European Heart Journal: Case Reports最新文献_第3页

Quadricuspid pulmonary valve with pulmonary hypertension: a case report. 四尖瓣肺动脉瓣伴肺动脉高压：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-11-27 eCollection Date: 2024-11-01 DOI: 10.1093/ehjcr/ytae408

Wenting Li, Yang Zhang, Xiaopei Cui, Qiushang Ji

引用次数: 0

Giant aneurysmal degeneration after subintimal fluoropolymer-coated paclitaxel-eluting stent implantation for the superficial femoral artery occlusion: a case report.

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European Heart Journal: Case Reports Pub Date : 2024-11-26 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae631

Kenji Miwa, Ryusuke Minamikawa, Osamu Iida, Hiroshi Furusho, Toshihiko Yasuda

{"title":"Giant aneurysmal degeneration after subintimal fluoropolymer-coated paclitaxel-eluting stent implantation for the superficial femoral artery occlusion: a case report.","authors":"Kenji Miwa, Ryusuke Minamikawa, Osamu Iida, Hiroshi Furusho, Toshihiko Yasuda","doi":"10.1093/ehjcr/ytae631","DOIUrl":"10.1093/ehjcr/ytae631","url":null,"abstract":"Background: Drug-eluting therapies remarkably reduce the incidence of restenosis and have revolutionized endovascular strategies for femoropopliteal lesions in patients with peripheral artery disease, nevertheless, concerns have arisen over the risk of aneurysmal degeneration after using an Eluvia polymer-based drug-eluting stent (DES).Case summary: We present a case of an 80-year-old male who developed a giant aneurysm long-term after Eluvia implantation. He noticed a pulsatile mass in his thigh without any decrease in the ankle-brachial index 27 months after subintimal DES placement for superficial femoral artery (SFA) chronic total occlusion. Duplex ultrasonography (DUS) showed a giant cavity outside the vessel and a to-and-fro flow between the cavity and the SFA at the Elvia stents overlapped in the subintimal space. Endovascular-covered stents successfully sealed the cavity and reduced the size of the aneurysm at follow-up DUS.Discussion: The aneurysmal degeneration, the so-called 'low echoic area' around the stent by ultrasound, is a relatively common finding after Eluvia DES implantation. It is thought to have little association with clinical events up to 2 years, however, the nature of this phenomenon remains unclear, and some cases present with clinical worsening. In this case, the development of a giant aneurysm could be induced by the overlapping stent not only by the local drug and polymer overdose but also by the increased mechanical force exerted against the fragile outer wall of the subintimal structure.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"8 12","pages":"ytae631"},"PeriodicalIF":0.8,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806532","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

Balloon aortic valvuloplasty with simultaneous aortic root injection: a case report of an adjunctive strategy to computed tomography for predicting coronary obstruction in transcatheter aortic valve-in-transcatheter aortic valve procedures.

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European Heart Journal: Case Reports Pub Date : 2024-11-26 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae622

Tetsuro Shimura, Masanori Yamamoto, Hitoshi Matsuo

{"title":"Balloon aortic valvuloplasty with simultaneous aortic root injection: a case report of an adjunctive strategy to computed tomography for predicting coronary obstruction in transcatheter aortic valve-in-transcatheter aortic valve procedures.","authors":"Tetsuro Shimura, Masanori Yamamoto, Hitoshi Matsuo","doi":"10.1093/ehjcr/ytae622","DOIUrl":"10.1093/ehjcr/ytae622","url":null,"abstract":"Background: Computed tomography (CT) assessment is the standard for predicting coronary obstruction (CO) caused by sinus sequestration (SS) during transcatheter aortic valve (TAV) implantation in degenerated TAV (TAV-in-TAV) procedure, but it may not always be accurate. This report describes a prediction method for CO by using balloon aortic valvuloplasty (BAV) during TAV-in-TAV.Case summary: An 87-year-old woman with a history of balloon-expandable transcatheter heart valve (BE-THV) implantation 7 years prior was admitted with worsening dyspnoea. Echocardiography revealed severe THV deterioration, and CT confirmed calcium proliferation in the THV. Our heart team decided to perform a TAV-in-TAV procedure using a 23-mm BE-THV. Preoperative CT imaging indicated an intermediate risk of CO. To evaluate CO risk more precisely, the top of a 20-mm balloon was positioned near the top of a BE-THV stent and inflated, followed by simultaneous aortic root injection (SARI). During SARI, contrast flowed into both coronary arteries, predicting a low risk of CO. Based on these findings, TAV-in-TAV was performed without coronary protection. The procedure was completed successfully without CO. After the procedure, the patient's symptoms improved, and echocardiography showed normal valve function. She was discharged without complications and remains under outpatient follow-up care.Discussion: The diagnostic method for predicting CO using BAV with SARI could serve as a valuable adjunctive diagnostic tool in patients with an intermediate or high risk of SS anatomy after TAV-in-TAV. In such cases, this method may provide additional insights concerning precise CO risk and the indication of leaflet modification technique during TAV-in-TAV.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"8 12","pages":"ytae622"},"PeriodicalIF":0.8,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806132","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

Percutaneous coil embolization of a post-traumatic left anterior descending coronary artery pseudoaneurysm: a case report.

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European Heart Journal: Case Reports Pub Date : 2024-11-26 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae625

Joaquin Espinoza, Marina Byer, Moises Vasquez, Dileep R Yavagal, Yiannis S Chatzizisis

{"title":"Percutaneous coil embolization of a post-traumatic left anterior descending coronary artery pseudoaneurysm: a case report.","authors":"Joaquin Espinoza, Marina Byer, Moises Vasquez, Dileep R Yavagal, Yiannis S Chatzizisis","doi":"10.1093/ehjcr/ytae625","DOIUrl":"10.1093/ehjcr/ytae625","url":null,"abstract":"Background: Coronary artery pseudoaneurysm (PSA) is a rare occurrence linked to percutaneous coronary interventions (PCIs), infection, or chest trauma, lacking established management guidelines due to its low incidence.Case summary: A 78-year-old male with a medical history of triple vessel disease, post coronary artery bypass grafting, heart failure, and chronic obstructive pulmonary disease, presented with intractable left-sided chest pain following a mechanical fall. The initial workup was positive for mildly elevated high-sensitivity troponin and brain natriuretic peptide raising suspicion for a pulmonary embolism; but chest computed tomography angiography revealed an enlarging pericardial haematoma. Further computed tomographic coronary angiography exposed a mid-left anterior descending (LAD) interrupted segment concerning for a contained ruptured PSA. Left heart catheterization confirmed the suspicion, showing a collection of contrast at the haematoma site following injection of contrast into the saphenous vein graft to the diagonal artery. The patient underwent percutaneous PSA coiling, successfully occluding blood inflows from both the first diagonal and distal LAD. There were no subsequent electrocardiogram changes or further elevation in troponin levels ensuring the integrity of the LAD vital branches.Discussion: Coronary PSA results from the dissection of at least one layer of the vessel wall leading to blood extravasation. Although they are usually associated with PCI complications, the absence of haemopericardium in prior imaging makes the recent blunt chest trauma the most likely cause of this patient's presentation. Percutaneous coiling of inflow vessels to PSAs proved to be a suitable option in this case of a patient with a history of sternotomy and an expanding pericardial haematoma.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"8 12","pages":"ytae625"},"PeriodicalIF":0.8,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817477","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

Elevated cardiac troponin secondary to heterophile antibodies: a case series highlighting an underrecognized differential.

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European Heart Journal: Case Reports Pub Date : 2024-11-25 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae624

James Millhouse, Harish Kamalanathan, Rohan Jayasinghe

{"title":"Elevated cardiac troponin secondary to heterophile antibodies: a case series highlighting an underrecognized differential.","authors":"James Millhouse, Harish Kamalanathan, Rohan Jayasinghe","doi":"10.1093/ehjcr/ytae624","DOIUrl":"10.1093/ehjcr/ytae624","url":null,"abstract":"Background: Heterophile antibody presence confounds troponin assay results, causing falsely elevated troponin levels. This rare phenomenon is an important differential to consider when evaluating patients with suspected acute coronary syndrome. We present a case series of three patients with similar clinical presentations where the presence of heterophile antibodies was confirmed.Case summary: We reviewed three patients from our hospital who presented with chest pain in a 12-month period. All patients were males aged 50-70. All patients had elevated troponin, and there was clinical concern for acute coronary syndrome in two patients. Two patients underwent coronary angiography during admission, and the third had a recent angiogram within the last 6 months. No obstructive lesions were found, and no alternative diagnoses were identified. Ultimately, the presence of heterophile antibodies was confirmed in all three patients.Discussion: Heterophile antibody presence is an important differential to consider in patients with unexplained troponin elevation. Once the presence of heterophile antibodies is confirmed, this aids in clinician decision-making and helps to guide investigations and treatment in future.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"8 12","pages":"ytae624"},"PeriodicalIF":0.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806424","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 central role of multimodality cardiac imaging in the assessment and management of cardiac masses.

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European Heart Journal: Case Reports Pub Date : 2024-11-25 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae630

Ahsan A Khan, Syed Rizwan Ali, Timothy C Tan, Jamal Nasir Khan

引用次数: 0

The unexpected finding behind an electrocardiographic abnormality.

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European Heart Journal: Case Reports Pub Date : 2024-11-25 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae627

Beatriz Girela Pérez, Elvira Carrión Rios, Alejandro Gómez Carranza

引用次数: 0

A case report of late vessel occlusion presenting as ST-segment elevation myocardial infarction after drug-coating balloon treatment of in-stent restenosis.

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European Heart Journal: Case Reports Pub Date : 2024-11-25 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae619

Alexander Marschall, David Del Val, Teresa Bastante, Fernando Rivero, Fernando Alfonso

{"title":"A case report of late vessel occlusion presenting as ST-segment elevation myocardial infarction after drug-coating balloon treatment of in-stent restenosis.","authors":"Alexander Marschall, David Del Val, Teresa Bastante, Fernando Rivero, Fernando Alfonso","doi":"10.1093/ehjcr/ytae619","DOIUrl":"10.1093/ehjcr/ytae619","url":null,"abstract":"Background: Drug-coated balloons (DCBs) offer an appealing therapeutic alternative for the treatment of patients with coronary in-stent restenosis (ISR). In-segment late lumen loss, translating into recurrent ISR and the clinical need for target lesion revascularization, represents a well-established and thoroughly investigated limitation of DCB in this setting. However, abrupt vessel occlusion, clinically presenting as ST-segment elevation myocardial infarction (STEMI), has not been previously described after DCB therapy for ISR.Case summary: We herein present the case of a 70-year-old patient that underwent percutaneous coronary intervention (PCI) with DCB for ISR. Despite achieving an excellent acute angiographic result (with no flow-limiting dissection and minimal angiographic residual stenosis), the patient presented 3 months later with STEMI due to occlusion of the previously treated segment. After adequate lesion preparation, a drug-eluting stent was implanted with optimal final angiographic result. The patient was discharged 2 days after the PCI without any post-procedural complications and remained asymptomatic at 6-month clinical follow-up.Discussion: This case report is the first description of an abrupt vessel occlusion presenting as STEMI following a DCB angioplasty for ISR. This exceptional presentation does not dismount the solid evidence supporting the long-term safety of DCB in these challenging patients.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"8 12","pages":"ytae619"},"PeriodicalIF":0.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806200","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

Rare imaging phenotype of late gadolinium enhancement in a patient with anoctamin 5 mutation.

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European Heart Journal: Case Reports Pub Date : 2024-11-23 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae626

Qi Zhang, Jinghui Li, Minjie Lu

引用次数: 0

Transcatheter aortic valve implantation in patient with combined aortic and subaortic membrane stenosis: a case report. 合并主动脉瓣和主动脉瓣下膜狭窄患者的经导管主动脉瓣植入术：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-11-22 eCollection Date: 2024-12-01 DOI: 10.1093/ehjcr/ytae621

Hesham Tayel, Abdelrahman Elhakim, Mohamed Elsoudi, Amira Nour, Mohammed Saad

{"title":"Transcatheter aortic valve implantation in patient with combined aortic and subaortic membrane stenosis: a case report.","authors":"Hesham Tayel, Abdelrahman Elhakim, Mohamed Elsoudi, Amira Nour, Mohammed Saad","doi":"10.1093/ehjcr/ytae621","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae621","url":null,"abstract":"Background: The combination of symptomatic aortic stenosis (AS) and subaortic membrane (SAM) is rare, and the haemodynamic consequences of this combination are challenging to diagnose and manage.Case summary: We present the case of a 78-year-old male who presented with symptomatic AS and chronic heart failure. On echocardiography, the combination of AS and SAM was diagnosed. Transoesophageal echocardiography (TOE) was performed to confirm the presence and severity of AS and SAM. Based on the patient's clinical profile and the high risk of surgical repair, a self-expandable transcatheter aortic valve implantation (TAVI) was performed. Three-month follow-up was uneventful. In addition, we discuss the assessment and management strategy challenges for SAM in patients with aortic regurgitation or AS.Discussion: As transcatheter valve implantation expands its indications for more complex anatomy and patient's comorbidity. Self-expandable TAVI-prosthesis under TOE guidance is feasible for the treatment of symptomatic AS and SAM, especially in patients with high surgical risk.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"8 12","pages":"ytae621"},"PeriodicalIF":0.8,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834823","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