European Heart Journal: Case Reports最新文献_第4页

Intimal metastasis of undifferentiated pleomorphic sarcoma on the right chest wall mimicking an aortic embolus. 右胸壁未分化多形性肉瘤内膜转移，模仿主动脉栓塞。

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European Heart Journal: Case Reports Pub Date : 2024-09-26 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae536

Kosuke Sakai, Morihiro Higashi, Kazutsugu Uematsu

引用次数: 0

Myocardial infarction showing non-ischaemic late gadolinium enhancement pattern in the mid-septum: a case report. 在中隔显示非缺血性晚期钆增强模式的心肌梗死：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-25 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae535

Luigi Tassetti, Ludovica Massa, Gianluca Pontone

引用次数: 0

Is it just another case of vaccine-induced myocarditis? A case report and key insights. 这是否又是一例疫苗诱发的心肌炎？病例报告和重要启示。

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European Heart Journal: Case Reports Pub Date : 2024-09-25 eCollection Date: 2024-11-01 DOI: 10.1093/ehjcr/ytae531

Nalin Natarajan, Abdulrahman Al-Mohammad, Thomas Ngan, Smita Dutta Roy

{"title":"Is it just another case of vaccine-induced myocarditis? A case report and key insights.","authors":"Nalin Natarajan, Abdulrahman Al-Mohammad, Thomas Ngan, Smita Dutta Roy","doi":"10.1093/ehjcr/ytae531","DOIUrl":"10.1093/ehjcr/ytae531","url":null,"abstract":"Background: As the number of individuals receiving the coronavirus disease 2019 (COVID-19) vaccine continues to rise, we have observed a concurrent increase in myopericarditis cases within the general population. This case serves as a reminder of the necessity to approach such occurrences with an open mind. Additionally, it underscores the importance of employing multi-modal imaging techniques alongside a collaborative, multi-disciplinary approach when addressing complex medical cases.Case summary: We present a case of a woman in her 50s attending the emergency department with pyrexia, lethargy, and chest pain following the AstraZeneca COVID-19 vaccine. She had a background of systemic lupus erythematosus that was treated with immunosuppressive medication.Initial assessments revealed abnormal electrocardiogram, elevated troponin, and raised inflammatory markers. A diagnosis of likely vaccine-induced myopericarditis was made. However, blood cultures revealed Listeria monocytogenes, and cardiac imaging confirmed a right atrial (RA) thrombus that was considered to be infected. Subsequently, she was treated for Listeria myopericarditis and infected thrombus with intravenous antibiotics and anticoagulation. The patient did not wish for any invasive investigations given her clinical improvement. This is the first case of Listeria-related myopericarditis with an infected thrombus in the RA. We saw the full resolution of RA mass with medical management.Discussion: This case highlights the importance of multi-modality imaging techniques to facilitate the diagnosis of Listeria-related myopericarditis accompanied by an infected thrombus. It also emphasizes the importance of conducting interval scanning and follow-up assessments to ensure the resolution of the disease. To improve diagnostic accuracy, an endomyocardial biopsy can also be considered.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582242","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

Right ventriculography to guide left bundle branch pacing in pacing-induced cardiomyopathy: a novel case report. 右心室造影引导起搏诱发型心肌病的左束支起搏：一份新颖的病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-24 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae494

Mansimran Singh Dulay, Raheel Ahmed, Nick Child, Ahran Arnold, Mark Tanner

{"title":"Right ventriculography to guide left bundle branch pacing in pacing-induced cardiomyopathy: a novel case report.","authors":"Mansimran Singh Dulay, Raheel Ahmed, Nick Child, Ahran Arnold, Mark Tanner","doi":"10.1093/ehjcr/ytae494","DOIUrl":"10.1093/ehjcr/ytae494","url":null,"abstract":"Background: There is emerging evidence for the potential utility of left bundle branch area pacing (LBBAP), as an alternative to conventional cardiac resynchronization therapy (CRT). The utility of right ventriculography by way of power injector to facilitate lead placement has not yet been reported in the literature.Case summary: A 79-year-old female, with a background of poorly rate-controlled atrial fibrillation, presented with worsening dyspnoea. She had recently undergone single-chamber pacemaker insertion prior to an atrioventricular nodal (AVN) ablation, owing to failure in achieving successful CRT coronary sinus lead placement. She had clinical evidence of volume overload, and her electrocardiogram demonstrated right ventricular pacing. Echocardiography demonstrated left ventricular (LV) impairment, with an ejection fraction (EF) of 35%, and severe functional mitral regurgitation (MR). Her diagnosis was overall consistent with pacing-induced cardiomyopathy (PIC). In this patient, the use of right ventriculography, using power-injector-delivered contrast, successfully facilitated placement of an LBBAP lead, with confirmation of good threshold and sensing parameters. Following an upgrade to conduction system pacing, the patient recovered well. On recent follow-up, repeat echocardiography (24 months post initial presentation) demonstrated improved LV function (EF 45% from 35%) and only mild-to-moderate MR.Discussion: In conclusion, we demonstrate the utility of right ventriculography to facilitate placement of an LBBAP lead, successfully treating a patient who developed PIC from chronic right ventricular pacing following AVN ablation.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364922","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

Correction to: Double-territory STEMI with cardiogenic shock in immune thrombocytopenic purpura with severe thrombocytopenia-a case report. Correction to：免疫性血小板减少性紫癜伴严重血小板减少症的双区 STEMI 和心源性休克--病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-24 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae519

引用次数: 0

Four-dimensional intracardiac echocardiography for guidance of tricuspid transcatheter edge-to-edge repair: a case report. 四维心内超声心动图引导三尖瓣经导管边缘到边缘修补术：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-24 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae489

Mark M P van den Dorpel, Claire Ben Ren, Nicolas M Van Mieghem

引用次数: 0

An electrical swinging! 电气摆动！

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European Heart Journal: Case Reports Pub Date : 2024-09-23 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae472

Swasthi S Kumar, Sudipta Mondal, Jyothi Vijay

引用次数: 0

Physiologic pacing in congenitally corrected transposition of the great arteries with electroanatomic mapping guidance: a case report. 先天性大动脉转位矫正患者在电解剖图引导下的生理起搏：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-23 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae520

Ofir Brem, Kirill Buturlin, Shimon Kolker, Nili Schamroth Pravda

{"title":"Physiologic pacing in congenitally corrected transposition of the great arteries with electroanatomic mapping guidance: a case report.","authors":"Ofir Brem, Kirill Buturlin, Shimon Kolker, Nili Schamroth Pravda","doi":"10.1093/ehjcr/ytae520","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae520","url":null,"abstract":"Background: This case report details the application of left bundle branch pacing in a patient with congenitally corrected transposition of the great arteries (cc-TGA), a rare congenital heart defect characterized by anatomical complexities that pose unique challenges in the management of device-related complications and heart failure. The patient's history is notable for complex anatomical considerations, cardiovascular implantable electronic device (CIED) infection, and heart failure.Case summary: The patient underwent a series of interventions, including treatment for pocket-site infections, abandonment of epicardial leads, and an unsuccessful attempt at trans-catheter leadless pacemaker implantation. Given the patient's complex anatomy and prior CIED infection, traditional pacing methods were deemed unsuitable, leading to the selection of left bundle branch pacing. The lead implantation was guided using 3D electro-anatomical mapping to ensure synchronous physiologic pacing in a patient with heart failure.Discussion: The case underscores the heightened risks faced by cc-TGA patients, with a focus on systemic right ventricular dysfunction and pacing-induced ventricular dysfunction. In these patients, ventricular synchrony is critical and can be achieved with biventricular pacing. Physiologic pacing emerges as a promising alternative to cardiac resynchronization therapy (CRT), especially in cases where endovascular CRT is unfeasible. This case demonstrates the utilization of 3D electro-anatomical mapping for achieving successful physiologic pacing in complex congenital heart lesions. At the 12-month follow-up, the patient presented with stable clinical status and a narrow QRS complex. Echocardiography indicated improvement in the right systemic ventricular function.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497438","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

Recurrent acute myocardial and renal infarction with aplastic anaemia/paroxysmal nocturnal haemoglobinuria syndrome: a case report. 伴有再生障碍性贫血/阵发性夜间血红蛋白尿综合征的复发性急性心肌梗死和肾梗死：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-23 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae526

Yuta Kato, Mitsuyoshi Hadase, Takashi Nakamura

{"title":"Recurrent acute myocardial and renal infarction with aplastic anaemia/paroxysmal nocturnal haemoglobinuria syndrome: a case report.","authors":"Yuta Kato, Mitsuyoshi Hadase, Takashi Nakamura","doi":"10.1093/ehjcr/ytae526","DOIUrl":"10.1093/ehjcr/ytae526","url":null,"abstract":"Background: Aplastic anaemia (AA) is known to progress to paroxysmal nocturnal haemoglobinuria (PNH) during treatment, and thrombosis is a characteristic symptom of PNH. This case report investigates a case of repeated and rapidly progressive multiple arterial thrombosis due to PNH.Case summary: This case is a 24-year-old woman undergoing treatment for AA. She presented with chest pain and underwent emergency coronary angiography. Thrombus occlusion was found in the distal portion of the right coronary artery, acute myocardial infarction was diagnosed and percutaneous coronary intervention was performed. Thrombus aspiration and balloon dilation were performed. Anticoagulants were administered, but chest pain flared up again on Day 9; coronary angiography was performed, indicating that the proximal portion of the right coronary artery had caused occlusion. On Days 9 and 24, she experienced back pain and was diagnosed with renal infarction. Considering that AA had evolved into PNH and intravascular haemolysis and thrombosis appeared, the diagnosis of PNH was made via flow cytometry. Multiple arterial thrombosis due to PNH was diagnosed, and ravulizumab treatment was started, resulting in the improvement of thrombus progression, chest pain, and back pain.Discussion: Thrombosis due to PNH can recur even after the administration of anticoagulants and antiplatelet agents and has been associated with a high fatality rate. The treatment with ravulizumab, a humanized monoclonal antibody against complement C5, helps with the prevention of thrombosis. Furthermore, anti-complement component C5 therapy is very effective in improving rapidly progressive multiple arterial thrombosis resistant to anticoagulants and antiplatelet agents due to PNH.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396923","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

Successful left atrial catheter ablation in a patient with cor triatriatum sinister navigated by 3D volume rendering technique computed tomography. 通过三维容积渲染技术计算机断层扫描导航，成功为一名窦性心房颤患者实施左心房导管消融术。

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European Heart Journal: Case Reports Pub Date : 2024-09-23 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae516

Pietro G Lacaita, Markus Stühlinger, Fabian Barbieri, Gudrun M Feuchtner

引用次数: 0