European Heart Journal: Case Reports最新文献_第6页

Prophylaxis after contrast media-induced drug reaction with eosinophilia and systemic symptoms syndrome: our personal experience. 造影剂引起的药物反应后的预防措施与嗜酸性粒细胞增多症和全身症状综合征：我们的亲身经历。

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European Heart Journal: Case Reports Pub Date : 2024-09-17 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae514

Carola Griffith Brookles, Stefano Pizzimenti, Matteo Bianco

引用次数: 0

Silent severe aortic regurgitation due to blunt chest trauma: ignore it at your peril-a case report. 钝性胸部创伤导致的无声重度主动脉瓣反流：置之不理后果不堪设想--病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-17 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae499

Rafaella I L Markides, Ulrich P Rosendahl, Isabelle Roussin

{"title":"Silent severe aortic regurgitation due to blunt chest trauma: ignore it at your peril-a case report.","authors":"Rafaella I L Markides, Ulrich P Rosendahl, Isabelle Roussin","doi":"10.1093/ehjcr/ytae499","DOIUrl":"10.1093/ehjcr/ytae499","url":null,"abstract":"Background: Blunt chest trauma (BCT) presenting to the emergency department is common and may cause life-threatening cardiac complications. Whilst complications causing haemodynamic instability are generally detected promptly, others may present late with long-term consequences. We describe a rare, serious complication of BCT presenting five years after a road traffic accident (RTA).Case summary: A 23-year-old man was incidentally found to have a murmur. Past history was notable only for BCT with rib fracture sustained in a RTA 5 years prior. Examination revealed a hyperdynamic pulse, loud decrescendo diastolic murmur, and Duroziez's sign over the femoral arteries. Echocardiography showed severe valvular aortic regurgitation (AR) from a hole in the left coronary cusp and holodiastolic flow reversal in the descending aorta. The left ventricle (LV) showed marked dilatation in diastole, mild dilatation in systole, and preserved systolic function. The aorta was normal. Severe AR was attributed to his previous BCT, with AR causing subsequent LV dilatation. He underwent aortic valve replacement (AVR) with rapid recovery. He remains well, and his echo shows a well-functioning AVR with normalization of LV dimensions.Discussion: Aortic regurgitation following BCT is rare but well-recognized, most often resulting from RTAs. Only a third of cases are diagnosed acutely. In others, lack of haemodynamic instability means that emergency echocardiography is not routinely performed, such that this may go unrecognized with long-term consequences. Clinicians should be aware of possible valve damage following BCT. Prompt echocardiography should be routinely performed for all BCT at initial presentation, even without haemodynamic instability.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364923","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

Mechanical circulatory support as bridge to recovery in an 8-year-old girl with tachycardia-induced cardiomyopathy due to atypical atrioventricular nodal re-entrant tachycardia: a case report. 机械循环支持作为非典型房室结再发性心动过速诱发心肌病的 8 岁女孩康复的桥梁：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-17 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae509

Béatrice Susanne Kahl, Manfred Marx, Matthias Gass, Dominik Wiedemann, Ina Michel-Behnke

{"title":"Mechanical circulatory support as bridge to recovery in an 8-year-old girl with tachycardia-induced cardiomyopathy due to atypical atrioventricular nodal re-entrant tachycardia: a case report.","authors":"Béatrice Susanne Kahl, Manfred Marx, Matthias Gass, Dominik Wiedemann, Ina Michel-Behnke","doi":"10.1093/ehjcr/ytae509","DOIUrl":"10.1093/ehjcr/ytae509","url":null,"abstract":"Background: Incessant tachycardias can severely impair cardiac function, which is known as tachycardia-induced cardiomyopathy (TIC). The cornerstone of successful therapy is heart rate control. Otherwise, heart failure requiring mechanical circulatory support (MCS) and ultimately heart transplantation may evolve. We report a case of successful weaning from MCS after severe TIC due to the very rarely incessant atypical atrioventricular nodal re-entrant tachycardia (aAVNRT) with subsequent successful radiofrequency ablation (RFA).Case summary: An 8-year-old girl was transferred to our unit with severely impaired cardiac function and went into circulatory collapse, including cardiopulmonary resuscitation. Stabilization was possible only by MCS, first by venoarterial extracorporeal membrane oxygenation, switched to long-term MCS (Berlin Heart EXCOR® Pediatric). However, pharmacological control of heart rate allowed myocardial recovery and finally the device was successfully explanted. As TIC was causative for the cardiomyopathy, the patient underwent invasive electrophysiological mapping and subsequent curative ablation of an aAVNRT.Discussion: This case report describes technical considerations of both the special electrophysiological aspects of this rare tachycardia and the weaning protocol from a pulsatile ventricular assist device in a young child who finally recovered from TIC. Pharmacological heart rate control delayed curative RFA until explantation of the MCS.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461030","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

Rheumatic heart disease manifesting as mitral stenosis and tricuspid regurgitation in a young Asian male: a case report. 一名年轻亚裔男性表现为二尖瓣狭窄和三尖瓣反流的风湿性心脏病：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-17 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae500

Kyu-Yong Ko, Sung Eun Kim, Ji-Won Hwang, Sung Woo Cho, Jae-Jin Kwak

{"title":"Rheumatic heart disease manifesting as mitral stenosis and tricuspid regurgitation in a young Asian male: a case report.","authors":"Kyu-Yong Ko, Sung Eun Kim, Ji-Won Hwang, Sung Woo Cho, Jae-Jin Kwak","doi":"10.1093/ehjcr/ytae500","DOIUrl":"10.1093/ehjcr/ytae500","url":null,"abstract":"Background: Rheumatic heart disease (RHD) is a major global health issue because of its potential to cause heart failure. While RHD has been reported more frequently in women, this case report highlights the clinical manifestations, diagnosis, and management of rheumatic multivalvular disease in a young Asian male.Case summary: A 46-year-old Asian man with a history of percutaneous mitral valvuloplasty (PMV) was admitted with dyspnoea and generalized oedema that severely hindered his quality of life. Transthoracic and transoesophageal echocardiography revealed severe mitral stenosis, left atrial appendage (LAA) thrombus, and severe tricuspid regurgitation due to RHD. Following a comprehensive evaluation by a multidisciplinary team, we advised mitral valve replacement, LAA thrombectomy, and tricuspid valve annuloplasty based on the detailed imaging of the valve anatomy and the patient's low surgical risk. Surgical intervention led to considerable improvement in the patient's symptoms, enabling a return to routine activities.Discussion: This case highlights the chronic nature of RHD and its potential to cause heart failure. This report emphasizes the need for regular follow-up in patients with a history of RHD to detect potential complications and ensure timely management. The successful outcome in this case underscores the importance of a team-based approach for managing complex valvular heart disease.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364921","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

Dual-chamber leadless pacemaker in complex adult congenital heart disease: a case report. 双腔无导联起搏器治疗复杂的成人先天性心脏病：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-17 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae506

Ho Ting Abe Ngan, Davide Fabbricatore, William Regan, Eric Rosenthal, Tom Wong

{"title":"Dual-chamber leadless pacemaker in complex adult congenital heart disease: a case report.","authors":"Ho Ting Abe Ngan, Davide Fabbricatore, William Regan, Eric Rosenthal, Tom Wong","doi":"10.1093/ehjcr/ytae506","DOIUrl":"10.1093/ehjcr/ytae506","url":null,"abstract":"Background: Atrioventricular block is common with adult congenital heart disease and pacemaker implantation is challenging. Atrioventricular synchronous pacing is important for better haemodynamics. This case reports the implantation of a dual-chamber leadless pacemaker in a patient with univentricular heart physiology and contributes to the literature regarding the management option in complex adult congenital heart disease patients with conduction abnormalities.Case summary: A 25-year-old male with double inlet left ventricular, transposition of great arteries, hypoplastic aortic arch receive multiple surgeries including the Glenn shunt at the age of 1. He presented with 2:1 and 3:1 heart block at the age of 13 with a transvenous dual-chamber pacemaker implanted by pacing the superior vena cava stump and puncturing the Glenn shunt for the ventricular lead. A decade later, lead malfunctioned and the patient progressed to complete heart block. A subcutaneous implantable cardioverter defibrillator was implanted when he was 23 for monomorphic ventricular tachycardia. Given the anticipated challenges with transvenous lead extraction and epicardial pacemaker implantation, we implanted the novel dual-chamber leadless pacemakers which resulted in satisfactory atrioventricular synchronous pacing performance immediately post-op and 2 weeks after the procedure.Discussion: We present a case of a novel dual-chamber leadless pacemaker implantation to maintain atrioventricular synchrony in the patient with complete heart block and univentricular physiology. This case illustrates an additional pacing option in complex adult congenital heart to maintain atrioventricular synchrony.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11489873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461026","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

Case Report: the transcatheter extraction of an atrial mass (TEXAS) technique. 病例报告：经导管取出心房肿块（TEXAS）技术。

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European Heart Journal: Case Reports Pub Date : 2024-09-16 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae466

Umad Ahmad, Sastry Prayaga, Stephanie Kemp, Nilesh Goswami

{"title":"Case Report: the transcatheter extraction of an atrial mass (TEXAS) technique.","authors":"Umad Ahmad, Sastry Prayaga, Stephanie Kemp, Nilesh Goswami","doi":"10.1093/ehjcr/ytae466","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae466","url":null,"abstract":"Background: Intracardiac masses are historically treated with surgery. As percutaneous technologies continue to evolve, non-surgical techniques for mass removal may become options. We present a case of a woman with a large right atrial mass that was percutaneously removed en bloc without surgery.Case summary: A 77-year-old woman presents with a 40 mm right atrial mass. The mass was increasing in size, and she preferred to avoid surgical removal. The tumour was removed percutaneously from the femoral vein using a large suction cannula in combination with transection of the stalk using an electrified snare. The case was complicated by a haemopericardium that was treated successfully by injecting a haemostatic matrix into the pericardial space. The pathology returned papillary fibroelastoma.Discussion: The TEXAS technique used to remove the right atrial mass in this case is a modification of a previously described technique (SEATTLE procedure). Using this method, we were able to remove a 40 mm tumour from the right atrium without surgery. This is the largest reported intracardiac tumour that has been removed en bloc percutaneously. Percutaneous removal of right atrial tumours appears feasible, although this may be limited to smaller tumours based on the results of our case.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11425430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344056","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

Turning the corner in a one-stop-shop: protected ventricular tachycardia ablation and pulmonary vein isolation in late-stage heart failure. 一站式服务的转折点：晚期心力衰竭患者的保护性室性心动过速消融术和肺静脉隔离术。

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European Heart Journal: Case Reports Pub Date : 2024-09-16 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae484

Stephan Winnik, Martin Braun, Mustapha El Hamriti, Christian Sohns

引用次数: 0

A case of Libman-Sacks endocarditis in a patient with systemic lupus erythematosus and antiphospholipid syndrome. 一例患有系统性红斑狼疮和抗磷脂综合征的利伯曼-萨克斯心内膜炎患者。

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European Heart Journal: Case Reports Pub Date : 2024-09-16 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae503

Adam Bowden, Ronan Walsh, Ross Murphy, Donal Sexton

引用次数: 0

First-in-human intravascular polarimetric signatures of superficial femoral artery in-stent restenosis lesion. 股浅动脉支架内再狭窄病变的首次人体血管内偏振测量特征。

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European Heart Journal: Case Reports Pub Date : 2024-09-14 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae498

Takenobu Shimada, Kenichiro Otsuka, Naoki Fujisawa, Takanori Yamazaki

引用次数: 0

A case report of critical aortic stenosis diagnosed utilizing non-imaging continuous wave Doppler probe. 利用非成像连续波多普勒探头诊断出主动脉严重狭窄的病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-14 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae501

Edward D Shin, Eugene Fan

{"title":"A case report of critical aortic stenosis diagnosed utilizing non-imaging continuous wave Doppler probe.","authors":"Edward D Shin, Eugene Fan","doi":"10.1093/ehjcr/ytae501","DOIUrl":"10.1093/ehjcr/ytae501","url":null,"abstract":"Background: Aortic stenosis (AS) is the most commonly acquired valvular pathology in the western world. Aortic stenosis severity is typically evaluated with Doppler echocardiography. Evaluation of aortic gradients using standard Doppler echocardiography from the apical window may underestimate the true gradient due to misalignment of blood flow to the ultrasound beam and is often better evaluated from other imaging windows using a non-imaging continuous wave Doppler (NI-CWD) probe. Herein, we describe a unique case of AS being underestimated by dynamic acoustic shadowing from the apical window rather than beam misalignment.Case summary: The patient is a Hispanic 31-year-old male with a congenital bicuspid aortic valve who underwent a balloon aortic valvuloplasty at age 13. At age 31, the patient underwent a repeat transthoracic echocardiogram (TTE) that was largely unchanged from his prior TTE from 15 years prior. Notably on this TTE, there was acoustic shadowing of colour Doppler in the distal left ventricular outflow tract and aortic valve during systole. While gradients only suggested moderate AS, the degree of left ventricular hypertrophy was suspicious for more severe AS. Only by using the NI-CWD probe at the right sternal border were we able to identify very severe AS with a peak velocity of 6.5 m/s and a mean gradient of 100 mmHg.Discussion: In our specific case, dynamic acoustic shadowing of the aortic valve from the apical window obscured both imaging and Doppler signals. This acoustic shadowing was not present from the right sternal border with the NI-CWD probe, leading to an over 100% increase in aortic valve peak velocity and proper correction of AS severity. This allowed for expedited care and underscores the importance of such techniques.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364920","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