European Heart Journal - Case Reports最新文献_第4页

Cardiac tamponade due to right coronary artery perforation following pacemaker implantation: a case report 起搏器植入术后右冠状动脉穿孔导致的心脏填塞：病例报告

European Heart Journal - Case Reports Pub Date : 2024-07-13 DOI: 10.1093/ehjcr/ytae343

Zakaria Alaoui-Ismaili, Anika Klein, J. Eifer Moeller, Tommi Bo Lindhardt, C. Hassager

{"title":"Cardiac tamponade due to right coronary artery perforation following pacemaker implantation: a case report","authors":"Zakaria Alaoui-Ismaili, Anika Klein, J. Eifer Moeller, Tommi Bo Lindhardt, C. Hassager","doi":"10.1093/ehjcr/ytae343","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae343","url":null,"abstract":"\u0000 \u0000 \u0000 Cardiac tamponade due to perforation of a cardiac chamber is a rare complication occurring in only 0.3% of patients undergoing permanent pacemaker (PM) implantation. Notably, perforation of the right coronary artery (RCA) following permanent PM implantation has only been reported twice in the literature. We report a rare case of RCA perforation leading to life-threatening cardiac tamponade with symptom onset four days after PM implantation.\u0000 \u0000 \u0000 \u0000 A 75-year-old woman underwent permanent PM implantation without any difficulties in placing pacemaker leads and with good thresholds. Four days later, the patient was readmitted in a state of shock due to cardiac tamponade. A blood gas analysis on the bloody pericardial effusion raised suspicion of ongoing arterial bleeding. A CT scan ruled out aortic dissection; instead, the source of bleeding was identified as a perforation in the RCA, which was managed surgically.\u0000 \u0000 \u0000 \u0000 This case highlights the necessity of coronary artery perforation being among the differential diagnoses of cardiac tamponade after PM implantation, and it stresses the usefulness of performing a blood gas analysis on the bloody pericardial effusion.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"68 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141651413","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

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

Recent and Speculative Remote Myocardial Trauma: A Case Series 近期和推测性远程心肌创伤：病例系列

European Heart Journal - Case Reports Pub Date : 2024-07-12 DOI: 10.1093/ehjcr/ytae349

Zhijuang Lu, Xiaocong Zhang, Yanling Huang, Jia Song, Chaoqun Zhang, Qiang Wang, Handong Wu, Xinsheng Huang

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

X marks the spot - Catheter aspiration using the Inari Flowtriever device to debulk defibrillator lead vegetations prior to transvenous lead extraction- A case report X 标记点 - 使用 Inari Flowtriever 设备进行导管抽吸，以便在经静脉导线拔出前清除除颤器导线植损 - 病例报告

European Heart Journal - Case Reports Pub Date : 2024-07-11 DOI: 10.1093/ehjcr/ytae332

James Clark, Abbas Zaidi, Peter O’Callaghan, Ulrich von Oppell, Andrew SP Sharp

{"title":"X marks the spot - Catheter aspiration using the Inari Flowtriever device to debulk defibrillator lead vegetations prior to transvenous lead extraction- A case report","authors":"James Clark, Abbas Zaidi, Peter O’Callaghan, Ulrich von Oppell, Andrew SP Sharp","doi":"10.1093/ehjcr/ytae332","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae332","url":null,"abstract":"\u0000 \u0000 \u0000 When cardiac implantable electronic device infection occurs, standard therapy is usually total system extraction. Transvenous lead extraction is preferable to open heart surgical extraction, unless contraindicated because of the presence of very large vegetations on the intravenous leads according to ESC guidance. Extraction of transvenous leads with vegetations risks distal embolism resulting in obstruction and/or infection in the pulmonary arteries. Catheter aspiration of vegetations or thrombi has been performed prior to transvenous lead extraction using a partial veno-venous extracorporeal bypass circuit. We report the use of a single access aspiration system using the Inari Flowtriever 24 French system to debulk a defibrillator lead before percutaneous extraction.\u0000 \u0000 \u0000 \u0000 A 79-year-old male presented with fever 18 years after his first implantable cardioverter defibrillator implant and 9 years after his most recent pulse generator change. Two large vegetations were identified on his transvenous defibrillator lead on the atrial aspect, near the tricuspid annulus, which were aspirated using the Inari Medical 24Fr FlowTriever aspiration catheter. We describe anatomical considerations during the approach and a technique to localise the vegetations based on a combination of fluoroscopy and TEE guidance.\u0000 \u0000 \u0000 \u0000 This case demonstrates the safe and effective use of the Inari Medical 24Fr Flowtriever aspiration catheter in debulking a defibrillator lead before transvenous lead extraction. This method uses a single venous puncture and is not dependent on extracorporeal bypass. Apart from reducing complexity, this technique may be advantageous in patients where anticoagulation needs to be minimised.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"128 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141656483","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

Long-term atrial arrhythmia characterization and treatment efficacy evaluation using noninvasive echocardiography-based electromechanical cycle length mapping: A case series 使用基于无创超声心动图的机电周期长度图进行长期房性心律失常特征描述和疗效评估：病例系列

European Heart Journal - Case Reports Pub Date : 2024-07-11 DOI: 10.1093/ehjcr/ytae303

Melina Tourni, Rachel Weber, Angelo Biviano, Elisa Konofagou

{"title":"Long-term atrial arrhythmia characterization and treatment efficacy evaluation using noninvasive echocardiography-based electromechanical cycle length mapping: A case series","authors":"Melina Tourni, Rachel Weber, Angelo Biviano, Elisa Konofagou","doi":"10.1093/ehjcr/ytae303","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae303","url":null,"abstract":"\u0000 \u0000 \u0000 Atrial fibrillation (AF) is a prevalent cardiac condition characterized by irregular heart rhythm. Traditional non-invasive diagnostic tools, while useful, have limitations in providing comprehensive information for treatment planning. To address this gap, Electromechanical Cycle Length Mapping (ECLM), a noninvasive echocardiography-based technique, has emerged as a promising approach. ECLM offers quantitative and spatially specific insights into atrial electromechanical activation rate mapping, thereby enhancing our understanding of arrhythmia disease progression in AF patients.\u0000 \u0000 \u0000 \u0000 In this case series, we present two patient cases demonstrating the potential utility of ECLM in monitoring and evaluating treatment responses in atrial arrhythmia. The first case involved a 61-year-old male with persistent AF who underwent multiple procedures, including direct current cardioversion (DCCV) and radiofrequency ablation. Over three different DCCV encounters, pre- and post-procedure ECLM scans were performed, and the results showed the localization and incomplete elimination of arrhythmic triggers post-DCCV, which were used as early indicators of AF recurrence. The second case involved a 71-year-old male with paroxysmal AF who also underwent cardioversion and ablation procedures. ECLM imaging demonstrated a progressive reduction and elimination of arrhythmia triggers after each encounter, resulting in long-term maintenance of sinus rhythm.\u0000 \u0000 \u0000 \u0000 The findings from this case series highlight the potential of ECLM as a noninvasive imaging tool for long-term monitoring and evaluating immediate and long-term treatment responses in AF patients. The integration of ECLM with standard echocardiograms holds promise in guiding clinical decisions and improving patient outcomes in managing atrial fibrillation.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"87 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141657778","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

Double-territory STEMI with Cardiogenic shock in ITP with severe Thrombocytopenia – A Case Report 严重血小板减少的 ITP 患者双发 STEMI 并发心源性休克 - 病例报告

European Heart Journal - Case Reports Pub Date : 2024-07-11 DOI: 10.1093/ehjcr/ytae345

Yerramareddy Vijayachandra, Antony Wilson, Jayalakshmi Sreeram, Aishwarya Mahesh Kumar

引用次数: 0