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

Leaflet avulsion due to resheathing during transcatheter aortic valve implantation. 经导管主动脉瓣植入术中因重鞘造成的瓣叶撕脱。

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European Heart Journal: Case Reports Pub Date : 2024-12-02 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae645

Sebastian Spethmann, Iskandar Atmowihardjo, Henryk Dreger

引用次数: 0

Optimal site of pacemaker lead implantation for persistent atrial standstill guided by electroanatomical mapping following a cox-maze procedure: a case report. 考克斯迷宫手术后，在电解剖图的指导下，起搏器导联植入的最佳位置用于治疗持续性心房停搏：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-12-02 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae647

Sae Ujiro, Soichiro Yamashita, Makoto Takemoto, Masanori Okuda

{"title":"Optimal site of pacemaker lead implantation for persistent atrial standstill guided by electroanatomical mapping following a cox-maze procedure: a case report.","authors":"Sae Ujiro, Soichiro Yamashita, Makoto Takemoto, Masanori Okuda","doi":"10.1093/ehjcr/ytae647","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae647","url":null,"abstract":"Background: Atrial standstill is characterized by the absence of atrial activity. We report a case of a patient with extensive atrial fibrosis who underwent electrophysiologic study (EPS) and electroanatomical mapping (EAM) to identify surviving atrial sites amenable for pacemaker lead implantation.Case summary: A 72-year-old man with persistent atrial fibrillation (AF) and atrial functional mitral regurgitation/tricuspid regurgitation (MR/TR) underwent a Cox-Maze surgery, mitral and tricuspid valve repair, and biatrial plication. He was referred because of post-operative presyncope symptoms. Electrocardiography revealed atrial standstill and junctional rhythm (JR); however, EAM revealed that both atria were almost entirely scarred and isolated fibrillation in left pulmonary veins and coronary sinus. Junctional rhythm retrogradely conducted around an atrioventricular (AV) node and pacing at this area could conduct to the ventricle through the AV node. An atrial pacing lead was implanted at this area, which yielded a QRS wave similar to the own beat. However, the atrial lead voltage was quite low; hence, ventricular pacing lead was implanted to avoid a future occurrence of pacing failure.Discussion: This report demonstrates the benefits of EPS and EAM in informing optimal pacemaker implantation for patients with extensive scar in atrium.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"8 12","pages":"ytae647"},"PeriodicalIF":0.8,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834821","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

Heart failure of very rare aetiology-haemochromatosis Type 3: a case report. 病因非常罕见的心力衰竭--血色素沉着病 3 型：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-11-29 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae637

Aistė Montvilaitė-Laurinavičienė, Rūta Dirsienė, Gintarė Neverauskaitė-Piliponienė, Audra Banišauskaitė, Marius Šukys, Gintarė Šakalytė, Eglė Ereminienė

{"title":"Heart failure of very rare aetiology-haemochromatosis Type 3: a case report.","authors":"Aistė Montvilaitė-Laurinavičienė, Rūta Dirsienė, Gintarė Neverauskaitė-Piliponienė, Audra Banišauskaitė, Marius Šukys, Gintarė Šakalytė, Eglė Ereminienė","doi":"10.1093/ehjcr/ytae637","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae637","url":null,"abstract":"Background: Haemochromatosis is a pathological condition characterized by the accumulation of iron in parenchymal organs, leading to toxic damage and dysfunction. Cardiac haemochromatosis represents one of the rare causes of severe heart failure (HF) that can be potentially prevented with targeted treatment.Case summary: We present the case of a 41-year-old female who was hospitalized for decompensated HF. Echocardiography revealed severe systolic dysfunction with a phenotype of dilated cardiomyopathy, accompanied by secondary moderate mitral regurgitation and severe tricuspid regurgitation (TR). To differentiate potential causes of HF, coronary angiography, cardiac magnetic resonance imaging (MRI), and endomyocardial biopsy were performed. Based on clinical findings, laboratory results, cardiac MRI, and endomyocardial biopsy data, a diagnosis of haemochromatosis was confirmed, and mutations in the TFR2 gene, responsible for haemochromatosis Type 3, were identified. The patient was treated in accordance with the latest European Society of Cardiology HF guidelines, and specific treatment for haemochromatosis, including therapeutic phlebotomy and iron chelation therapy, was initiated, resulting in a significant positive outcome.Discussion: Investigating the aetiology of HF is essential, as even rare causes can be identified, and specific treatments are available that significantly improve prognosis and survival.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"8 12","pages":"ytae637"},"PeriodicalIF":0.8,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834817","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

Kommerell's diverticulum as an unusual cause of back pain and differential diagnosis for mediastinal enlargement: images in cardiology. Kommerell憩室是背痛的不寻常原因和纵隔肿大的鉴别诊断：心脏病学图像。

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European Heart Journal: Case Reports Pub Date : 2024-11-29 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae639

Carlo Alberto Fabela-Hardy, Luis Antonio Moreno-Ruiz, Yatzil Necoechea-Osuna, Carla Camila Conde-García

引用次数: 0

Emergent surgical intervention for a neonate with premature constriction of the ductus arteriosus with ductal-dependent tricuspid atresia: a case report.

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European Heart Journal: Case Reports Pub Date : 2024-11-29 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae640

Taro Kono, Naofumi F Sumitomo, Hiroyuki Yamagishi, Naritaka Kimura

{"title":"Emergent surgical intervention for a neonate with premature constriction of the ductus arteriosus with ductal-dependent tricuspid atresia: a case report.","authors":"Taro Kono, Naofumi F Sumitomo, Hiroyuki Yamagishi, Naritaka Kimura","doi":"10.1093/ehjcr/ytae640","DOIUrl":"10.1093/ehjcr/ytae640","url":null,"abstract":"Background: Premature constriction of the ductus arteriosus (PCDA) makes management difficult in neonates with congenital heart defects, particularly those with ductal-dependent pulmonary circulation. This report highlights the challenges and management of a neonate diagnosed with tricuspid atresia and severe right ventricular outflow tract obstruction (RVOTO), complicated by PCDA.Case summary: A male neonate was diagnosed prenatally with tricuspid atresia and severe RVOTO. After birth, his oxygen saturation was around 60%, and no ductus arteriosus was detected. A systemic-to-pulmonary shunt was placed emergently. After surgery, antegrade blood flow from the right ventricular outflow tract was unstable depending on the right ventricular muscle contraction and relaxation, and the antegrade blood flow needed to be occluded. The postoperative course was uneventful after then.Discussion: This case underscores the complexity of managing neonates with tricuspid atresia, severe RVOTO, and PCDA. Early surgical intervention is critical in stabilizing such patients.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"8 12","pages":"ytae640"},"PeriodicalIF":0.8,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806432","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

Reply: a U-turn wiring technique for reverse-angled branches adjacent to ectasia-a case series.

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European Heart Journal: Case Reports Pub Date : 2024-11-29 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae628

Masashi Yamaguchi, Yutaka Tanaka, Shigeru Saito

引用次数: 0

Bochdalek hernia-induced ventricular tachycardia. 波氏疝诱发室性心动过速

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European Heart Journal: Case Reports Pub Date : 2024-11-29 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae636

Giulia Bruno, James Shand, Jonathan Dodd

引用次数: 0

Fontan circulatory failure: a case report of re-operation treatment of vascular graft angulation stenosis. 丰坦循环衰竭：血管移植成角狭窄再次手术治疗的病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-11-29 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae644

Rui Lv, Lixin Sun, Zhenglun Alan Wei, Bin Qiao

引用次数: 0

A rare complication of intracardiac double knotting of temporary pacemaker lead during bedside insertion: a case report.

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European Heart Journal: Case Reports Pub Date : 2024-11-28 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae623

Aditi Dattagupta, Shweta Agrawal, Srilakshmi Adhyapak, Harshith Kramadhari, Abhilash Konda

引用次数: 0

Diaphragm ultrasound and diaphragmatic 2D speckle tracking imaging in acute heart failure: a case series.

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European Heart Journal: Case Reports Pub Date : 2024-11-28 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae632

Abdallah Fayssoil, Pierre Boisson De Chazournes, Marie Hauguel-Moreau, Arnaud Mansart, Nicolas Mansencal

{"title":"Diaphragm ultrasound and diaphragmatic 2D speckle tracking imaging in acute heart failure: a case series.","authors":"Abdallah Fayssoil, Pierre Boisson De Chazournes, Marie Hauguel-Moreau, Arnaud Mansart, Nicolas Mansencal","doi":"10.1093/ehjcr/ytae632","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae632","url":null,"abstract":"Background: Respiratory muscle function can be affected in patients with heart failure. Ultrasound can be used to assess diaphragm, the main inspiratory muscle. Speckle tracking imaging is an imaging technology providing the evaluation of tissue deformation during contraction. We aimed to evaluate the contribution of traditional echography and 2D speckle tracking imaging in the evaluation and monitoring of patients with acute heart failure (AHF).Case summary: We report a series of four cases of AHF. Diaphragm ultrasound coupled with diaphragm 2D speckle tracking imaging was performed at admission and after decongestive therapy, in cardiac intensive care unit. Patients, at admission, disclosed higher diaphragm 2D strain value and higher diaphragm inspiratory motion value in the context of higher cardiac loading that significantly decrease after decongestive therapy, except for one patient. Diaphragm motion remained less than 10 mm (weakness), despite medical therapy in Cases 2, 3, and 4. Among them, 3 months later, one patient (Case 3) experienced an episode of AHF.Discussion: Diaphragm ultrasound coupled with diaphragm 2D speckle tracking imaging is feasible and may be used to monitor respiratory status patients with AHF.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"8 12","pages":"ytae632"},"PeriodicalIF":0.8,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834814","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