Methodist DeBakey cardiovascular journal最新文献

Embolization Followed by Self-Repositioning of a CardioMEMS™ Wireless Pulmonary Artery Hemodynamic Monitoring Sensor Device. 栓塞后CardioMEMS™无线肺动脉血流动力学监测传感器装置的自我重新定位。

Methodist DeBakey cardiovascular journal Pub Date : 2026-04-16 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1765

Chloe Kharsa, Fatima Qamar, Joseph Elias, Karl Abou Zeid, Sachin S Goel, Joe Aoun

引用次数: 0

Anomalous Origin of the Vertebral Artery from Thyrocervical Trunk: A Rare Anatomical Variant. 甲状腺颈干椎动脉异常起源：一种罕见的解剖变异。

Methodist DeBakey cardiovascular journal Pub Date : 2026-04-06 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1810

Arun Sharma, Gurkawal Kaur, Mansi Verma, Manphool Singhal

引用次数: 0

Value of Myocardial Strain in Assessing Cardiac Masses: A Case Report. 心肌应变在评估心脏肿块中的价值：1例报告。

Methodist DeBakey cardiovascular journal Pub Date : 2026-04-02 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1768

Julianna West, Ihab Hamzeh, Jonathan You, Efstratios Koutroumpakis, Cezar Iliescu, Leslie Ynalvez, Hyeon-Ju Ali, Anita Deswal, Shaden Khalaf

引用次数: 0

Transient Cortical Blindness and Hemi-Spatial Neglect Following Watchman Device Implantation. 看守人装置植入后的短暂性皮质盲和半空间忽视。

Methodist DeBakey cardiovascular journal Pub Date : 2026-04-01 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1769

Mansunderbir Singh, Divleen Sidhu, Priyanka Anvekar, Shubhika Jain, Harnoor Katyal, Vijaywant Brar

{"title":"Transient Cortical Blindness and Hemi-Spatial Neglect Following Watchman Device Implantation.","authors":"Mansunderbir Singh, Divleen Sidhu, Priyanka Anvekar, Shubhika Jain, Harnoor Katyal, Vijaywant Brar","doi":"10.14797/mdcvj.1769","DOIUrl":"https://doi.org/10.14797/mdcvj.1769","url":null,"abstract":"A 66-year-old male with prior right middle cerebral artery stroke status post thrombectomy-as well as right internal carotid artery (ICA) stenting and chronic occlusion, paroxysmal atrial fibrillation, and hypertension-underwent left atrial appendage occlusion with a Watchman device for stroke prevention. Immediately following the procedure, he developed acute bilateral vision loss accompanied by headache and worsening left-sided weakness. Emergent computed tomography (CT) and CT angiography demonstrated no hemorrhagic stroke or new large-vessel occlusion and confirmed the previously known chronic right ICA occlusion. The patient was not a candidate for thrombolysis due to recent heparin exposure during his procedure, and thrombectomy was not pursued given the absence of any new large vessel occlusion. In the context of contrast exposure and negative initial imaging, contrast-induced cortical blindness was considered the leading diagnosis, with embolism, hypoperfusion, and post-stroke recrudescence as alternative considerations. This case highlights the diagnostic complexity of acute cortical blindness and hemispatial neglect following Watchman implantation. Mechanisms may include microembolic shower, transient hypoperfusion, seizure-related cortical dysfunction, post-stroke recrudescence, or contrast induced cortical blindness. Negative initial CT imaging should not preclude suspicion for ischemia, especially in patients with preexisting cerebrovascular compromise. Early magnetic resonance imaging and multidisciplinary coordination are essential.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 1","pages":"26-29"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624040","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

Intra-atrial Baffling of an Infradiaphragmatic Scimitar Vein without Circulatory Arrest. 无循环骤停的膈下弯状静脉房内阻塞。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-30 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1785

Marcell Székely, Valeria Duarte, Cindy Martin, Michael J Reardon, Andrea G Quarti

{"title":"Intra-atrial Baffling of an Infradiaphragmatic Scimitar Vein without Circulatory Arrest.","authors":"Marcell Székely, Valeria Duarte, Cindy Martin, Michael J Reardon, Andrea G Quarti","doi":"10.14797/mdcvj.1785","DOIUrl":"https://doi.org/10.14797/mdcvj.1785","url":null,"abstract":"Scimitar syndrome is a rare congenital anomaly characterized by anomalous right pulmonary venous drainage into the inferior vena cava, resulting in a left-to-right shunt. Surgical correction may be achieved by direct reimplantation of the scimitar vein or by intra-atrial baffling, which often requires deep hypothermic circulatory arrest. We report the case of a 47-year-old man with symptomatic scimitar syndrome and an infradiaphragmatic scimitar vein who underwent successful intra-atrial baffling without circulatory arrest. Preoperative imaging demonstrated a significant shunt with dilation of the right atrium and ventricle. Repair was performed using cardiopulmonary bypass with femoral venous cannulation and vacuum-assisted lower body venous drainage, allowing adequate visualization despite the challenging infradiaphragmatic localization of the anomalous vein without interruption of systemic perfusion. Postoperative echocardiography confirmed unobstructed pulmonary venous return with minimal gradient. The patient had an uneventful recovery and reported symptomatic improvement at 1-year follow-up. This case demonstrates that intra-atrial baffling of an infradiaphragmatic scimitar vein can be safely performed without circulatory arrest using vacuum-assisted venous drainage.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 1","pages":"22-25"},"PeriodicalIF":0.0,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13062751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677488","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

State of the Art in Pericardial Disease. 心包疾病的最新进展

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1805

Maan Malahfji

引用次数: 0

Effusive-Constrictive Pericarditis. Effusive-Constrictive心包炎。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1786

Jad Zeitoun, Yeva Fakih, Shahrukh Khan, Taha Jilani, Maan Malahfji

引用次数: 0

Evaluation and Management of Post-Cardiotomy Syndrome. 切开心脏后综合征的评价与处理。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1783

Massimo Imazio, Mariacristina Tomat

{"title":"Evaluation and Management of Post-Cardiotomy Syndrome.","authors":"Massimo Imazio, Mariacristina Tomat","doi":"10.14797/mdcvj.1783","DOIUrl":"10.14797/mdcvj.1783","url":null,"abstract":"Post-cardiac injury syndrome (PCIS) encompasses inflammatory pericardial syndromes occurring after cardiac injury, including post-pericardiotomy syndrome (PPS) following cardiac surgery, post-myocardial infarction (Dressler syndrome), and post-traumatic pericarditis. With the expanding use of cardiac surgical and interventional procedures, PCIS has become increasingly prevalent despite a marked decline in Dressler syndrome in the contemporary reperfusion era. The syndrome is believed to result from an immune-mediated inflammatory response to myocardial and pericardial injury, leading to pericarditis with associated pericardial and, often, pleural effusions. Clinical presentation typically occurs days to weeks after the inciting event and includes fever, pleuritic chest pain, elevated inflammatory markers, and imaging evidence of pericardial effusion. Early recognition is essential, as prompt treatment can relieve symptoms and prevent complications such as cardiac tamponade or progression to constrictive pericarditis. First-line therapy consists of high-dose aspirin or nonsteroidal anti-inflammatory drugs combined with colchicine, which accelerates symptom resolution and reduces recurrence. In refractory or recurrent cases, corticosteroids or interleukin-1 inhibitors, such as anakinra, are effective. Prophylactic colchicine administered around the time of cardiac surgery significantly reduces the incidence of post-pericardiotomy syndrome. This review summarizes current evidence and incorporates the 2025 European Society of Cardiology guidelines to guide optimal evaluation and management of PCIS.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 2","pages":"27-40"},"PeriodicalIF":0.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12985853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463946","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

Pericarditis in Patients with Autoimmune Disease: Insights into Prevalence and Optimal Management. 自身免疫性疾病患者心包炎：患病率和最佳管理的见解。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1780

Yeva Fakikh, SaraH Kazzaz, Maan Malahfji

引用次数: 0

Mechanistic Insights and Emerging Therapeutic Strategies in Recurrent Pericarditis. 复发性心包炎的机制见解和新兴治疗策略。

Methodist DeBakey cardiovascular journal Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1760

Mohammad A Alqahtani, Tom Kai Ming Wang, Allan L Klein

{"title":"Mechanistic Insights and Emerging Therapeutic Strategies in Recurrent Pericarditis.","authors":"Mohammad A Alqahtani, Tom Kai Ming Wang, Allan L Klein","doi":"10.14797/mdcvj.1760","DOIUrl":"10.14797/mdcvj.1760","url":null,"abstract":"Recurrent pericarditis is a heterogeneous and often debilitating inflammatory disorder characterized by recurrent flares following a symptom-free interval of at least 4 to 6 weeks. Although most cases in developed countries are idiopathic or post-viral, the condition may arise from autoimmune disease, post-cardiac injury syndromes, infection, or systemic inflammatory disorders. Traditional management with nonsteroidal anti-inflammatory drugs, colchicine, and corticosteroids has historically provided symptomatic relief but is limited by high recurrence rates, steroid dependence, and substantial morbidity. Over the past decade, growing recognition of the central autoinflammatory mechanisms-particularly NOD-like receptor 3 (NLRP3) inflammasome activation and interleukin (IL-1)-mediated signaling-has transformed the therapeutic approach to this condition. The introduction of IL-1 inhibitors, including anakinra and rilonacept, has reshaped contemporary practice by reducing recurrence rates, minimizing corticosteroid dependence, and establishing a precision-based approach to disease activity-guided therapy. The purpose of this review is to synthesize contemporary evidence surrounding the pathophysiology and evolving treatment paradigms for recurrent pericarditis, with a focus on novel targeted therapies.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 2","pages":"4-13"},"PeriodicalIF":0.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12985851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464012","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