F. Kaddari, H. Rouam, Y. Eshaq, M. Eljamili, M. Elhattaoui
{"title":"Arrhythmogenic Right Ventricular Dysplasia Presenting with Sustained Ventricular Tachycardia: A Case Report","authors":"F. Kaddari, H. Rouam, Y. Eshaq, M. Eljamili, M. Elhattaoui","doi":"10.9734/ca/2023/v12i4384","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4384","url":null,"abstract":"Arrhythmogenic right ventricular dysplasia (ARVD) is a cardiomyopathy characterized pathologically by fibrofatty tissue replacement of the myocyte of the right ventricle (RV) and clinically by life-threatening ventricular arrhythmias in young people. It is a major cause of sudden death. We present the case of a 60-year-old man with cardiovascular risk factors, was admitted for unstable ventricular tachycardia (VT) treated immediately with synchronized cardioversion. After the stabilization of the patient, Electrocardiogram demonstrated an epsilon wave in precordial leads and diffuse T-wave inversions. Transthoracic echocardiography revealed a dilated, hypokinetic right ventricle with moderately reduced function and a focal area of dyskinesia. The diagnosis of arrhythmogenic right ventricular dysplasia (ARVD) was made and an implantable cardioverter defibrillator (ICD) was indicated for secondary prevention. This case report will present the clinical presentation, diagnosis and management of this rare disease.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138963693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Duras, E. Çilsal, Hacer Kamalı, Murat Sahin, A. Guzeltas
{"title":"Bridge to Surgery with Pulmonary Valve Perforation and Right Ventricular Outflow Tract Stenting in an Infant with PA-VSD","authors":"E. Duras, E. Çilsal, Hacer Kamalı, Murat Sahin, A. Guzeltas","doi":"10.9734/ca/2023/v12i4383","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4383","url":null,"abstract":"Pulmonary atresia (PA) with ventricular septal defect (VSD) is a rare congenital heart disease. Blood flow to pulmonary arteries is provided by patent ductus arteriosus or major aorto-pulmonary collateral arteries (MAPCAs). Palliative interventions are required to maintain the blood supply to the pulmonary arteries in order to achieve for the complete surgical repair. In this case report, we present a patient who underwent pulmonary valve perforation and right ventricular outflow tract (RVOT) stenting as an alternative to a systemic-pulmonary artery shunt (SPS). Subsequently, surgical repair was performed ten months later.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"44 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138967022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Abdalani, M. Njie, P. M. Mulendelé, A. Zouad, M. Haboub, G. M. Benouna, A. Drighil, R. Habbal
{"title":"Non-traumatic Subcapsular Hematoma of the Liver in a Patient under Rivaroxaban: A Rare Clinical Occurrence","authors":"B. Abdalani, M. Njie, P. M. Mulendelé, A. Zouad, M. Haboub, G. M. Benouna, A. Drighil, R. Habbal","doi":"10.9734/ca/2023/v12i4382","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4382","url":null,"abstract":"Direct oral anticoagulants are used in the management and prophylaxis of venous thromboembolism (VTE) and other thrombotic diseases including non-valvular atrial fibrillation. The most serious complication of DOAC agents is bleeding, dominated by gastrointestinal hemorrhages, even if the bleeding risk is much rarer compared to VKA therapy. DOACs are sometimes linked to hepatotoxicity which can sometimes lead to severe hepatocellular insufficiency and also to non-hemorrhagic gastrointestinal disorders. We present a rare clinical entity of a spontaneous subcapsular hematoma of the liver in patient diagnosed with thrombosis of the right internal jugular vein treated with rivaroxaban, undergoing chemotherapy and hormonotherapy after surgery for breast cancer. The diagnosis was confirmed by imagery (abdominal CT scan) after clinical manifestation of an onset pain at the right hypochondrium of the abdomen. Conservative treatment was used in the patient with close follow up after hospital discharge.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"40 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138967077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sofia Bezza, Assala Cherki, Mohammed Eljamilia, S. Karimi, M. Elhattaoui
{"title":"An Exceptional Cardiac Myxoma Case Defying Convention","authors":"Sofia Bezza, Assala Cherki, Mohammed Eljamilia, S. Karimi, M. Elhattaoui","doi":"10.9734/ca/2023/v12i4381","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4381","url":null,"abstract":"Background: Cardiac myxomas, the most common primary heart neoplasms, primarily originate in the left atrium and carry the potential for serious complications, including mitral valve obstruction and embolic events. Here, we report a rare case of a left atrial myxoma leading to complete atrioventricular block. \u0000Objectives: through this case we aim to highlight the variety and complexity of cardiac myxomas \u0000Observation: A 60-year-old male, with no history of diabetes or hypertension, presented with exertional dyspnea (NYHA class III), lipothymia, and a diastolic murmur in the mitral area. Extensive evaluation revealed a third-degree atrioventricular block. Urgent surgery successfully removed the myxoma, and a permanent pacemaker was implanted postoperatively. The patient had an uneventful recovery and improved during follow-up. \u0000Discussion: Cardiac myxomas are rare, accounting for approximately 0.2% of all neoplasms. Clinical presentations vary, with many patients remaining asymptomatic until complications occur. Echocardiography is essential for detection, while electrocardiographic abnormalities may provide diagnostic insights. Surgical removal is the standard treatment, emphasizing the importance of timely intervention. \u0000Conclusion: Cardiac myxomas present a diverse clinical spectrum, highlighting the need for timely detection and intervention. Surgical removal remains crucial to prevent complications and secure favorable patient outcomes.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139002631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sofia Bezza, Halima El Jazouli, Fadwa Haffane, M. Eljamili, S. Karimi, M. Hattaoui
{"title":"Late Manifestation of Congenital Heart Disease: Right-side Infective Endocarditis and the Mystery of the Unseen Ventricular Septal Defect: Case Report","authors":"Sofia Bezza, Halima El Jazouli, Fadwa Haffane, M. Eljamili, S. Karimi, M. Hattaoui","doi":"10.9734/ca/2023/v12i4380","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4380","url":null,"abstract":"Infective endocarditis (IE) is a severe complication in patients with congenital heart disease. However, CHD-associated mortality has decreased to 10% because of improvements in the diagnosis of infective endocarditis, antibiotic therapy, cardiac surgery, and interventional procedures. Herein, we aimed to illustrate a case of right-sided infective endocarditis associated with an unknown ventricular septal defect, complicated by septic pulmonary emboli as a rare form of delayed presentation of congenital heart disease. \u0000The significant occurrence of infective endocarditis prompts the need for additional investigations into the current utilization, necessity, and effectiveness of antibiotic prophylaxis in patients with congenital heart disease (CHD).","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"404 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138974127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Killing Two Birds in One Stone-Percutaneous Treatment of a Large ASD and Pulmonary Stenosis in the Same Setting in an Adult Patient-a Case Report.","authors":"K. Munde, S. Jalkote, J. Niari","doi":"10.9734/ca/2023/v12i4379","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4379","url":null,"abstract":"Pulmonary stenosis (PS) associated with a huge ostium secundum Atrial septal defect (ASD) is relatively uncommon. In such condition, a significant left-to-right shunt across ASD is prevented by significant obstruction at pulmonary valve level and hence it protects the pulmonary bed until adulthood. Transcatheter intervention is the treatment of choice when they occur separately but when they occur together, ideal treatment option is not clear. As per literature, percutaneous transcatheter pulmonary valvuloplasty was performed first, followed by transcatheter closure of the secundum atrial septal defect. We report a case of combined ASD (Atrial septal defect) with moderate PS (Pulmonary stenosis), where we performed percutaneous BPV. (Balloon Pulmonary Valvuloplasty) with Inoue balloon first followed by transcatheter ASD device closure in the same setting.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139236285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Njie, Y. Toukami, P. M. Mulendelé, H. Charif, Haboub, S. Arous, G. M. Benouna, A. Drighil, R. Habbal
{"title":"Cardiac Papillary Fibroelastoma, an Unusual Localization in an Asymptomatic Patient with Lieberkühn Type Adenocarcinoma of the Rectum: A Case Report","authors":"M. Njie, Y. Toukami, P. M. Mulendelé, H. Charif, Haboub, S. Arous, G. M. Benouna, A. Drighil, R. Habbal","doi":"10.9734/ca/2023/v12i4378","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4378","url":null,"abstract":"Cardiac papillary fibroelastoma is histologically a benign endocardial neoplasm. Though CPF has long been reported as the second most common primary cardiac neoplasm, it has since been pulled ahead of cardiac myxomas, largely due to evolving cardiac imaging modalities. We present a case of CPF originating from an unusual localization; the junction of the posterior mitral valve and endocardium of the left ventricle measuring 15 x 20mm, which was detected by a routine pre-evaluation transthoracic echocardiography before chemotherapy and treated by surgical mass excision in an asymptomatic female patient diagnosed with a Lieberkühn type adenocarcinoma of the rectum with a locoregional extension.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"21 2-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139262286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Naaim, M. Ztati, M. Eljamili, S. EL Karimi, M. EL Hattaoui
{"title":"The Effect of Exercise on Cold-Induced Neurovegetative Dysautonomia Blindness","authors":"M. Naaim, M. Ztati, M. Eljamili, S. EL Karimi, M. EL Hattaoui","doi":"10.9734/ca/2023/v12i4377","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4377","url":null,"abstract":"The autonomic nervous system (ANS) is responsible for regulating heart rate and blood pressure and maintaining homeostasis during physiological stresses. Nervous dysautonomias are often observed in patients presenting cardiovascular symptoms. Despite that, other important but less known conditions can be encountered. We report the case of a 19-year-old young man who presented for blindness occurring in the cold and improving with exercise. Investigations revealed neurovegetative dysautonomia with significant vagal hyperactivity associated with central B-sympathetic hyperactivity. Our patient received treatment based on hygienic and dietary measures with a combination of an anti-hypotensive drug such as Etilefrine. 2 months later, a re-evaluation showed a clear improvement, confirmed during the control neurovegetative exploration but also during the ophthalmological examination.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"53 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134902329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Two Swords in the Storm: Parvovirus B19 and COVID-19 Clash in a Myocardial Mayhem of Arrhythmias","authors":"Shaikh A. Khalil A. Khalikh, Kalyan S. Munde","doi":"10.9734/ca/2023/v12i4376","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4376","url":null,"abstract":"Myocarditis can be caused by a variety of infectious and non-infectious illnesses [1]. Although viral infection remains the most commonly identified cause of myocarditis, the role of parvovirus B19 (B19V) from the Erythrovirus genus in the pathogenesis of myocarditis has been identified as a potentially important contributor to myocarditis because of the high prevalence of Parvovirus B 19 (B19V) DNA in hearts of patients with myocarditis [2]. Co-infections of cardiotropic viruses are rarely reported and the mechanisms of viral interactions remain unknown [3]. In this report, we present a case of acute myocarditis in a young male, precipitated by a co-infection of Parvovirus B19 and COVID-19, characterized by fulminant progression and the development of multiple arrhythmias.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135390519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Percutaneous Intervention for a Stuck Mechanical Prosthetic Valve at Mitral Position as a Bailout Procedure in a High Surgical Risk Candidate","authors":"Salman Shaikh, Kalyan S. Munde, Anagh T. S.","doi":"10.9734/ca/2023/v12i4375","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4375","url":null,"abstract":"Mechanical heart valves are the preferred choice for younger individuals when the native valves cannot undergo repair, primarily due to their exceptional durability. It is crucial to meticulously manage the international normalized ratio (INR) within the range of 2.5 to 3.5 to ensure optimal valve function and minimise the risk of thromboembolic complications. Our case report serves to demonstrate the effectiveness of percutaneous balloon dilatation through transcatheter methods as an innovative and promising approach to release a stuck valve, representing a noteworthy addition to the spectrum of treatment options.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135870057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}