki Yokoyama, Shingo Sasaki, Kimitaka Nishizaki, Hirofumi Tomita","doi":"10.1093/ehjcr/ytaf258","DOIUrl":"10.1093/ehjcr/ytaf258","url":null,"abstract":"Background: The treatment strategy for closing atrial septal defect (ASD) in patients with left ventricular (LV) dysfunction remains to be elucidated. Current guidelines recommend a balloon occlusion test to determine whether the ASD should be closed, fenestrated, or not.Case summary: A 56-year-old man was referred to our hospital for secundum ASD with LV dysfunction. He was diagnosed with non-ischaemic cardiomyopathy with LV ejection fraction of 24%. A secundum ASD with a diameter of 18 mm also existed, with a pulmonary blood flow to systemic blood flow ratio over 2.0. Initially, ASD closure was deemed challenging because the occlusion test resulted in abrupt elevation of the left atrial pressure. The patient had been implanted cardiac resynchronization therapy (CRT) with a defibrillator for a left bundle branch block by the referring physician; however, the LV lead was positioned at the anterior interventricular vein. Since he was a non-responder for CRT, the LV lead was repositioned to the left posterior vein at our hospital. The patient's haemodynamic status improved after CRT optimization and medical therapy. Eventually, repeated occlusion tests allowed for successful transcatheter ASD closure.Discussion: This case demonstrates a novel treat-and-repair strategy for patients with ASD and LV systolic dysfunction. Although initial evaluation precluded ASD closure, CRT optimization and medical therapy for heart failure improved the haemodynamic status and facilitated ASD closure.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 6","pages":"ytaf258"},"PeriodicalIF":0.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233599","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

The significance of investigation into underlying coronary artery fistula in patients with tricuspid valve endocarditis: a case report. 三尖瓣心内膜炎患者潜在冠状动脉瘘探查的意义1例。

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European Heart Journal: Case Reports Pub Date : 2025-05-22 eCollection Date: 2025-06-01 DOI: 10.1093/ehjcr/ytaf260

Yoshiro Tanaka, Jun Yoshida, Yusuke Kashiwagi, Takashi Kunihara, Michihiro Yoshimura

{"title":"The significance of investigation into underlying coronary artery fistula in patients with tricuspid valve endocarditis: a case report.","authors":"Yoshiro Tanaka, Jun Yoshida, Yusuke Kashiwagi, Takashi Kunihara, Michihiro Yoshimura","doi":"10.1093/ehjcr/ytaf260","DOIUrl":"10.1093/ehjcr/ytaf260","url":null,"abstract":"Background: Coronary artery fistula (CAF) is an uncommon congenital heart disease (CHD). Most patients are asymptomatic, and CAFs are typically discovered incidentally on echocardiography or computed tomography coronary angiography (CTCA). Although previous reports have suggested an association between CAF and infective endocarditis, there are few reports on the coexistence of CAF and tricuspid valve infective endocarditis (TVIE). We report a rare case where a CAF was identified as the underlying CHD in TVIE using multimodal imaging. Both the CAF and TVIE were successfully treated surgically.Case summary: A Japanese woman in her 40 s who presented with a fever of 38°C that persisted for 4 days. Streptococcus oralis was isolated from two sets of blood cultures obtained on admission. Tricuspid valve vegetation was detected using transthoracic echocardiography, and a CAF, which originated from the right coronary artery (RCA) and terminated in the right atrium (RA), was detected by CTCA. Furthermore, the CAF and turbulent shunt flow directed towards the tricuspid valve were identified on transoesophageal echocardiography and subsequently confirmed as an RCA-RA fistula on coronary angiography. After antibiotic therapy, the patient underwent vegetation resection, tricuspid valve annuloplasty, and CAF excision.Discussion: Careful investigation of the underlying CHD is necessary when TVIE is found. In patients with TVIE, multimodal imaging is useful for investigating underlying CAF and the direct association between TVIE and CAF. When multimodal imaging suggests a direct association between CAF and TVIE, surgical resection of both the TVIE and CAF is essential to prevent the recurrence of TVIE.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 6","pages":"ytaf260"},"PeriodicalIF":0.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12128056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208053","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