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

Novel multielectrode mapping catheter for targeting left ventricular summit derived premature ventricular contractions within the great cardiac vein: first-in-man. 新型多电极定位导管，用于心脏大静脉内左心室峰顶衍生性室性早搏：首例。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2025-05-22 eCollection Date: 2025-06-01 DOI: 10.1093/ehjcr/ytaf254

Christian-H Heeger, Henning Rolfes, Martin W Bergmann, Maxim Didenko

引用次数: 0

Acute myocardial infarction due to type A aortic dissection in a patient with corrected congenital cardiopathy: a case report. 先天性心脏病矫正后A型主动脉夹层致急性心肌梗死1例。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2025-05-22 eCollection Date: 2025-06-01 DOI: 10.1093/ehjcr/ytaf250

G Padilla-Rodríguez, A Gómez-González, M Barquero-Alemán, I Méndez-Santos, J C García-Rubira

{"title":"Acute myocardial infarction due to type A aortic dissection in a patient with corrected congenital cardiopathy: a case report.","authors":"G Padilla-Rodríguez, A Gómez-González, M Barquero-Alemán, I Méndez-Santos, J C García-Rubira","doi":"10.1093/ehjcr/ytaf250","DOIUrl":"10.1093/ehjcr/ytaf250","url":null,"abstract":"Background: Ascending aortic dissection rarely presents as acute myocardial infarction, and when it does, its diagnosis is even more challenging.Case summary: We present a case of a young male with corrected congenital heart disease and a giant ascending aorta aneurysm. He was admitted to hospital for chest pain and was diagnosed with acute anterior myocardial infarction. Imaging tests showed dissection of the ascending aorta. He required complex cardiovascular surgery for Dacron tube implantation to treat the giant ascending aortic aneurysm.Discussion: This case is a reminder of how important adequate differential diagnosis is in the context of myocardial infarction, as well as the management of acute aortic syndrome. In our patient, the patency of the left coronary artery was verified using imaging techniques, and the most likely cause of the infarction could be the aneurysm extrinsically compressing the coronary artery.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 6","pages":"ytaf250"},"PeriodicalIF":0.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198593","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

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

Fulminant lymphocytic myocarditis with unusual giant cell detection: a case report. 暴发性淋巴细胞性心肌炎伴异常巨细胞检测1例。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2025-05-20 eCollection Date: 2025-06-01 DOI: 10.1093/ehjcr/ytaf248

Takuma Sato, Yoshihiko Ikeda, Osamu Seguchi, Satsuki Fukushima, Yasumasa Tsukamoto

{"title":"Fulminant lymphocytic myocarditis with unusual giant cell detection: a case report.","authors":"Takuma Sato, Yoshihiko Ikeda, Osamu Seguchi, Satsuki Fukushima, Yasumasa Tsukamoto","doi":"10.1093/ehjcr/ytaf248","DOIUrl":"10.1093/ehjcr/ytaf248","url":null,"abstract":"Background: An accurate and rapid pathologic diagnostic in fulminant myocarditis is crucial for appropriate therapeutic decision-making. Since giant cells can appear in various conditions, careful judgment based on repeated imaging, pathological analysis, and close clinical follow-up is essential to make precise decisions.Case summary: A previously healthy 36-year-old woman was admitted to the hospital with haemodynamic compromise requiring mechanical circulatory support. Pathologic findings of left ventricular (LV) at the time of left ventricular assist device (LVAD) implantation confirmed the diagnosis of lymphocytic myocarditis. Cardiac function had gradually recovered, and LVAD was successfully weaned on post-operative day (POD) 10. However, surgical biopsy of LV at the time of LVAD removal revealed multinucleated giant cell formation, resulting in administered prednisolone for 2 weeks. After the withdrawal of prednisolone, pathologic findings of the right ventricle (RV) endomyocardial biopsy (EMB) specimens obtained on POD 21 showed continuous resolving myocarditis without any giant cell formation. Several additional examinations showed no evidence of an autoimmune-related disease background. The cardiac catheterisation performed on POD 85 showed normal hemodynamics with preserved LV function and EMB of the RV showed resolving myocarditis without giant cells. One year later, the patient was well without immunosuppressive therapy.Discussion: The multinucleated giant cell formation might be the accidental result of the fusion of macrophages that had ingested myocardial calcifications or degenerative macromolecules formed by the severe inflammatory process of lymphocytic myocarditis. The massive calcium deposition in both ventricles on CT and the positivity of monocytic markers in giant cells support this hypothesis.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 6","pages":"ytaf248"},"PeriodicalIF":0.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215332","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。

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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

Catheter ablation of a mechanically traumatized atrioventricular accessory pathway by targeting its ventricular insertion determined by pace mapping: a case report. 心导管消融机械损伤的房室副通路通过靶定心室插入：一个病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2025-05-19 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf253

Ghassan Moubarak, Alexandre Zhao, Marc Semichon, Caroline Grimard, Ardalan Sharifzadehgan

{"title":"Catheter ablation of a mechanically traumatized atrioventricular accessory pathway by targeting its ventricular insertion determined by pace mapping: a case report.","authors":"Ghassan Moubarak, Alexandre Zhao, Marc Semichon, Caroline Grimard, Ardalan Sharifzadehgan","doi":"10.1093/ehjcr/ytaf253","DOIUrl":"10.1093/ehjcr/ytaf253","url":null,"abstract":"Background: Catheter ablation is a highly effective treatment of atrioventricular accessory pathways (APs). Catheter-induced mechanical trauma of the AP is not infrequent during electrophysiology study and can lead to procedure discontinuation. We present an alternative method to successfully ablate a persistently traumatized AP.Case summary: A 15-year-old patient was referred for ablation of a symptomatic parahisian AP. Unfortunately, the AP was mechanically traumatized during catheter placement, and conduction did not resume after a 45-min waiting period. We proceeded to determine the ventricular insertion of the AP. Pace mapping was performed at the ventricular aspect of the tricuspid annulus with bipolar pacing from the ablation catheter. Using electroanatomic mapping, a correlation map between the maximally pre-excited QRS morphology (recorded at the beginning of the electrophysiological study) and the pace-mapped QRS was displayed. The highest correlation was 94%. The area delimited by the 3 best pace-map matching points was considered the target area, and radiofrequency applications were delivered. No recurrence of pre-excitation or palpitations were observed during 6 months of follow-up.Discussion: Determining the distal ventricular insertion of a mechanically traumatized AP is feasible, by comparing a maximally pre-excited QRS with the paced-mapped QRS. Electroanatomic correlation mapping may help delineate a limited target area before ablation.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 5","pages":"ytaf253"},"PeriodicalIF":0.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181046","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

Cardiac imaging phenotypes in light chain deposition disease similar with cardiac light chain amyloidosis. 与心脏轻链淀粉样变性相似的轻链沉积病的心脏影像学表型。

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European Heart Journal: Case Reports Pub Date : 2025-05-19 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf251

Hideaki Suzuki, Yoshihiko Ikeda, Marina Arai, Satoshi Yasuda

引用次数: 0

An elevated lipoprotein (a) level, rapid progression, and accumulation of lipidic plaque contents in a deferred coronary artery lesion despite lipid-lowering therapy. 尽管接受降脂治疗，延迟性冠状动脉病变的脂蛋白(a)水平升高、快速进展和脂质斑块内容物积累。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2025-05-19 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf255

Tomomi Watanabe, Yu Kataoka, Aya Katasako, Teruo Noguchi

引用次数: 0