European Heart Journal: Case Reports最新文献

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Acute myocarditis and haemoptysis in an adult with human bocavirus monoinfection: a case report. 一例感染人类博卡病毒的成人急性心肌炎和咯血病例报告。
IF 0.8
European Heart Journal: Case Reports Pub Date : 2024-09-06 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae480
Iulia Tustiu, Sara Woods, Jennifer Lee, Orla Buckley, David Moore
{"title":"Acute myocarditis and haemoptysis in an adult with human bocavirus monoinfection: a case report.","authors":"Iulia Tustiu, Sara Woods, Jennifer Lee, Orla Buckley, David Moore","doi":"10.1093/ehjcr/ytae480","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae480","url":null,"abstract":"<p><strong>Background: </strong>Bocavirus monoinfection-related acute myocarditis is an aetiology that has rarely been described in the literature.</p><p><strong>Case summary: </strong>A 36-year-old male, with no significant medical history, presented to the emergency department with a 4-day history of dyspnoea, haemoptysis, left-sided chest pain, and high-grade pyrexia. The initial investigations revealed a raised troponin T, raised C-reactive protein, and a normal electrocardiogram. A comprehensive microbiological and virological work-up (testing for 14 viruses and bacteria) detected human bocavirus (HBoV) DNA monoinfection. Cardiac magnetic resonance imaging showed left ventricular ejection fraction of 48%, with subepicardial late gadolinium enhancement. Other imaging modalities (chest X-ray, echocardiography, computed tomography pulmonary angiography, and bronchoscopy) revealed no other causative pathology. The patient was treated with anti-inflammatory medications and left ventricle remodelling therapy. He had a good clinical outcome. Moreover, a collateral history revealed that the patient's infant had presented with a severe respiratory illness, which was felt to be of viral aetiology, several days prior to the patient's own onset of symptoms.</p><p><strong>Discussion: </strong>To our knowledge, this is the fourth case of HBoV-related acute myocarditis in an immunocompetent adult. This case also displays new clinical features for HBoV infection-haemoptysis, high-grade pyrexia, and a potential for vertical transmission from infants.</p>","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11495484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497433","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 and challenging finding regarding the tricuspid valve: case report, clinical considerations, and practical management. 关于三尖瓣的一个不常见且具有挑战性的发现:病例报告、临床考虑因素和实际处理方法。
IF 0.8
European Heart Journal: Case Reports Pub Date : 2024-09-06 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae474
Edoardo Sciatti, Raul Limonta, Salvatore D'Isa, Vincenzo Duino, Michele Senni
{"title":"An uncommon and challenging finding regarding the tricuspid valve: case report, clinical considerations, and practical management.","authors":"Edoardo Sciatti, Raul Limonta, Salvatore D'Isa, Vincenzo Duino, Michele Senni","doi":"10.1093/ehjcr/ytae474","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae474","url":null,"abstract":"<p><strong>Background: </strong>The differential diagnosis of tricuspid masses remains challenging.</p><p><strong>Case summary: </strong>This case involves the incidental detection of a lesion with a non-solid appearance, exhibiting the characteristic 'finger-in-glove' and 'garland-like' morphology, resembling a blind-ended protrusion of the tricuspid leaflet. This presentation is consistent with a tricuspid valve aneurysm, without significant associated stenosis or regurgitation.</p><p><strong>Discussion: </strong>Given the lesion's morphological features, the patient's asymptomatic status, and the absence of a precipitating event suggestive of an alternative diagnosis, we concluded that the most likely diagnosis is aseptic tricuspid valve aneurysm. Following a multidisciplinary heart team discussion, surgical intervention was deemed unnecessary.</p>","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282377","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
Large left ventricular outflow tract mass in a young patient: uncommon presentation of a common disease! A case report. 年轻患者左心室流出道大肿块:常见病的罕见表现!病例报告。
IF 0.8
European Heart Journal: Case Reports Pub Date : 2024-09-06 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae387
Shivam Goel, Pradeep Ramakrishnan, Sreelal Variar, Sudheer Kumar Arava, Sourabh Agstam
{"title":"Large left ventricular outflow tract mass in a young patient: uncommon presentation of a common disease! A case report.","authors":"Shivam Goel, Pradeep Ramakrishnan, Sreelal Variar, Sudheer Kumar Arava, Sourabh Agstam","doi":"10.1093/ehjcr/ytae387","DOIUrl":"10.1093/ehjcr/ytae387","url":null,"abstract":"<p><strong>Background: </strong>Infective endocarditis (IE) predominantly involves the cardiac valves. Timely diagnosis and initiation of therapy significantly reduce morbidity and mortality. Infective endocarditis presenting as a large left ventricular outflow tract (LVOT) mass is an atypical manifestation that provides significant challenges to the treating team.</p><p><strong>Case summary: </strong>A 19-year-young male presented with exertional shortness of breath, palpitations, and presyncope for 4 months with constitutional symptoms for the last 6 months. Two-dimensional echocardiogram showed a large LVOT mass arising from the mitral aortic intervalvular fibrosa causing dynamic severe aortic valve obstruction, moderate aortic regurgitation, and severe mitral regurgitation. He was managed on lines of IE and received intravenous antibiotics. In view of worsening heart failure and cardiogenic shock, he underwent mass excision, mechanical aortic valve replacement, and mitral valve repair. Histopathology confirmed it as vegetation. He was discharged and is doing well at 2-month follow-up.</p><p><strong>Discussion: </strong>An atypical presentation of IE as a large LVOT mass was observed in this young male. Sound clinical judgement, judicious use of ancillary imaging, and a multidisciplinary approach ensured timely diagnosis and appropriate treatment. Management included appropriate intravenous antibiotics followed by surgery.</p>","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142153469","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
Bradycardia-induced heart failure with preserved ejection fraction successfully treated with empagliflozin and theophylline: a case report. 用恩格列净和茶碱成功治疗心动过缓诱发的射血分数保留型心力衰竭:一份病例报告。
IF 0.8
European Heart Journal: Case Reports Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae481
Dino Miric, Marina Juric Paic, Josip Andelo Borovac
{"title":"Bradycardia-induced heart failure with preserved ejection fraction successfully treated with empagliflozin and theophylline: a case report.","authors":"Dino Miric, Marina Juric Paic, Josip Andelo Borovac","doi":"10.1093/ehjcr/ytae481","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae481","url":null,"abstract":"<p><strong>Background: </strong>The SGLT2 inhibitor empagliflozin has recently gained approval for treating heart failure (HF) across the entire spectrum of ejection fractions including heart failure with preserved ejection fraction (HFpEF). Bradycardia-induced HF, previously described in the literature as bradycardiomyopathy, is an uncommon cause of HFpEF.</p><p><strong>Case summary: </strong>Herein, we describe a case of a young, 32-year-old woman with no prior medical history who was referred to the hospital due to progressive fatigue and exercise intolerance. She exhibited junctional bradycardia and sinus node dysfunction on electrocardiographic examination, was hypotensive, and had significantly elevated NT-proBNP levels at admission. Transthoracic echocardiographic examination (TTE) revealed preserved systolic function of the left ventricle with segmental abnormalities of contractility and reduced global longitudinal strain, indicative of HFpEF. Cardiac magnetic resonance imaging showed hypertrabeculations, suggesting noncompaction cardiomyopathy (NCCM), even though the definitive diagnostic criteria for NCCM were not met. The patient reported no recent episodes of fever and no chest pain. A comprehensive panel for cardiotropic viruses and Lyme disease were negative while infiltrative diseases such as sarcoidosis were clinically ruled out. Coronary angiography excluded coronary artery disease. Due to profound hypotension and bradycardia, we prescribed empagliflozin and theophylline. At the subsequent follow-up visit within 1 month, the patient reported that she was asymptomatic, with restored sinus rhythm, and complete normalization of NT-proBNP values.</p><p><strong>Discussion: </strong>Bradycardia-induced HFpEF is a rare entity that can limit the use of most cardiovascular pharmacotherapies but can be successfully treated with empagliflozin and theophylline as demonstrated in our case.</p>","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282381","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 haemostasis for persistent bleeding from a saphenous vein graft needle hole identified by negative contrast echocardiography using intravascular ultrasound: a case report. 利用血管内超声进行阴性对比超声心动图检查发现大隐静脉移植针孔持续出血,成功止血:病例报告。
IF 0.8
European Heart Journal: Case Reports Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae479
Shun Nishino, Nehiro Kuriyama, Chiharu Nishino, Yoshisato Shibata
{"title":"Successful haemostasis for persistent bleeding from a saphenous vein graft needle hole identified by negative contrast echocardiography using intravascular ultrasound: a case report.","authors":"Shun Nishino, Nehiro Kuriyama, Chiharu Nishino, Yoshisato Shibata","doi":"10.1093/ehjcr/ytae479","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae479","url":null,"abstract":"","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11413575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282339","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
Severe aortic valve regurgitation in patient with Takayasu arteritis: a case report. 高安动脉炎患者的严重主动脉瓣反流:病例报告。
IF 0.8
European Heart Journal: Case Reports Pub Date : 2024-09-04 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae473
Vasiliki Tassi, Dimitrios Tzalas, Elektra Papadopoulou, Athanasios Trikas
{"title":"Severe aortic valve regurgitation in patient with Takayasu arteritis: a case report.","authors":"Vasiliki Tassi, Dimitrios Tzalas, Elektra Papadopoulou, Athanasios Trikas","doi":"10.1093/ehjcr/ytae473","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae473","url":null,"abstract":"<p><strong>Background: </strong>Takayasu arteritis (TAK) is a systemic non-inflammatory vasculitis that primarily affects large- and medium-sized arteries.</p><p><strong>Case summary: </strong>We report the case of a 57-year-old woman with a history of coronary artery bypass grafting (CABG) 7 years prior, who was referred for a stress echo due to chest pain. Transthoracic echocardiography revealed the left ventricle at the upper limits of normal with preserved contractility, as well as circumferential thickening of the aortic root, causing severe aortic regurgitation (AR). Cardiac computed tomography and angiography demonstrated diffuse thickening of the aortic wall from the aortic root to the descending thoracic aorta, extending to the left carotid artery and significant stenosis of the left subclavian artery. Coronary angiography showed severe narrowing of the left main coronary ostium with ostial stenosis and total occlusion of the right coronary and left internal mammary arteries. Magnetic angiography highlighted thickening of the aortic wall, while no active inflammation was detected on positron emission tomography. These findings suggested Takayasu aortitis with chronic inflammation.</p><p><strong>Discussion: </strong>In young patients, particularly women, who present with angina and coronary ostial stenosis, Takayasu arteritis should be considered in the differential diagnosis. Aortic regurgitation (AR) is a serious complication, and its surgical management can be challenging.</p>","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11420678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344060","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
Pulmonary embolism due to an intracardiac thrombosis in a patient affected by Behçet's disease: a case report. 贝赫切特病患者心内血栓导致的肺栓塞:病例报告。
IF 0.8
European Heart Journal: Case Reports Pub Date : 2024-09-03 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae467
Valeria Ambrosino, Francesca De Marco, Gabriele Valli, Maria Pia Ruggieri, Sergio Morelli
{"title":"Pulmonary embolism due to an intracardiac thrombosis in a patient affected by Behçet's disease: a case report.","authors":"Valeria Ambrosino, Francesca De Marco, Gabriele Valli, Maria Pia Ruggieri, Sergio Morelli","doi":"10.1093/ehjcr/ytae467","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae467","url":null,"abstract":"<p><strong>Background: </strong>Behçet's disease is an inflammatory condition, caused by vasculitis of big and small veins and arteries in which, although vascular inflammation is the basis of disease, cardiac involvement is rare. We present a rare case of a man, affected by Behçet's disease, with pulmonary embolism due to a floating thrombus in the right ventricle.</p><p><strong>Case summary: </strong>We report a case of a 36-year-old man admitted to emergency department due to dyspnoea and haemoptysis. He had already been diagnosed with Behçet's disease, and he was in therapy with low doses of azathioprine and prednisone from three months. Thorax CT scan detected pulmonary embolism with pulmonary infraction. No evidence of deep vein thrombosis was found. The echocardiogram pointed out a floating mass of at least 30 mm in the right ventricle. Cardiac magnetic resonance confirmed the diagnosis of right ventricle thrombosis. On the hypothesis of an inflammatory genesis of the thrombosis, immunosuppressive drugs and anticoagulation with vitamin K antagonist were prescribed. The patient underwent echocardiograms every 3 weeks, and the mass disappeared 5 months later.</p><p><strong>Discussion: </strong>Behçet's disease is a systemic inflammatory disorder that often affects vessels and rarely the heart. Thrombosis can be the only clinical feature of primary or relapsing events with also atypical origin site. Thrombosis suggests a high inflammatory status that needs to be balanced with the right immunosuppressive therapy, associated to anticoagulation.</p>","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282335","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
Blood culture-negative Haemophilus endocarditis with large vegetation and the role of bronchoalveolar lavage: a case report. 血培养阴性、伴有大面积植被的心内膜炎嗜血杆菌与支气管肺泡灌洗的作用:病例报告。
IF 0.8
European Heart Journal: Case Reports Pub Date : 2024-09-03 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae464
Samaksha Pant, Sébastien Colombier, Nadège Lambert, Dominique Delay, Grégoire Girod
{"title":"Blood culture-negative <i>Haemophilus</i> endocarditis with large vegetation and the role of bronchoalveolar lavage: a case report.","authors":"Samaksha Pant, Sébastien Colombier, Nadège Lambert, Dominique Delay, Grégoire Girod","doi":"10.1093/ehjcr/ytae464","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae464","url":null,"abstract":"<p><strong>Background: </strong>Blood culture-negative endocarditis (BCNE) is a significant condition associated with cardiac vegetation. It often occurs alongside sepsis, auto-immune diseases, or malignancies, posing a risk of vegetation and embolization. Notable pathogens include <i>Haemophilus</i> species, <i>Cardiobacterium hominis</i>, <i>Eikenella corrodens</i>, and <i>Kingella</i> species.</p><p><strong>Case summary: </strong>A 60-year-old white male Belgian patient presented with worsening dyspnoea. His recent medical history included chronic infections over the past 6 months. Transthoracic echocardiography revealed severe aortic stenosis with an 18 × 12 mm vegetation. Despite normal inflammatory markers and negative blood tests, 18F-fluorodeoxyglucose positron emission tomography with computed tomography excluded malignancy but identified multiple bilateral septic lung emboli. Sputum cultures and tuberculosis polymerase chain reaction (PCR) were negative. Facing the high risk of cardiac embolization and the need for aortic valve replacement, surgery was scheduled with an intraoperative bronchoalveolar lavage (BAL) to investigate the lung lesions. Intraoperative findings confirmed valvular lesions, and a biological aortic valve was successfully implanted. The post-operative course was uneventful. Aortic valve cultures and eubacterial PCR results were negative, but BAL cultures were positive for <i>Haemophilus influenzae</i>, indicating a chronic infection. The patient showed favourable progress at 6 months post-surgery with ongoing antibiotherapy.</p><p><strong>Discussion: </strong>This case illustrates a rare BCNE associated with large vegetation and symptomatic <i>H. influenzae</i> chronic respiratory tract colonization (CRTC). For BCNE cases with negative sputum cultures and suspected bacterial CRTC, we recommend performing BAL cultures for accurate diagnosis.</p>","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142389035","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
Resection of a giant right coronary artery aneurysm and reconstruction with a saphenous vein graft: a 20-year follow-up-case report. 切除巨大右冠状动脉动脉瘤并用大隐静脉移植进行重建:20 年随访病例报告。
IF 0.8
European Heart Journal: Case Reports Pub Date : 2024-09-03 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae357
Joshua Halyckyj-Smith, David Rose
{"title":"Resection of a giant right coronary artery aneurysm and reconstruction with a saphenous vein graft: a 20-year follow-up-case report.","authors":"Joshua Halyckyj-Smith, David Rose","doi":"10.1093/ehjcr/ytae357","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae357","url":null,"abstract":"<p><strong>Background: </strong>Coronary artery aneurysms (CAAs) are uncommon and can cause complications such as thrombosis, vessel rupture, or distal embolization. Rarely, CAAs are classified as 'giant', although the defining diameter is debated. The predominant cause of CAAs is atherosclerotic disease. Independently, CAAs constitute an estimated 5-year survival of 71%.</p><p><strong>Case summary: </strong>We report the case of a 56-year-old female who presented 20 years ago with a chest infection when a murmur was auscultated on examination. Subsequently, a coronary angiogram was performed, demonstrating an extensive aneurysm of the right coronary artery (RCA). The aneurysmal segment of the RCA was resected, and a length of saphenous vein was utilized in its reconstruction. Twenty years later, the patient re-presented with dyspnoea, indicating repeat investigations; coronary angiography demonstrated a vein graft 20 years post-reconstruction that is almost indistinguishable from a native RCA.</p><p><strong>Discussion: </strong>The optimal management strategy for CAAs is debatable, and there are no clear guidelines. However, surgical management is generally preferred in cases of GCAAs, which was also the case for this patient. This reconstruction procedure, involving resection of the aneurysmal segment of the RCA and reconstruction with a saphenous vein graft, proved to be a durable and reliable approach, with the saphenous vein graft remaining patent for over 20 years. The 20-year follow-up provides valuable insight into the long-term durability of surgical intervention, allowing for comprehensive assessment of the durability and reliability of this procedure.</p>","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142389037","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
Transcatheter aortic valve replacement before to breast cancer management: case report and literature review. 乳腺癌治疗前的经导管主动脉瓣置换术:病例报告和文献综述。
IF 0.8
European Heart Journal: Case Reports Pub Date : 2024-09-03 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae475
Heberto Aquino-Bruno, Roberto Muratalla-González, Juan F Garcia-Garcia, Julieta D Morales-Portano, Gabriela Meléndez-Ramírez, Yusihey Ahu-Chandomi, Jose A Merino-Rajme, Marco A Alcantara-Meléndez
{"title":"Transcatheter aortic valve replacement before to breast cancer management: case report and literature review.","authors":"Heberto Aquino-Bruno, Roberto Muratalla-González, Juan F Garcia-Garcia, Julieta D Morales-Portano, Gabriela Meléndez-Ramírez, Yusihey Ahu-Chandomi, Jose A Merino-Rajme, Marco A Alcantara-Meléndez","doi":"10.1093/ehjcr/ytae475","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae475","url":null,"abstract":"<p><strong>Background: </strong>The coexistence of aortic stenosis (AS) and neoplastic pathology are common due to shared risk factors with atherosclerotic disease, such as diabetes, inflammatory conditions, and smoking. Severe AS in patients with cancer requires careful assessment in order to select the appropriate therapeutic choices and their timing (i.e. valve treatment first vs. cancer treatment first).</p><p><strong>Case summary: </strong>A 66-year-old woman with a history of smoking was admitted to our centre due to heart failure (HF). During her hospitalization, severe AS with severe ventricular dysfunction and cancer were documented. Because of her severe heart disease, she was unable to receive antineoplastic treatment. Therefore, she underwent percutaneous surgery to treat the aortic valve. After that, the management of cancer became possible, which included bilateral radical mastectomy and chemotherapy.We are presenting a case of cancer coexisting with aortic stenosis and reduced left ventricle ejection fraction. In this case, we performed Transcatheter Aortic Valve Replacement (TAVR) with the aim of improving the ejection fraction, followed by chemotherapy.</p><p><strong>Discussion: </strong>Cancer patients may be further disadvantaged by AS if it interferes with their treatment by increasing the risk associated with oncologic surgery and compounding the risks associated with cardiotoxicity and HF. Clinical trials and guidelines on TAVR exclude cohorts with limited life expectancy. Hence, the correct and optimal care for cancer patients with severe AS is complex. The TAVR, for cancer patients with severe AS, can more frequently be the best clinical choice by avoiding cardiopulmonary bypass, minimal invasiveness, and therefore, shorter recovery time.</p>","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11407282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282342","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
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