European Heart Journal: Case Reports最新文献_第5页

Transcatheter mitral valve implantation using TENDYNE valve for the treatment of residual severe mitral regurgitation post-transcatheter mitral valve edge-to-edge repair: a case report. 使用 TENDYNE 瓣膜进行经导管二尖瓣植入术，治疗经导管二尖瓣边缘对边缘修复术后残余的严重二尖瓣反流：病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-23 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae515

Mohammed Ali Abunab, Bandar Naim Alamri, Muhammad Azam Shah, Halia Zain Alshehri

{"title":"Transcatheter mitral valve implantation using TENDYNE valve for the treatment of residual severe mitral regurgitation post-transcatheter mitral valve edge-to-edge repair: a case report.","authors":"Mohammed Ali Abunab, Bandar Naim Alamri, Muhammad Azam Shah, Halia Zain Alshehri","doi":"10.1093/ehjcr/ytae515","DOIUrl":"10.1093/ehjcr/ytae515","url":null,"abstract":"Background: Functional mitral regurgitation (MR) in patients with heart failure can be treated medically or by transcatheter edge-to-edge repair (TEER) if medical therapy fails. Patients who are not suitable for TEER or surgical intervention might benefit from transcatheter mitral valve implantation using the TENDYNE valve.Case summary: A 58-year-old male with a history of heart failure was admitted frequently with acute heart failure and functional MR, treated medically without significant improvement. He underwent mitral TEER therapy using MitraClip. A few months later, he was admitted with acute decompensated heart failure. Echocardiography showed severe MR with a detached clip from the posterior leaflet. He underwent redo mitral TEER using MitraClip as an option for treating single leaflet device detachment. He was readmitted with the same symptoms and his echocardiography showed detachment of both clips from the posterior leaflet. The patient underwent TMVI using the TENDYNE valve being not suitable for another attempt of mitral TEER. On follow-up, he was asymptomatic and echocardiography showed normal functioning mitral bioprosthesis with a mean gradient of 4 mm/Hg and no paravalvular leak.Discussion: Transcatheter mitral valve implantation using TENDYNE valve is an option for treating patients with functional MR and detached MitraClips.","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/PMC11463334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142389039","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

A case report: pitfalls in antibacterial therapy with rifampicin for mechanical valve endocarditis-the king of drug interactions. 病例报告：使用利福平治疗机械瓣膜心内膜炎的抗菌疗法陷阱--药物相互作用之王。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-23 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae525

Ryosuke Honda, Yusuke Akazawa, Katsuji Inoue, Takashi Higaki, Osamu Yamaguchi

{"title":"A case report: pitfalls in antibacterial therapy with rifampicin for mechanical valve endocarditis-the king of drug interactions.","authors":"Ryosuke Honda, Yusuke Akazawa, Katsuji Inoue, Takashi Higaki, Osamu Yamaguchi","doi":"10.1093/ehjcr/ytae525","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae525","url":null,"abstract":"Background: Rifampicin is a strong inducer of the hepatic cytochrome P450 (CYP) family and is known to interact with many clinical drugs. However, to our knowledge, no case of worsening heart failure (HF) due to the interaction between rifampicin and HF drugs has been reported.Case summary: A 32-year-old female, who had undergone intracardiac repair for an incomplete atrioventricular septal defect with dextrocardia and prosthetic valve replacements for right and left atrioventricular valve regurgitation, presented as an outpatient. Her medications included tolvaptan 15 mg and warfarin 1.25 mg. She had a slight fever and Osler nodes at her fingers. Blood culture bottles grew methicillin-resistant Staphylococcus epidermidis, and several vegetations were observed on the right atrioventricular mechanical valve with a transoesophageal echocardiogram. She was diagnosed with prosthetic valve endocarditis and treated with antibiotic agents including rifampicin. After a week, she developed systemic oedema and had a marked decrease in prothrombin time-international normalized ratio (PT-INR). Rifampicin was promptly discontinued due to a strong suspicion of a drug-drug interaction. Consequently, both her congestion and the PT-INR stabilized, and she was discharged after 8 weeks of antibiotic treatment.Discussion: The introduction of rifampicin induces CYP family members such as CYP3A4 and CYP2C9. Warfarin is metabolized by CYP2C9 and tolvaptan is also metabolized by CYP3A4, resulting in a notable reduction of their blood levels when co-administered with rifampicin. The clinical challenges arising from interactions between HF drugs and rifampicin can be categorized into two main groups: worsening HF and thrombotic complications. Clinicians should remain vigilant and informed about these potential issues.","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/PMC11498049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497432","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

A shrapnel migration from a peripheral vein to the right ventricle: case report. 弹片从外周静脉移入右心室：病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-20 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae491

Ram Sharony, Liran Statlender, Yaron Shapira, Mordehay Vaturi, Shlomit Tamir

{"title":"A shrapnel migration from a peripheral vein to the right ventricle: case report.","authors":"Ram Sharony, Liran Statlender, Yaron Shapira, Mordehay Vaturi, Shlomit Tamir","doi":"10.1093/ehjcr/ytae491","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae491","url":null,"abstract":"Background: Foreign bodies that migrate into the heart may include medical devices dislodged from their original location or, rarely, external particles (shrapnel and other foreign bodies) that penetrate the vein, remain intraluminal, and migrate via the venous blood flow to the right heart. Most reported entry sites of these external foreign bodies were in the torso, thigh, or neck; none of them penetrated through a distal extremity of the body. We report a case where shrapnel was found in the right ventricle (RV) following penetrating injury to the hand.Case summary: An otherwise healthy 24-year-old man presented with an isolated shrapnel injury to his right hand and forearm from an explosion trauma. Computed tomography demonstrated multiple small metal objects in the forearm, hand, and wrist. Additionally, a 3 × 3.5 mm metal object was found in the RV, consistent with a metal shrapnel embolus from the forearm. Echocardiography indicated the fragment to be in a fixed position within the RV, without any additional pathology.Discussion: Even shrapnel that penetrates through the hand or forearm may migrate to the heart. In this case, following a multidisciplinary discussion, a conservative approach was recommended based on the following condition: lack of symptoms, small size of the foreign body, no obstruction of venous effluent, low risk of significant embolization to the pulmonary vasculature, absence of fever or endocarditis, no current evidence or risk of valve dysfunction, and no myocardial irritation indicated by arrhythmia. The patient was instructed to avoid magnetic resonance imaging scans.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11420668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344054","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

A rare case of an unruptured sinus of Valsalva aneurysm with multiple cardiac abnormalities. 一例罕见的未破裂瓦尔萨尔瓦窦动脉瘤并发多种心脏畸形。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-20 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae524

Xin Wei, Yan Zheng, Jing Tan

引用次数: 0

A case report of systemic lupus erythematosus with severe pulmonary hypertension presenting as large pericardial effusion with early signs of cardiac tamponade: a diagnostic and therapeutic challenge. 一例系统性红斑狼疮伴严重肺动脉高压的病例报告，表现为大面积心包积液和心脏填塞的早期征兆：诊断和治疗的挑战。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-20 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae521

Abdullah Ibrahim Alghamdi, Muhammad Azam Shah, Abdullah Mohammed Alkhodair

{"title":"A case report of systemic lupus erythematosus with severe pulmonary hypertension presenting as large pericardial effusion with early signs of cardiac tamponade: a diagnostic and therapeutic challenge.","authors":"Abdullah Ibrahim Alghamdi, Muhammad Azam Shah, Abdullah Mohammed Alkhodair","doi":"10.1093/ehjcr/ytae521","DOIUrl":"10.1093/ehjcr/ytae521","url":null,"abstract":"Background: Pulmonary hypertension is defined as resting arterial pressure >20 mmHg. Cardiac tamponade is a medical emergency where fluids accumulate in the pericardial sac compressing the heart pericardium leading to heart failure. Pericardiocentesis is challenging in patients with cardiac tamponade and severe pulmonary hypertension due to the risk of catastrophic haemodynamic collapse.Case summary: An 18-year-old female who was recently diagnosed to have systemic lupus erythematosus (SLE) presented to the emergency department with shortness of breath, chest pain, fever, and fatigue. The physical examination revealed tachycardia, muffled heart sounds, and distended jugular venous pulse. Chest X-ray showed cardiomegaly, and transthoracic echocardiography showed a large circumferential pericardial effusion with signs of cardiac tamponade. There was severe pulmonary hypertension along with a dilated right ventricle with systolic dysfunction. The right ventricular systolic pressure was around 100 mmHg. The multidisciplinary team of cardiologists and pulmonologists decided to avoid pericardiocentesis due to the high risk of haemodynamic collapse. Aggressive medical therapy targeting pulmonary hypertension and SLE was started, which resulted in complete resolution of the pericardial effusion and normalization of pulmonary artery pressure.Discussion: A conservative approach can be an alternative strategy to manage patients with large pericardial effusion and impending pericardial tamponade in the presence of severe pulmonary arterial hypertension as pericardiocentesis carries a high risk of haemodynamic collapse.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461023","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 calcium modification of a large calcified nodule using shockwave intravascular lithotripsy in the setting of acute coronary syndrome: a case report. 急性冠状动脉综合征患者使用冲击波血管内碎石术成功钙化大钙化结节：病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-19 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae517

Arif A Al Nooryani, George Sianos, Nagwa Abdelrahman

{"title":"Successful calcium modification of a large calcified nodule using shockwave intravascular lithotripsy in the setting of acute coronary syndrome: a case report.","authors":"Arif A Al Nooryani, George Sianos, Nagwa Abdelrahman","doi":"10.1093/ehjcr/ytae517","DOIUrl":"10.1093/ehjcr/ytae517","url":null,"abstract":"Background: Calcified nodules are associated with suboptimal preparation before stenting due to challenging crossing and unsuccessful pre-dilation and calcium cracking with conventional balloons. In this scenario, we report the use of shockwave intravascular lithotripsy for the successful lesion preparation of an undilatable and challenging calcified nodule in a patient presenting with ACS.Case summary: We report a case of a 79-year-old male patient presented with non-ST elevation myocardial infarction. Coronary angiography revealed 90% stenosis in the proximal segment of the right coronary artery, with a hazy area of inhomogeneous contrast. Intravascular ultrasound (IVUS) imaging identified a large eccentric calcified nodule, with a minimum luminal area (MLA) of 4.18 mm2. Rotablation was done with a ROTAPRO Atherectomy System, post-rotablation IVUS showed no plaque modification. Intravascular lithotripsy (IVL) was performed with the emission of 50 pulses. Post-IVL, IVUS showed that the calcium nodule was successfully cracked with increased MLA to 6.8 mm2. The lesion was pre-dilated with a cutting balloon and stented using a SYNERGY MEGATRON stent and post-dilated with a non-compliant balloon with good final angiographic result and TIMI Grade 3 flow. Post-stenting IVUS confirmed optimal stent apposition and expansion with an MLA of 11.9 mm2.Discussion: In severely calcified lesions, like calcified nodules, lesion preparation before stenting is pivotal for optimal long-term outcomes. As demonstrated in this case, IVL can be used safely in the setting of ACS not only to treat superficial and deep calcium layers but also to crack a large, calcified nodule, after failure of rotablation.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364925","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

Accidental cannulation of amoebic liver abscess during pericardiocentesis: a case report. 心包穿刺术中意外插管导致阿米巴肝脓肿：病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae482

Somil Verma, Chirag Agrawal, Puneet Gupta, Anunay Gupta

{"title":"Accidental cannulation of amoebic liver abscess during pericardiocentesis: a case report.","authors":"Somil Verma, Chirag Agrawal, Puneet Gupta, Anunay Gupta","doi":"10.1093/ehjcr/ytae482","DOIUrl":"10.1093/ehjcr/ytae482","url":null,"abstract":"Background: Amoebiasis is a prevalent infection in the tropics and can sometimes present as liver abscess. Cardiac tamponade is an uncommon complication of ruptured amoebic liver abscess requiring urgent pericardiocentesis, which has a high success rate, but procedural complications can include injury to cardiac chambers, abdominal viscera, and even death. This case underscores the approach to diagnose and manage an unintended visceral puncture during pericardiocentesis, which is a rare but life-threatening complication.Case summary: A 41-year-old male presented with intermittent fever over 2 months and chest pain for 15 days. Echocardiography revealed a significant pericardial effusion causing cardiac tamponade. In an emergency setting, percutaneous pericardiocentesis was attempted to drain the effusion. However, the pigtail inadvertently punctured a sizable liver abscess. Consequently, another pigtail was inserted into the pericardial cavity to successfully drain the effusion. Patient was discharged on Day 12 and is doing well at 6 months follow-up.Discussion: A previously undiagnosed case of a ruptured amoebic liver abscess presented with the uncommon complication of cardiac tamponade, necessitating emergency pericardiocentesis, which inadvertently led to the cannulation of the liver abscess. This case underscores the significance of image-guided pericardiocentesis in minimizing procedural complications. This case also highlights the intricacies of addressing accidental visceral puncture during pericardiocentesis, specially involving the liver. It also underscores the need to consider the possibility of a ruptured amoebic liver abscess when anchovy sauce-like pus is drained from pericardial cavity, especially in high epidemiologically prevalent country like India.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282374","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

Staged strategy of combined rotational atherectomy and intravascular lithotripsy for severely calcified lesions: an evaluation using multimodality intracoronary imaging-a case report. 针对严重钙化病变的分阶段联合旋转动脉粥样硬化切除术和血管内碎石术策略：使用多模态冠状动脉内成像进行的评估--病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-19 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae504

Yusuke Miura, Kohei Koyama, Keiichi Izumi, Hiroyuki Yamazaki, Kyoko Soejima

{"title":"Staged strategy of combined rotational atherectomy and intravascular lithotripsy for severely calcified lesions: an evaluation using multimodality intracoronary imaging-a case report.","authors":"Yusuke Miura, Kohei Koyama, Keiichi Izumi, Hiroyuki Yamazaki, Kyoko Soejima","doi":"10.1093/ehjcr/ytae504","DOIUrl":"10.1093/ehjcr/ytae504","url":null,"abstract":"Background: Severely calcified lesions are the most significant challenge for percutaneous coronary intervention, exhibiting poor clinical outcomes. Some severely calcified lesions remain untreatable with conventional balloons or even atherectomy devices. Intravascular lithotripsy is a new option for treating severe calcification.Case summary: Herein, we describe a case of ischaemic cardiomyopathy with a thick, circumferential calcified lesion in the proximal and mid-segments of the left anterior descending coronary artery. In the first session, high-pressure balloons, cutting balloons, and rotational atherectomy failed to disrupt the calcification. In the staged additional treatment that was subsequently planned, eight cycles of intravascular lithotripsy created multiple fractures in the deep calcification, resulting in successful stent deployment. The effect of intravascular lithotripsy was observed mainly in calcified areas with lipid components detected using near-infrared spectroscopy-intravascular ultrasound.Discussion: Our report suggests the efficacy of employing a combined strategy of rotational atherectomy with small burrs and intravascular lithotripsy in the treatment of severe calcification with a minimal risk of complications. Our study introduces a novel aspect by utilizing near-infrared spectroscopy-intravascular ultrasound to evaluate calcified lesions before performing intravascular lithotripsy. To our knowledge, there have been no similar reports to date. The effect of intravascular lithotripsy on calcified lesions may be related to the distribution of lipid components and/or heterogeneity within the calcification.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364924","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 uncommon cause of a common disease: a case report of a rare cause of hypertension. 常见病的罕见病因：高血压罕见病因的病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-18 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae487

Sarita Rao, Roshan Rao, Achukatla Kumar, Nitika Benjamin, Akshat Pandey

{"title":"An uncommon cause of a common disease: a case report of a rare cause of hypertension.","authors":"Sarita Rao, Roshan Rao, Achukatla Kumar, Nitika Benjamin, Akshat Pandey","doi":"10.1093/ehjcr/ytae487","DOIUrl":"10.1093/ehjcr/ytae487","url":null,"abstract":"Background: Severe hypertension in young patients presents a significant diagnostic dilemma, and treatment can often be codified. Therefore, it is crucial to diagnose these cases for probable secondary hypertension. Common causes of secondary hypertension include large vessel vasculitis, renal artery stenosis, coarctation of the aorta, and endocrine disorders.Case summary: A 23-year-old Asian male, who was previously in good health, presented with symptoms of chest pain, shortness of breath on exertion grade II, and generalized weakness. On examination, his blood pressure was markedly elevated at 200/110 mmHg. Diagnostic investigations revealed significant vascular involvement, including bilateral renal artery stenosis accompanied by aneurysm formation, celiac trunk disease, and osteal stenosis of the superior mesenteric artery. The patient underwent successful interventional procedure, including renal angioplasty, stenting, and aneurysm coiling. This was followed by tailoring of medical management along with anti-inflammatory and disease-modifying drugs.Discussion: The diagnosis of Takayasu arteritis (TAK) in this case is supported by the patients' age, presentation, and imaging according to the new TAK classification criteria by the American College of Rheumatology/European League Against Rheumatism (EULAR) and emphasizes the potential benefits of a pharmaco-invasive approach for optimal outcomes.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380366","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

Single catheter ablation of atrioventricular node in a patient with dextrocardia and permanent atrial fibrillation via peripheral vascular access using remote magnetic navigation: a case report. 使用远程磁导航，通过外周血管通道对一名患有右心室和永久性心房颤动的患者进行房室结单导管消融术：病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-18 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae510

Pekka Raatikainen, Annukka Marjamaa, Heli Tolppanen, Jarkko Karvonen, Aapo Aro

{"title":"Single catheter ablation of atrioventricular node in a patient with dextrocardia and permanent atrial fibrillation via peripheral vascular access using remote magnetic navigation: a case report.","authors":"Pekka Raatikainen, Annukka Marjamaa, Heli Tolppanen, Jarkko Karvonen, Aapo Aro","doi":"10.1093/ehjcr/ytae510","DOIUrl":"10.1093/ehjcr/ytae510","url":null,"abstract":"Background: Cardiac interventions may be challenging in patients with congenital cardiac abnormalities. This case reports cardiac resynchronization therapy pacemaker (CRT-P) implantation and single catheter ablation of atrioventricular node (AVN) with remote magnetic navigation (RMN) via peripheral vascular access in a patient with Kartagener's syndrome and permanent atrial fibrillation (AF).Case summary: A 74-year-old male with situs inversus presented for treatment of permanent AF and severe heart failure. In echocardiography, left ventricular ejection fraction was 30%, and there was severe dyskinesia due to a left bundle branch block. After successful CRT-P implantation, we performed AVN ablation because biventricular (BiV) pacing was <75% despite maximal rate control medication. The ablation catheter was inserted from the right basilic vein, and no other catheters were used. Despite peripheral vascular access, manipulation of the ablation catheter with RMN was easy, and the ablation was successful. After the ablation, BiV pacing instantly increased to 100%, and left ventricular function and symptomatic status improved gradually.Conclusions: Cardiac resynchronization therapy pacemaker implantation and RMN-guided single catheter ablation of the AVN in a patient with dextrocardia via peripheral vascular access was effective and safe. The use of RMN and peripheral vascular access may offer important advantages also in other patient groups.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460951","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