European Heart Journal - Case Reports最新文献_第9页

Collateral beauty: Left main stem atresia 侧面美左主干闭锁

European Heart Journal - Case Reports Pub Date : 2024-05-08 DOI: 10.1093/ehjcr/ytae241

S. Ranchordás, A. Vazão, Francisco Soares, Marta Marques

引用次数: 0

A case report of ATTR-amyloidosis following cardiac transplantation: thick ventricles that look alike 心脏移植后的 ATTR 淀粉样变性病例报告：看起来很像的厚心室

European Heart Journal - Case Reports Pub Date : 2024-05-08 DOI: 10.1093/ehjcr/ytae242

Charlotte Lauwers, T. Rosseel, W. Droogné, L. V. Van Aelst, J. Van Cleemput

{"title":"A case report of ATTR-amyloidosis following cardiac transplantation: thick ventricles that look alike","authors":"Charlotte Lauwers, T. Rosseel, W. Droogné, L. V. Van Aelst, J. Van Cleemput","doi":"10.1093/ehjcr/ytae242","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae242","url":null,"abstract":"\u0000 \u0000 \u0000 Transthyretin (ATTR-) amyloidosis is more prevalent than initially thought. As much as 13% of patients hospitalized with HFpEF may have ATTR-cardiomyopathy (CM). Conversely, heart transplant patients may manifest left ventricular hypertrophy or diastolic dysfunction, especially late after transplantation.\u0000 \u0000 \u0000 \u0000 We present a case of a 82-year old male heart transplant patient, 31 years following orthotopic heart transplantation. While he was satisfied with his exercise capacity as an octogenarian, several years before he required pacemaker implantation due to 3rd degree AV block, had bilateral carpal tunnel syndrome treated with carpal tunnel release surgery and experienced idiopathic sudden deafness. Based on increasing left ventricular wall thickness during routine follow-up, a diagnosis of ATTR-amyloidosis was suspected. Ultimately, the diagnosis was confirmed non-invasively with a specific scintigraphic exam, while an additional physicochemical stain on an endomyocardial biopsy taken several years before provided pathological proof. We initiated tafamidis, yet stopped this treatment after one month because of gastro-intestinal intolerance. Ultimately, our patient died two years later due to heart failure.\u0000 \u0000 \u0000 \u0000 Our case shows the long delay between the onset of transthyretin deposition, the presence of clinical signs and the final diagnosis. Echocardiographic findings suggestive for ATTR-CM include left ventricular hypertrophy and diastolic dysfunction, which are both common in heart transplant patients. Yet, ATTR-CM should be considered in the differential diagnosis, especially late after transplantation, in this closely monitored population.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":" 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141000957","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 Rare Case Report of an Acquired Aorto-Pulmonary Artery Fistula after Bentall Procedure: Multimodality Imaging Approach may be the Key? 本托尔手术后获得性主动脉-肺动脉瘘的罕见病例报告：多模式成像方法可能是关键？

European Heart Journal - Case Reports Pub Date : 2024-05-07 DOI: 10.1093/ehjcr/ytae236

Monica Barki, S. Sacchi, Cecilia Marcolin, S. Ajello, A. Scandroglio

{"title":"A Rare Case Report of an Acquired Aorto-Pulmonary Artery Fistula after Bentall Procedure: Multimodality Imaging Approach may be the Key?","authors":"Monica Barki, S. Sacchi, Cecilia Marcolin, S. Ajello, A. Scandroglio","doi":"10.1093/ehjcr/ytae236","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae236","url":null,"abstract":"\u0000 \u0000 \u0000 The acquired communication between the aorta and the pulmonary artery is a rare and potentially life-threatening condition. Its diagnosis is challenging and may require a multimodality imaging approach.\u0000 \u0000 \u0000 \u0000 A 67-year-old Caucasian man, admitted for acute respiratory failure unresponsive to medical therapy and non-invasive ventilation, was diagnosed with an aorto-pulmonary fistula (APF) complicating a pseudoaneurysm of the aortic root. This condition developed after Bentall cardiac surgery, which entailed the use of a straight Dacron aortic graft coupled with a mechanical prosthesis. A multimodal imaging approach, combining echocardiography and computed tomography angiography, was diagnostic and supported the development of a surgical treatment strategy. The patient underwent successful surgical closure of the APF and correction of the aortic pseudoaneurysm.\u0000 \u0000 \u0000 \u0000 Aorto-pulmonary fistula can result in rapid clinical deterioration if left untreated. The combination of echocardiography and computed tomography angiography techniques allowed for the diagnosis and surgical correction of the APF.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"9 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005177","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

Use of Cangrelor for Complex Percutaneous Coronary Intervention in the Context of Concomitant Severe Aortic Stenosis: a case series 在伴有严重主动脉瓣狭窄的情况下使用 Cangrelor 进行复杂的经皮冠状动脉介入治疗：一个病例系列

European Heart Journal - Case Reports Pub Date : 2024-05-06 DOI: 10.1093/ehjcr/ytae237

Francesco Soriano, Andrea R. Munafò, Nurcan Baydaroglun, Stefano Nava, Giuseppe Bruschi, Giuseppe Esposito, J. Oreglia, Claudio Montalto

引用次数: 0

Cardiovascular Magnetic Resonance in the Identification of Extra-Cardiac Causes of Myocarditis: a case series 心血管磁共振在心肌炎心外病因鉴定中的应用：一个病例系列

European Heart Journal - Case Reports Pub Date : 2024-05-06 DOI: 10.1093/ehjcr/ytae232

H. Sakhi, Guillaume Reverdito, G. Soulat, É. Mousseaux

{"title":"Cardiovascular Magnetic Resonance in the Identification of Extra-Cardiac Causes of Myocarditis: a case series","authors":"H. Sakhi, Guillaume Reverdito, G. Soulat, É. Mousseaux","doi":"10.1093/ehjcr/ytae232","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae232","url":null,"abstract":"\u0000 \u0000 \u0000 Myocarditis is challenging to diagnose due to its varied presentations. Endomyocardial biopsy is the gold standard for diagnosis, but its invasive nature has led to alternative non-invasive modalities, notably Cardiovascular Magnetic Resonance (CMR). Identifying the precise etiology of myocarditis is crucial for effective treatment, yet extra-cardiac causes are often overlooked. In this paper, we spotlight the underexplored role of CMR in diagnosing extra-cardiac etiologies, utilizing three insightful cases for illustration.\u0000 \u0000 \u0000 \u0000 The first case is a 31-year-old patient with myocarditis secondary to a pyogenic liver abscess, identified through CMR who improved after abscess drainage. The second case involves a 54-year-old patient with myocarditis attributed to adult T-cell leukemia-lymphoma, with the loco-regional thickening process identified thanks to CMR. This patient had an unfavorable disease progression due to the underlying malignancy. The third case concerns a 23-year-old patient suffering from myocarditis due to pneumonia, again illustrated effectively through CMR imaging and who recovered after antibiotic treatment.\u0000 \u0000 \u0000 \u0000 These cases underline the overlooked potential of CMR in diagnosing extra-cardiac etiologies of myocarditis, even though such causes are rare. Despite current guidelines recognizing the importance of identifying the etiology of myocarditis, they do not explicitly address the role of CMR in diagnosing extra-cardiac etiologies. Therefore, this article proposes that future guidelines could emphasize the utility of CMR in exploring these causes, potentially leading to more accurate diagnoses and improving patient outcomes. It also advocates for a comprehensive, multidisciplinary approach to myocarditis diagnosis, encouraging vigilance for potential loco-regional causes, and calls for further research in this area.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"75 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141011214","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

High-Output Heart Failure due to a Giant Left Circumflex Coronary Aneurysm with a Left Atrial Fistula and Atrial Septal Defect: A Case Report 伴有左心房瘘和房间隔缺损的巨大左侧环状冠状动脉瘤导致的高输出量心力衰竭：病例报告

European Heart Journal - Case Reports Pub Date : 2024-04-25 DOI: 10.1093/ehjcr/ytae171

Moses Lee, Mariam Thomas, Golsa Joodi, Anthony S. Koppula, Jonathan Soverow

{"title":"High-Output Heart Failure due to a Giant Left Circumflex Coronary Aneurysm with a Left Atrial Fistula and Atrial Septal Defect: A Case Report","authors":"Moses Lee, Mariam Thomas, Golsa Joodi, Anthony S. Koppula, Jonathan Soverow","doi":"10.1093/ehjcr/ytae171","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae171","url":null,"abstract":"\u0000 \u0000 \u0000 A coronary artery aneurysm is a rare cardiac anomaly that may be incidentally detected on echocardiography. When associated with a coronary cameral fistula, an aneurysm can become symptomatic. We present a unique case of a giant left circumflex coronary aneurysm with a fistula to the left atrium and a large atrial septal defect causing acute heart failure in a young woman during the peripartum period.\u0000 \u0000 \u0000 \u0000 A 33 year-old woman who presented with hypoxia after the delivery of her fourth child was found to have heart failure with severe mitral regurgitation and multiple abnormal intracardiac shunts. Echocardiography showed a large circular structure with Doppler color flow into the left atrium and between the atria. Cardiac computed tomography showed multiple dilated coronary arteries including a left circumflex coronary artery aneurysm measuring greater than 10 cm in diameter with fistulous communication to the left atrium and a large atrial septal defect. A right heart catheterization was performed and the patient was diagnosed with high-output heart failure. Surgical closure of the coronary cameral fistula was deferred due to risk of worsening pressure in the coronary aneurysm and the patient was referred for cardiac transplantation.\u0000 \u0000 \u0000 \u0000 This case illustrates severe heart failure as a complication of a giant coronary artery aneurysm with fistulization to the left atrium and subsequent shunting through a large atrial defect. Echocardiography allows for detection of a coronary aneurysm and shunting and cardiac computed tomography provides detailed visualization of a coronary cameral fistula.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"57 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140656560","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

Successful management of ischemic symptoms in a patient with asymmetric septal hypertrophy: a grand round case report 不对称房间隔肥厚患者缺血症状的成功治疗：大查房病例报告

European Heart Journal - Case Reports Pub Date : 2024-04-25 DOI: 10.1093/ehjcr/ytae213

D. Osmonov, Azim Toktosunov, Aida Toktogulova, Dilrabo Kasymova, Unal Mustafa

{"title":"Successful management of ischemic symptoms in a patient with asymmetric septal hypertrophy: a grand round case report","authors":"D. Osmonov, Azim Toktosunov, Aida Toktogulova, Dilrabo Kasymova, Unal Mustafa","doi":"10.1093/ehjcr/ytae213","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae213","url":null,"abstract":"\u0000 \u0000 \u0000 Hypertrophic cardiomyopathy (HCM) is a genetic heart disease that can lead to heart failure, atrial fibrillation, and ischemic symptoms. Managing patients with HCM and ischemic symptoms is challenging, and several treatment options have been proposed.\u0000 \u0000 \u0000 \u0000 A 30-year-old male patient presented with severe chest pain that had been ongoing for more than 30 minutes at rest. He was diagnosed with HCM and had periodic chest pain since the age of 14. He underwent two separate ethyl alcohol ablations of the first septal branches of the left anterior descending and posterior descending arteries, which relieved his symptoms.\u0000 \u0000 \u0000 \u0000 This case report highlights the challenges in managing patients with HCM and ischemic symptoms. In this patient, the use of ethyl alcohol ablation was effective in reducing left ventricular outflow tract obstruction and improving symptoms. Ethyl alcohol ablation is a minimally invasive procedure that has been shown to be effective in symptomatic patients with HCM. Overall, this case report emphasizes the importance of individualized treatment for patients with HCM and the potential benefits of alcohol ablation in this population.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"6 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140652836","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

Subintimal intravascular lithotripsy to optimize external crush stenting 血管内膜下碎石术优化外部挤压支架植入术

European Heart Journal - Case Reports Pub Date : 2024-04-25 DOI: 10.1093/ehjcr/ytae229

A. Achim, Z. Jambrik, Ferenc T Nagy, Z. Ruzsa

引用次数: 0

A Case Report of Severe Pulmonary Arterial Hypertension After Nivolumab, an IgG4 anti-PD1 Monoclonal Antibody IgG4抗PD1单克隆抗体Nivolumab治疗后出现严重肺动脉高压的病例报告

European Heart Journal - Case Reports Pub Date : 2024-04-24 DOI: 10.1093/ehjcr/ytae222

Yuanli Lei, Weijia Wang

{"title":"A Case Report of Severe Pulmonary Arterial Hypertension After Nivolumab, an IgG4 anti-PD1 Monoclonal Antibody","authors":"Yuanli Lei, Weijia Wang","doi":"10.1093/ehjcr/ytae222","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae222","url":null,"abstract":"\u0000 \u0000 \u0000 Pulmonary hypertension has been increasingly reported in association with immunotherapy, but generally lacking invasive haemodynamic confirmation in literature. We present the first case of pulmonary arterial hypertension following nivolumab confirmed with invasive haemodynamic measurements.\u0000 \u0000 \u0000 \u0000 A 65-year-old male with gastro-oesophageal adenocarcinoma developed progressive dyspnoea with exertion, decreasing exercise tolerance after receiving nivolumab for seven months. He was admitted with acute hypoxaemic respiratory failure after syncope at home. The patient was diagnosed with pulmonary arterial hypertension (PAH) with precapillary aetiology with right heart catheterisation (RHC): mean pulmonary artery pressure 49 mmHg, pulmonary capillary wedge pressure 7 mmHg, cardiac index 1.3 L/min/m2. Based on serial echocardiograms, the development of PAH appeared to be associated with nivolumab. The patient died of cardiac arrest three days after admission.\u0000 \u0000 \u0000 \u0000 Progressive unexplained dyspnoea after receiving programmed cell death protein 1 monoclonal antibody should prompt clinicians to consider PAH and RHC.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"8 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140659781","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

Transcatheter Mitral Valve Repair for a Patient with Double Inferior Vena Cava: Case Report 双下腔静脉患者的经导管二尖瓣修复术：病例报告

European Heart Journal - Case Reports Pub Date : 2024-04-24 DOI: 10.1093/ehjcr/ytae221

Riku Kato, Soh Hosoba, Masayuki Kuroda, Kenichiro Yasuda

{"title":"Transcatheter Mitral Valve Repair for a Patient with Double Inferior Vena Cava: Case Report","authors":"Riku Kato, Soh Hosoba, Masayuki Kuroda, Kenichiro Yasuda","doi":"10.1093/ehjcr/ytae221","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae221","url":null,"abstract":"\u0000 \u0000 \u0000 A transcatheter edge-to-edge repair (TEER) is disseminating gradually as a treatment for primary and secondary mitral regurgitation in patients with high surgical risk. In performing TEER, securing a safe access route is crucial. We report a case with a challenging access route due to the presence of a double Inferior Vena Cava (IVC) and the patient's small body habitus.\u0000 \u0000 \u0000 \u0000 An 84-year-old female presented with congestive heart failure due to severe mitral regurgitation (MR). Despite receiving optimal medical therapy, her symptoms did not improve significantly. TEER was deemed challenging due to her extremely small body habitus (Height: 131 cm, BSA: 1.17m2) and the presence of double IVC. However, considering her inoperable risk for surgical repair, she underwent TEER after a multidisciplinary heart team discussion. The steering guide catheter (SGC) encountered resistance, but gradual advancement and use of a bougie with a large bore sheath dilator successfully delivered the SGC to the right atrium. Following the TEER, there was a significant improvement in the symptoms.\u0000 \u0000 \u0000 \u0000 Extremely small venous system in a small patient with double IVC presented a unique technical hurdle. TEER is potentially feasible even in such a patient by cautiously applying the technique described.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"65 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140664738","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