Case Reports in Cardiology最新文献

Combined Minimally Invasive Surgical and Percutaneous Approaches for a Patient on Hemodialysis With Severe Aortic Stenosis and Complex Coronary Artery Disease. 微创手术联合经皮入路治疗血液透析合并严重主动脉狭窄和复杂冠状动脉疾病1例。

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Case Reports in Cardiology Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI: 10.1155/cric/9229849

Teruaki Wada, Kentaro Honda, Hironori Kitabata, Yoshiharu Nishimura, Atsushi Tanaka

{"title":"Combined Minimally Invasive Surgical and Percutaneous Approaches for a Patient on Hemodialysis With Severe Aortic Stenosis and Complex Coronary Artery Disease.","authors":"Teruaki Wada, Kentaro Honda, Hironori Kitabata, Yoshiharu Nishimura, Atsushi Tanaka","doi":"10.1155/cric/9229849","DOIUrl":"10.1155/cric/9229849","url":null,"abstract":"Patients on hemodialysis with concomitant severe aortic stenosis (AS) and multivessel coronary artery disease (CAD) are at high risk for surgical aortic valve replacement (SAVR) and coronary artery bypass grafting (CABG). Transsubclavian-transcatheter aortic valve implantation (TSc-TAVI) is a well-established alternative approach to transfemoral TAVI for patients with unfavorable femoral access. Herein, we report a case in which minimally invasive surgical treatment and TSc-TAVI were performed simultaneously in a patient with severe AS and multivessel CAD undergoing hemodialysis. An 85-year-old man undergoing hemodialysis for end-stage renal disease owing to severe AS (mean pressure gradient, 46 mmHg; aortic valve area, 0.75 cm2; and left ventricular ejection fraction, 59%) presented to our hospital with chest pain on exertion. Preoperative coronary angiography revealed significant stenosis of the left anterior descending (LAD) coronary artery and right coronary artery (RCA), requiring revascularization. However, the patient was not a good candidate for transfemoral TAVI because of a porcelain ascending aorta and a shaggy descending aorta observed on computed tomography. He was scheduled for concomitant right TSc-TAVI and minimally invasive cardiac surgery (MICS)-CABG after percutaneous coronary intervention (PCI) for the RCA. The treatment was successful. Simultaneous TSc-TAVI and MICS-CABG with PCI may be applied as a minimally invasive surgical treatment modality for patients with AS and CAD undergoing hemodialysis.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2025 ","pages":"9229849"},"PeriodicalIF":0.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ivabradine for Incessant Atrial Tachycardia in a 1-Year-Old Child After Tetralogy of Fallot Repair. 伊伐布雷定治疗1岁儿童法洛四联症后不间断房性心动过速。

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Case Reports in Cardiology Pub Date : 2025-02-10 eCollection Date: 2025-01-01 DOI: 10.1155/cric/2601345

Haikal Balweel, Rubiana Sukardi, Eva Miranda Marwali, Rifqi Rizkani Eri, Novaro Adeneur Tafriend, Agus Harsoyo

{"title":"Ivabradine for Incessant Atrial Tachycardia in a 1-Year-Old Child After Tetralogy of Fallot Repair.","authors":"Haikal Balweel, Rubiana Sukardi, Eva Miranda Marwali, Rifqi Rizkani Eri, Novaro Adeneur Tafriend, Agus Harsoyo","doi":"10.1155/cric/2601345","DOIUrl":"10.1155/cric/2601345","url":null,"abstract":"Background: Ivabradine is a novel drug with the ability to reduce heart rate without compromising myocardial contractility or blood pressure. Studies on this drug exist mainly for heart failure and coronary artery disease; for arrhythmia, the studies are limited to small sample trials and case series, mostly unrandomized. Additionally, its evidence for arrhythmia in pediatric patients is limited. Here, we present a case of successful ivabradine administration for incessant atrial tachycardia in a 1-year-old child following tetralogy of Fallot (TOF) repair. Case: A 1-year-old child experienced incessant tachyarrhythmia episodes after TOF repair. Multiple standard therapies, including adenosine, amiodarone, multiple cardioversions, beta-blockers, and digoxin, failed to convert the rhythm. Considering the limited therapy options and existing case reports, ivabradine was administered at a dose of 0.1 mg/kg. Subsequently, sinus rhythm was restored 8 h after its administration, with the heart rate significantly decreased, and the patient returned to a stable hemodynamic status. Discussion: Ivabradine may be an option for incessant atrial tachycardia in pediatric patients. Although most tachyarrhythmias following TOF repair occur due to a reentry mechanism, focal mechanisms can also occur, suggested by timing, gradual acceleration after cardioversion and its response to ivabradine. Future studies are needed to further understand the safety and efficacy of ivabradine for atrial tachycardia in pediatric patients.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2025 ","pages":"2601345"},"PeriodicalIF":0.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Novel Endovascular Technique for Thrombus Removal: The "Super Grab a Clot and Hold ON (Super GACHON)" Technique. 血管内清除血栓的新技术：“Super Grab a Clot and Hold ON （Super GACHON）”技术。

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Case Reports in Cardiology Pub Date : 2025-01-09 eCollection Date: 2025-01-01 DOI: 10.1155/cric/5525113

Takahiro Tokuda, Hideyuki Takimura, Yasuhiro Oba, Keisuke Hirano

引用次数: 0

Anomalous Right Coronary Artery: Culprit or Innocent Bystander? 右冠状动脉异常：罪魁祸首还是无辜的旁观者？

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Case Reports in Cardiology Pub Date : 2025-01-04 eCollection Date: 2025-01-01 DOI: 10.1155/cric/1450803

Cooper B Kersey, Shakirat Oyetunji, Creighton W Don

{"title":"Anomalous Right Coronary Artery: Culprit or Innocent Bystander?","authors":"Cooper B Kersey, Shakirat Oyetunji, Creighton W Don","doi":"10.1155/cric/1450803","DOIUrl":"10.1155/cric/1450803","url":null,"abstract":"Anomalous aortic origin of a coronary artery is a rare congenital heart defect. The detection of anomalous coronary arteries is likely to increase with increased availability and application of cardiac computed tomography and magnetic resonance imaging. Once detected, the recommendation for surgical intervention on anomalous coronary arteries depends upon patient symptoms, the presence or absence of inducible ischemia on stress imaging, and high-risk anatomic features. A 77-year-old man with a history of hypertension, hyperlipidemia, chronic kidney disease Stage III, and moderate aortic stenosis presented with a non-ST-elevation myocardial infarction and was found to have an anomalous aortic origin of the right coronary artery on cross-sectional imaging. His aortic stenosis had also progressed from moderate to severe, and it was not clear whether his myocardial infarction could be exclusively attributed to a supply-demand disparity within the context of profound aortic stenosis or if his aberrant coronary anatomy could be implicated as the culprit for his presentation. A multidisciplinary heart team decided to proceed with a transcatheter aortic valve replacement and then readdress surgical intervention on his anomalous right coronary artery if his anginal symptoms persisted following valve replacement.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2025 ","pages":"1450803"},"PeriodicalIF":0.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Type A Aortic Dissection in a Previously Healthy Pregnant Patient: A Challenging Dilemma, Case Report, and Literature Review. 先前健康妊娠患者的A型主动脉夹层：一个具有挑战性的困境，病例报告和文献综述。

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Case Reports in Cardiology Pub Date : 2024-12-26 eCollection Date: 2024-01-01 DOI: 10.1155/cric/6971509

Elham Bateni, Maryam Dehghan, Zeinab Ahmadikia

引用次数: 0

Triple-Vessel Spontaneous Coronary Artery Dissection Managed Conservatively. 三支自发性冠状动脉夹层保守治疗。

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Case Reports in Cardiology Pub Date : 2024-12-19 eCollection Date: 2024-01-01 DOI: 10.1155/cric/7144164

Garen S Kroshian, Matthew J Cozzolino, Edeliz Flores, Sheilah A Bernard

引用次数: 0

Intraoperative Hemodynamic Instability in a Patient With Ebstein's Anomaly Complicated With Eisenmenger Syndrome. Ebstein畸形合并艾森曼格综合征患者术中血流动力学不稳定。

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Case Reports in Cardiology Pub Date : 2024-12-17 eCollection Date: 2024-01-01 DOI: 10.1155/cric/8283566

Leonardo A Marquez Roa, Jorge Araujo-Duran, Richard Hofstra, Jibran Ikram, Sabry Ayad

引用次数: 0

Successful Bailout of Catheter-Induced Dissection in Acute Myocardial Infarction Resulting From a Nondominant Right Coronary Artery Occlusion. 非显性右冠状动脉闭塞致急性心肌梗死导管诱导夹层的成功救助。

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Case Reports in Cardiology Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.1155/cric/1091601

Hiroshi Abe, Tadao Aikawa, Ken Yokoyama, Tohru Minamino

{"title":"Successful Bailout of Catheter-Induced Dissection in Acute Myocardial Infarction Resulting From a Nondominant Right Coronary Artery Occlusion.","authors":"Hiroshi Abe, Tadao Aikawa, Ken Yokoyama, Tohru Minamino","doi":"10.1155/cric/1091601","DOIUrl":"10.1155/cric/1091601","url":null,"abstract":"A 48-year-old male with a history of hyperlipidemia presented to the emergency department with chest pain. Electrocardiographic abnormalities indicated an acute coronary syndrome. Urgent coronary angiography revealed nondominant right coronary artery (RCA) occlusion. During primary percutaneous coronary intervention (PCI), a 0.014-inch floppy guidewire could not be easily advanced into the middle RCA due to poor backup support from the guiding catheter and the patient's breathing. The pressure was monitored several times after reinserting the guiding catheter. Nevertheless, the guidewire was inadvertently inserted into the false lumen from the ostium, leading to subsequent dissection during contrast injection. Intravascular ultrasound (IVUS) imaging confirmed dissection from the ostium to the middle RCA and passage of the guidewire into the false lumen. An additional guidewire was successfully inserted into the true lumen of the RCA using real-time IVUS-guided wiring. We demonstrated successful bailout stenting for catheter-induced dissection of the nondominant small RCA. Our case highlights the risk of coronary artery dissection associated with guiding catheter use, especially in a nondominant small RCA, and the importance of optimal guiding catheter selection for primary PCI. The real-time IVUS-guided wiring technique can be applied to a single 6-Fr guiding catheter and is useful for quickly inserting a guidewire into the true lumen.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2024 ","pages":"1091601"},"PeriodicalIF":0.6,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of Atrial Tachycardia Masquerading as Sinus Tachycardia in a Pregnant Female-A Case Report. 孕妇房性心动过速伪装为窦性心动过速1例报告。

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Case Reports in Cardiology Pub Date : 2024-11-14 eCollection Date: 2024-01-01 DOI: 10.1155/cric/5523100

Nismat Javed, Shoaib Ashraf, Ankita Gore, Mohammad Aziz, Muhammad Ali Aziz, Eduard Sklyar

{"title":"A Case of Atrial Tachycardia Masquerading as Sinus Tachycardia in a Pregnant Female-A Case Report.","authors":"Nismat Javed, Shoaib Ashraf, Ankita Gore, Mohammad Aziz, Muhammad Ali Aziz, Eduard Sklyar","doi":"10.1155/cric/5523100","DOIUrl":"https://doi.org/10.1155/cric/5523100","url":null,"abstract":"This case report discusses the diagnosis and management of a 25-year-old pregnant patient presenting with persistent tachycardia. The patient, with a past medical history of thyroiditis, polycystic ovarian syndrome, and obesity, was admitted due to palpitations and was diagnosed with atrial tachycardia. Despite medical management with metoprolol, adenosine, digoxin, and flecainide, the tachycardia persisted, necessitating discussion about cardiac ablation. The report emphasizes that atrial tachycardia poses a significant clinical challenge when refractory to medical therapy. It also highlights the condition's association with tachycardia-induced cardiomyopathy and the role of catheter ablation in its management. This case underscores the need for a high index of suspicion for atrial tachycardia in pregnant patients presenting with persistent tachycardia and the importance of appropriate referral for invasive management when medical therapy fails. The case also highlights that atrial tachycardia in pregnancy can be safely managed with ablation.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2024 ","pages":"5523100"},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11611447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Survival and Recovery From Postmyocardial Infarction Apical Wall Rupture With a Complex Course. 病程复杂的心肌梗死后心尖壁破裂的存活率和康复率

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Case Reports in Cardiology Pub Date : 2024-10-08 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8888201

Hussam Al Hennawi, Angad Bedi, Jesse Cheng, Philip Lim, Nawar Al-Rawas, Mauricio Garrido, Aswin Mathew, Jennifer A Mazzoni

引用次数: 0