European Heart Journal - Case Reports最新文献_第3页

Very Late Magmaris Scaffold Restenosis: A 6-year Serial Optical Coherence Tomography Case Report 极晚期 Magmaris 支架再狭窄：6 年连续光学相干断层扫描病例报告

European Heart Journal - Case Reports Pub Date : 2024-07-17 DOI: 10.1093/ehjcr/ytae344

Jens Trøan, K. Hansen, Manijeh Noori, J. Lassen, L. O. Jensen

{"title":"Very Late Magmaris Scaffold Restenosis: A 6-year Serial Optical Coherence Tomography Case Report","authors":"Jens Trøan, K. Hansen, Manijeh Noori, J. Lassen, L. O. Jensen","doi":"10.1093/ehjcr/ytae344","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae344","url":null,"abstract":"\u0000 \u0000 \u0000 Bioresorbable scaffolds (BRS) have been proposed as an alternative to drug-eluting stents (DES), offering radial support during the early phases of healing, while potentially reducing the risk of long-term complications. A magnesium-based BRS (MgBRS) have shown promising results after implantation. However, there is a lack of knowledge regarding the long-term outcomes.\u0000 \u0000 \u0000 \u0000 A 62-year old man with hypertension, dyslipidemia, family history of ischemic heart disease, and previous myocardial infarction, presented with Non ST-elevation myocardial infarction (NSTEMI).\u0000 Six years prior he also had a NSTEMI and a mid left anterior descending artery (LAD) lesion was treated with a 3.0/25mm MgBRS. Post-implantation optical coherence tomography (OCT) revealed proximal edge dissection, and a second MgBRS 3.0/15mm was implanted. OCT of the scaffold-treated segment was performed after 6 and 12 months with no sign of restenosis.\u0000 The current angiogram showed a restenosis in the previously MgBRS treated segment in LAD. OCT showed a plaque rupture in a thin cap fibro-atheroma and scaffold remnants. The lesion was pre-dilated and stented with a 3.0/20mm DES and post-dilated with a 3.5mm non-compliant balloon.\u0000 \u0000 \u0000 \u0000 Most cases of late scaffold failure showed acquired malapposition, which also can be related to the degrading process, or uncovered struts, none of which were seen in our case at 6 or 12 months. This case represents an insight into the vascular healing and potential mechanisms for failure of the MgBRS, with serial OCT recording at implantation, and after 6 months, 12 months and 6 years.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"20 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639787","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}

引用次数: 0

CardioTwins: Case report of a transcatheter mitral and tricuspid valve implantation in one patient CardioTwins：一名患者经导管二尖瓣和三尖瓣植入术的病例报告

European Heart Journal - Case Reports Pub Date : 2024-07-17 DOI: 10.1093/ehjcr/ytae336

T. Schmidt, Karl-Heinz Kuck, C. Marquetand, Ingo Eitel, C. Frerker

{"title":"CardioTwins: Case report of a transcatheter mitral and tricuspid valve implantation in one patient","authors":"T. Schmidt, Karl-Heinz Kuck, C. Marquetand, Ingo Eitel, C. Frerker","doi":"10.1093/ehjcr/ytae336","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae336","url":null,"abstract":"\u0000 \u0000 \u0000 Besides transcatheter edge-to-edge repair (TEER) there are new interventional treatment options for mitral and tricuspid regurgitation in evaluation, such as a complete replacement of the valve through a prosthesis.\u0000 \u0000 \u0000 \u0000 A 78-years-old previous coronary artery bypass graft-operated patient with symptomatic severe mitral regurgitation and tricuspid regurgitation was sequentially treated by a transfemoral transcatheter mitral and tricuspid valve prosthesis (Cardiovalve; Cardiovalve Ltd, Israel) due to unfavorable mitral valve anatomy. The transcatheter mitral valve implantation (TMVI) was performed first and after progression of the tricuspid regurgitation, a second transcatheter valve prosthesis was implanted in tricuspid position (TTVI) 1.5 years later. Imaging showed a twin look-alike picture of a mitral and tricuspid prosthesis and showing the possibility of a complete transcatheter based replacement of the mitral and tricuspid valve.\u0000 \u0000 \u0000 \u0000 This case shows the possibility of a Cardiovalve prosthesis being used for TMVI and TTVI in a single patient. Especially in TEER ineligible patients it might be a good treatment option after device approval.\u0000 \u0000 \u0000 \u0000 A Cardiovalve prothesis can be used for TMVI and TTVI, especially in TEER ineligible patients and with one device for both anatomies, which might be a good treatment option after device approval.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"29 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141640136","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}

引用次数: 0

A Case Report Of Cardiac Tamponade After A Road Accident: Think Beyond Trauma 交通事故后心脏填塞的病例报告：超越创伤

European Heart Journal - Case Reports Pub Date : 2024-07-16 DOI: 10.1093/ehjcr/ytae324

Giovanni Civieri, Davide Betta, Carlo Cernetti, N. Gasparetto

引用次数: 0

Transcatheter edge-to-edge repair of both atrio-ventricular valves in congenitally corrected transposition of the great arteries: a case report 先天性大动脉转位矫正术中两个寰室瓣的经导管边缘对边缘修补术：病例报告

European Heart Journal - Case Reports Pub Date : 2024-07-16 DOI: 10.1093/ehjcr/ytae348

A. Patrascu, D. Binder, Peter Schnabel, K. Weinmann, I. Ott

{"title":"Transcatheter edge-to-edge repair of both atrio-ventricular valves in congenitally corrected transposition of the great arteries: a case report","authors":"A. Patrascu, D. Binder, Peter Schnabel, K. Weinmann, I. Ott","doi":"10.1093/ehjcr/ytae348","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae348","url":null,"abstract":"\u0000 \u0000 \u0000 Transcatheter edge-to-edge repair (TEER) for the systemic atrioventricular valve has been anecdotally reported as a viable treatment option in symptomatic inoperable adult patients born with congenitally corrected transposition of the great arteries (ccTGA) . However, to date, case reports on TEER treatment of both atrioventricular valves are lacking, especially when considering the present availability of specific mitral and tricuspid valve TEER devices.\u0000 \u0000 \u0000 \u0000 We present the case of an 84-year-old man with recurrent admissions for acute heart failure due to high-grade regurgitation of both atrioventricular valves. The patient was first diagnosed with ccTGA at this advanced age and underwent a thorough multimodality imaging approach, including transthoracic and transesophageal echocardiography, cardiac MRI, cardiac CT, and ventriculography of the systemic ventricle. Due to the high symptom burden despite optimal medical therapy and high doses of diuretics, the Heart Team recommended TEER, first for the systemic tricuspid valve, and later on for the non-sytemic mitral valve. Both complex procedures were uneventful and led to considerable improvement in quality of life.\u0000 \u0000 \u0000 \u0000 ccTGA mostly manifests itself in adulthood and affects both ventricles and atrioventricular valves. In case of anatomical doubts on transthoracic echocardiography, a thorough multimodality imaging work-up is recommended. Transcatheter treatment of both atrioventricular valves seems to be a safe and effective therapeutic option in these often-inoperable patients.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"50 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141643725","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}

引用次数: 0

Wide QRS Tachycardia in a Patient with Atrial Fibrillation: A Case Report and Approach to Diagnosis 心房颤动患者的宽 QRS 心动过速：病例报告和诊断方法

European Heart Journal - Case Reports Pub Date : 2024-07-15 DOI: 10.1093/ehjcr/ytae328

Mohammad Shaikh, Hafez Golzarian, F. Hakim

引用次数: 0

Stenting of aortic coarctation before coronary artery bypass surgery in an adult with acute myocardial infarction: a case report 在一名急性心肌梗死成人患者接受冠状动脉搭桥手术前为其植入主动脉瓣支架：病例报告

European Heart Journal - Case Reports Pub Date : 2024-07-13 DOI: 10.1093/ehjcr/ytae330

M. Tomasino, F. Valente, P. Rello Sabatè, G. M. Aguasca, B. Miranda Barrio

引用次数: 0

Boerhaave Syndrome, An Unusual Myocardial Infarction Mimic – A Case Report Boerhaave 综合征--一种不寻常的心肌梗死模拟病例报告

European Heart Journal - Case Reports Pub Date : 2024-07-13 DOI: 10.1093/ehjcr/ytae310

Shaunak Mangeshkar, P. Borkowski, Aspan M Shokrekhuda, M. Barillas-Lara, M. Menegus

引用次数: 0

Clip opening while locked after transcatheter edge-to-edge mitral valve repair with different onset times: A case series 不同起始时间的经导管二尖瓣边缘对边缘修复术后夹钳在锁定状态下打开：病例系列

European Heart Journal - Case Reports Pub Date : 2024-07-12 DOI: 10.1093/ehjcr/ytae322

Hiroki Matsuzoe, Kazuki Mizutani, Naoko Soejima Onishi, Ayano Yoshida, Takayuki Kawamura, Masafumi Ueno, Genichi Sakaguchi, Gaku Nakazawa

{"title":"Clip opening while locked after transcatheter edge-to-edge mitral valve repair with different onset times: A case series","authors":"Hiroki Matsuzoe, Kazuki Mizutani, Naoko Soejima Onishi, Ayano Yoshida, Takayuki Kawamura, Masafumi Ueno, Genichi Sakaguchi, Gaku Nakazawa","doi":"10.1093/ehjcr/ytae322","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae322","url":null,"abstract":"\u0000 \u0000 \u0000 Transcatheter mitral valve edge-to-edge repair (TEER) is now available in many countries and has achieved favourable therapeutic outcomes. However, there have been no reported cases of Clip Opening While Locked (COWL) during the acute phase using the MitraClip G4 system (Abbott, Abbott Park, Illinois, USA).\u0000 \u0000 \u0000 \u0000 We present two cases of COWL occurring at different phases: one immediately after clip release, and the other 2 days post-procedure. In both cases, the initial treatment involved the use of the XTW system. Subsequently, an additional XT system was deployed for the deterioration of mitral regurgitation caused by COWL, without any complications.\u0000 \u0000 \u0000 \u0000 The MitraClip G4 system offers four size variations, providing a larger grasping area and increased flexibility for accessing complex lesions. Furthermore, the complication rate decreased with increasing operator experience and device generation. However, it has been reported that COWL can occur after the clip is deployed during TEER. Although the mechanism of COWL is unclear, the nature and mobility of the valve leaflets and the product specificity of the MitraClip may be involved.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"12 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141653728","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}

引用次数: 0

Giant left atrium in a patient with Marfan syndrome 一名马凡氏综合征患者的巨大左心房

European Heart Journal - Case Reports Pub Date : 2024-07-12 DOI: 10.1093/ehjcr/ytae350

Felipe Israel López-Trejo, E. Andrade-Cuellar, Edil Rosalio Argueta Machado

引用次数: 0

Mushroom poisoning with cardiogenic shock caused by Russula subnigricans successfully treated with mechanical circulatory support devices: A case report 用机械循环支持装置成功治疗了由亚赤蘑菇（Russula subnigricans）引起的蘑菇中毒合并心源性休克：病例报告

European Heart Journal - Case Reports Pub Date : 2024-07-12 DOI: 10.1093/ehjcr/ytae337

Shota Iseki, Shogo Yamaguchi, Yuta Ozaki, Yusuke Uemura

{"title":"Mushroom poisoning with cardiogenic shock caused by Russula subnigricans successfully treated with mechanical circulatory support devices: A case report","authors":"Shota Iseki, Shogo Yamaguchi, Yuta Ozaki, Yusuke Uemura","doi":"10.1093/ehjcr/ytae337","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae337","url":null,"abstract":"\u0000 \u0000 \u0000 Mushroom poisoning caused by the ingestion of Russula subnigricans has been reported to cause rhabdomyolysis and cardiac dysfunction, leading to death. There have been few reports of cardiogenic shock induced by mushroom poisoning that was successfully treated using mechanical circulatory support devices.\u0000 \u0000 \u0000 \u0000 A 38-year-old man presented with gastrointestinal symptoms a day after consuming a curry made with forest-collected mushrooms and was admitted with a diagnosis of rhabdomyolysis. Despite appropriate fluid management for severe rhabdomyolysis, the patient experienced anuria and cardiogenic shock with a remarkably reduced left ventricular ejection function, followed by the development of ventricular fibrillation. Mechanical support using Impella CP, veno-arterial extracorporeal membranous oxygenation (VA-ECMO), and continuous haemodiafiltration were administered for cardiogenic shock and severe rhabdomyolysis. His cardiac and renal function gradually improved, and the patient was successfully weaned off VA-ECMO on day 4, Impella CP on day 5, and renal replacement therapy on day 23. The left ventricular ejection fraction returned to normal without any neurological, respiratory, or renal sequelae. The remaining mushroom samples were identified as R. subnigricans by polymerase chain reaction testing.\u0000 \u0000 \u0000 \u0000 This is the first reported case of cardiogenic shock caused by R. subnigricans poisoning, successfully treated with Impella CP and VA-ECMO. The optimal use of mechanical circulatory support devices plays an important role in the treatment of cardiogenic shock caused by mushroom toxicity.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"48 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141653193","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}

引用次数: 0