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

Giant right coronary artery aneurysm 右冠状动脉巨大动脉瘤

European Heart Journal - Case Reports Pub Date : 2024-05-16 DOI: 10.1093/ehjcr/ytae255

Abdulrafee Mushaweh, Jokin Zubizarreta-Oteiza, Michael J Zellweger, Gregor Leibundgut, Philip Haaf

引用次数: 0

Coronary Artery Fistula Following Surgical Myectomy for Hypertrophic Obstructive Cardiomyopathy – A Case Report 肥厚型梗阻性心肌病手术切除术后的冠状动脉瘘--病例报告

European Heart Journal - Case Reports Pub Date : 2024-05-16 DOI: 10.1093/ehjcr/ytae248

James Bowles, Joshua Martin, Penni L Russell, Amy Bailey, David J Holland

{"title":"Coronary Artery Fistula Following Surgical Myectomy for Hypertrophic Obstructive Cardiomyopathy – A Case Report","authors":"James Bowles, Joshua Martin, Penni L Russell, Amy Bailey, David J Holland","doi":"10.1093/ehjcr/ytae248","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae248","url":null,"abstract":"\u0000 \u0000 \u0000 Coronary artery fistula is a rare, but recognised complication of surgical myectomy. Although most communicate with the right heart, a large fistula into the left ventricular cavity may result in a shunt haemodynamically analogous to aortic regurgitation. Understanding the variable presentation of iatrogenic coronary fistulae and the optimal evaluation strategy is critical to obtaining a timely diagnosis and instituting treatment.\u0000 \u0000 \u0000 \u0000 We report the case of a 57-year-old renal transplant recipient admitted for evaluation of presyncope, one-year post-surgical myectomy for hypertrophic obstructive cardiomyopathy. An iatrogenic coronary artery fistula was suspected by transthoracic echocardiography, and later confirmed with both non-invasive and invasive coronary angiography.\u0000 \u0000 \u0000 \u0000 We highlight various cardiac imaging modalities that confirmed the diagnosis of coronary artery fistula and helped to determine the clinical significance. We report the tailored approach often required to determine the anatomic and haemodynamic characteristics of coronary fistulae and outline potential management strategies.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"15 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140967100","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

Spontaneous Thrombus Resolution in the Right Coronary Artery Stent: Sequential Multimodal Imaging Analysis 右冠状动脉支架中的自发性血栓消融：顺序多模态成像分析

European Heart Journal - Case Reports Pub Date : 2024-05-16 DOI: 10.1093/ehjcr/ytae252

Daigo Nishijo, M. Ikutomi, Jiro Ando

引用次数: 0

When the dual-chamber pacing system is the optimal choice for Brugada patients in need of ICD 何时双腔起搏系统是需要 ICD 的 Brugada 患者的最佳选择

European Heart Journal - Case Reports Pub Date : 2024-05-16 DOI: 10.1093/ehjcr/ytae254

Vincenzo Russo, Luigi Mauro Cantiello, A. Caturano

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A Case Report of Refractory Multivessel Coronary Spasm Associated with Hypereosinophilic Syndrome: One Cell, One Disease? 与嗜酸性粒细胞增多症相关的难治性多血管冠状动脉痉挛病例报告：一个细胞，一种疾病？

European Heart Journal - Case Reports Pub Date : 2024-05-15 DOI: 10.1093/ehjcr/ytae247

Shigeo Godo, H. Takagi, Kohei Komaru, J. Takahashi, S. Yasuda

{"title":"A Case Report of Refractory Multivessel Coronary Spasm Associated with Hypereosinophilic Syndrome: One Cell, One Disease?","authors":"Shigeo Godo, H. Takagi, Kohei Komaru, J. Takahashi, S. Yasuda","doi":"10.1093/ehjcr/ytae247","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae247","url":null,"abstract":"\u0000 \u0000 \u0000 Hypereosinophilic syndrome (HES) is characterized by moderate to severe eosinophilia, exclusion of neoplastic or secondary origins of eosinophilia, and systemic involvement with end-organ damage. Coronary arteries can be affected to cause vasospastic angina (VSA); however, the association of the two diseases is not well recognized.\u0000 \u0000 \u0000 \u0000 A 55-year-old woman who had a history of multiple allergic disease such as bronchial asthma and chronic sinusitis with nasal polyps was hospitalized due to attacks of chest pain at rest. During a spontaneous attack of chest pain, ECG revealed ST-segment elevation in the inferior leads and emergency coronary angiography showed focal spasms of the right and left anterior descending coronary arteries, both of which were relieved after intracoronary administration of nitroglycerin. She was diagnosed with VSA according to the Japanese Circulation Society guidelines. Despite conventional vasodilator therapies, her resting angina remained refractory. Laboratory findings were notable for moderate eosinophilia. A comprehensive evaluation to uncover the underlying cause of refractory VSA led to the diagnosis of HES, concomitant with eosinophilic pneumonia and eosinophilic chronic rhinosinusitis. Pericoronary inflammation by fat attenuation index (FAI) was increased in the proximal segment of the right coronary artery. Treatment was initiated with oral prednisolone at a starting dose of 30 mg/day. The response to treatment was rapid, with her symptoms disappearing and a regression of eosinophilia observed the following day.\u0000 \u0000 \u0000 \u0000 HES manifests with refractory VSA, and eosinophil-suppressing corticosteroid therapy proves effective in improving both conditions along with reduction of the pericoronary inflammation by FAI.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"62 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140976317","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

Drug-eluting balloon to treat immediate post-coronary artery bypass grafting (CABG) ST-elevation myocardial infarction (STEMI) - A case report 用药物洗脱球囊治疗冠状动脉旁路移植术 (CABG) 术后即刻发生的 STEMI 心肌梗死 - 病例报告

European Heart Journal - Case Reports Pub Date : 2024-05-15 DOI: 10.1093/ehjcr/ytae245

Muhammad Usman Shah, Muhammad Anis Haider, Krishna Poudyal, Mahmoud Loubani, Syed Yaseen Naqvi

{"title":"Drug-eluting balloon to treat immediate post-coronary artery bypass grafting (CABG) ST-elevation myocardial infarction (STEMI) - A case report","authors":"Muhammad Usman Shah, Muhammad Anis Haider, Krishna Poudyal, Mahmoud Loubani, Syed Yaseen Naqvi","doi":"10.1093/ehjcr/ytae245","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae245","url":null,"abstract":"\u0000 \u0000 \u0000 Coronary artery bypass graft (CABG) surgery represents a major cardiovascular operation and may be associated with post-operative ST-elevation myocardial infarction (STEMI) due to graft failure. This is challenging to diagnose and treat as the implanted grafts may be prone to complications when treated percutaneously with drug-eluting stents.\u0000 \u0000 \u0000 \u0000 A man in his 60 s underwent CABG and developed new persistent ST elevations of 2 mm in anterior leads with no significant chest pain, although, administered with intravenous opiates post-operatively. Transthoracic echocardiography was non-diagnostic. Invasive angiography performed emergently showed a thrombotic occlusion of the mid-left anterior descending artery at the site of the anastomosis with the left internal mammary artery (LIMA) graft. Intervention via the graft was considered high risk of complications, therefore, native coronary arteries were used to approach the occlusion, which was successfully cleared with a combination balloon angioplasty with a semi-compliant and then a drug-eluting balloon. The LIMA started working again with the resolution of ST elevation and no immediate complications.\u0000 \u0000 \u0000 \u0000 Early post-operative ST elevations in continuous leads should not be ignored as they often may be the only feature of new-onset ST-elevation myocardial infarction (STEMI). Drug-eluting balloons represent a feasible and possibly safer option than drug-eluting stents to treat these conditions.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"30 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140974568","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

Bilateral Isolated Coronary Ostial Stenosis in a Middle-Aged Premenopausal Woman with Vasospastic Angina: A Case Report 一名患有血管痉挛性心绞痛的绝经前中年妇女的双侧孤立性冠状动脉口狭窄：病例报告

European Heart Journal - Case Reports Pub Date : 2024-05-15 DOI: 10.1093/ehjcr/ytae249

Koji Takahashi, Akihiro Kodama, Shigeki Uemura, Takafumi Okura

{"title":"Bilateral Isolated Coronary Ostial Stenosis in a Middle-Aged Premenopausal Woman with Vasospastic Angina: A Case Report","authors":"Koji Takahashi, Akihiro Kodama, Shigeki Uemura, Takafumi Okura","doi":"10.1093/ehjcr/ytae249","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae249","url":null,"abstract":"\u0000 \u0000 \u0000 Vasospastic angina (VSA) is uncommon in premenopausal women who have less chronic endothelial injury causing vascular remodelling considered a primary role in the pathogenesis for coronary vasospasms. Furthermore, vasospasms rarely occur in the bilateral coronary ostia. Isolated coronary ostial stenosis (ICOS), which often causes severe effort angina and requires surgical intervention, is more commonly reported in middle-aged women, with causes including fibromuscular dysplasia (FMD) and large-vessel vasculitis. However, ICOS associated with VSA is extremely rare.\u0000 \u0000 \u0000 \u0000 A 50-year-old premenopausal Japanese woman presented with a complaint of typical chest pain due to angina during light exertion daily in the early morning hours since 3 years. Coronary angiography revealed bilateral mild-to-moderate ICOS in addition to multivessel spasms involving the bilateral coronary ostia confirmed by the vasospasm provocation test using intracoronary acetylcholine injection. Tests to determine the cause of ICOS did not identify FMD or any other disease. The angina attacks alleviated after calcium channel blocker (CCB) administration without intervention for bilateral ICOS for 24 years since the first presentation. Moreover, coronary computed tomography angiography (CTA) performed 24 years after the first presentation showed no ICOS.\u0000 \u0000 \u0000 \u0000 In our patient with typical and frequent VSA symptoms, coronary angiography revealed both mild-to-moderate ICOS and the vasospasms in the bilateral coronary ostia. FMD or large-vessel vasculitis were ruled out as the causes of ICOS. VSA rarely occurred after the prescription of CCB, and coronary CTA 24 years after the first presentation showed no ICOS. Bilateral ICOS in our patient might be VSA-related.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140974717","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 Superior Vena Cava/Right Coronary Artery Fistula Secondary to Chronic Endocarditis 继发于慢性心内膜炎的上腔静脉/右冠状动脉瘘病例报告

European Heart Journal - Case Reports Pub Date : 2024-05-15 DOI: 10.1093/ehjcr/ytae240

Michaela D Kiel, Sruti Prathivadhi-Bhayankaram, Arun K Singhal, Mahi L Ashwath

引用次数: 0

Myocardial Congestion Secondary to Closure of Coronary Sinus 继发于冠状动脉窦关闭的心肌充血

European Heart Journal - Case Reports Pub Date : 2024-05-15 DOI: 10.1093/ehjcr/ytae251

Ang Liu, Chaowu Yan

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Effectiveness of directional coronary atherectomy in treating recurrent in-stent restenosis: A case report 定向冠状动脉粥样硬化切除术治疗复发性支架内再狭窄的疗效：病例报告

European Heart Journal - Case Reports Pub Date : 2024-05-14 DOI: 10.1093/ehjcr/ytae233

S. Naniwa, Shigeyasu Tsuda, Gaku Nakazawa, S. Yamada

{"title":"Effectiveness of directional coronary atherectomy in treating recurrent in-stent restenosis: A case report","authors":"S. Naniwa, Shigeyasu Tsuda, Gaku Nakazawa, S. Yamada","doi":"10.1093/ehjcr/ytae233","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae233","url":null,"abstract":"\u0000 \u0000 \u0000 In-stent restenosis (ISR) remains a significant clinical problem. It is estimated that 10-20% of patients who develop a first event of ISR will develop recurrent ISR (R-ISR). However, the pathology of R-ISR remains largely unknown, and recommendations for its optimal management are lacking. In this case report, we discuss the effectiveness of directional coronary atherectomy (DCA) as an atherectomy device and the mechanism of R-ISR based on pathological findings obtained from DCA.\u0000 \u0000 \u0000 \u0000 We report the case of a 62-year-old man with a history of ST-segment elevation myocardial infarction treated with percutaneous coronary intervention (PCI) to the mid left circumflex artery using a bare-metal stent. Even after introduction of adequate secondary prevention therapy for ISR, the patient underwent a total of six PCI sessions over 10 years following primary PCI for R-ISR. Eventually, the decision was made to institute treatment with DCA and a drug-coated balloon (DCB). No symptoms of restenosis were observed over the following four years.\u0000 \u0000 \u0000 \u0000 In this case report, we demonstrate the effectiveness of DCA treatment for debulking a wide range of collagen-rich plaques and show that DCA treatment should be considered for the treatment of R-ISR.\u0000","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":"5 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140982097","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