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Type A Aortic Dissection in a Previously Healthy Pregnant Patient: A Challenging Dilemma, Case Report, and Literature Review.
IF 0.6
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
{"title":"Type A Aortic Dissection in a Previously Healthy Pregnant Patient: A Challenging Dilemma, Case Report, and Literature Review.","authors":"Elham Bateni, Maryam Dehghan, Zeinab Ahmadikia","doi":"10.1155/cric/6971509","DOIUrl":"10.1155/cric/6971509","url":null,"abstract":"<p><p>Aortic dissection (AoD) is a rare fatal condition in which tearing in the intima causes a false channel in the aorta and can lead to rupture. AoD is classified as the DeBakey classification (Types I, II, III) and Stanford classification (Types A and B). Women with underlying risk factors such as hypertension, smoking, bicuspid aortic valve, and connective tissue disorders are at risk for pregnancy-related AoD. These risk factors may not be recognized until the AoD occurs during pregnancy. We describe an acute incidence of type A AoD in the second trimester of pregnancy. A multiparous woman with no previously known risk factor presented with nonspecific chest pain. She was found to have AoD and underwent successful surgical intervention. This case demonstrates the importance of vigilance in the evaluation of pregnant women with new cardiopulmonary symptoms. A multidisciplinary approach can save the mother and the fetus.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2024 ","pages":"6971509"},"PeriodicalIF":0.6,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924110","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
Triple-Vessel Spontaneous Coronary Artery Dissection Managed Conservatively.
IF 0.6
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
{"title":"Triple-Vessel Spontaneous Coronary Artery Dissection Managed Conservatively.","authors":"Garen S Kroshian, Matthew J Cozzolino, Edeliz Flores, Sheilah A Bernard","doi":"10.1155/cric/7144164","DOIUrl":"10.1155/cric/7144164","url":null,"abstract":"<p><p>The management of spontaneous coronary artery dissection (SCAD) presents challenges and uncertainties. We present a case of a 54-year-old woman who developed SCAD in the three primary coronary artery territories including the distal left anterior descending artery (LAD), a diagonal branch, the first and second obtuse marginals (OMs), and the midright coronary artery (RCA). She was managed conservatively without procedural intervention, and follow-up coronary angiography demonstrated complete recovery.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2024 ","pages":"7144164"},"PeriodicalIF":0.6,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903996","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
Intraoperative Hemodynamic Instability in a Patient With Ebstein's Anomaly Complicated With Eisenmenger Syndrome.
IF 0.6
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
{"title":"Intraoperative Hemodynamic Instability in a Patient With Ebstein's Anomaly Complicated With Eisenmenger Syndrome.","authors":"Leonardo A Marquez Roa, Jorge Araujo-Duran, Richard Hofstra, Jibran Ikram, Sabry Ayad","doi":"10.1155/cric/8283566","DOIUrl":"10.1155/cric/8283566","url":null,"abstract":"<p><p>Ebstein's anomaly is a rare congenital displacement of the tricuspid valve resulting in atrialization of the right ventricle. About half of the patients with Ebstein's anomaly also have atrial septal defects, which may lead to chronic shunting and development of Eisenmenger syndrome. We describe a case of a sexagenarian male patient with a history of Ebstein's anomaly complicated with Eisenmenger syndrome undergoing robotic laparoscopic adrenalectomy who presented hemodynamic instability, hypoxemia, and likely right-to-left shunting intraoperatively, as well as the actions taken to correct it and have a successful outcome. Perioperative management of adult patients with congenital heart defects is complex and requires careful monitoring. When available, intraoperative transesophageal echocardiography is strongly recommended. To prevent right-to-left shunting, maintaining elevated systemic vascular resistance with the use of vasopressors and low positive end-expiratory pressure (PEEP) ventilation is critical.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2024 ","pages":"8283566"},"PeriodicalIF":0.6,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886478","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
Successful Bailout of Catheter-Induced Dissection in Acute Myocardial Infarction Resulting From a Nondominant Right Coronary Artery Occlusion.
IF 0.6
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":"<p><p>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.</p>","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.
IF 0.6
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":"<p><p>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.</p>","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
IF 0.6
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
{"title":"Survival and Recovery From Postmyocardial Infarction Apical Wall Rupture With a Complex Course.","authors":"Hussam Al Hennawi, Angad Bedi, Jesse Cheng, Philip Lim, Nawar Al-Rawas, Mauricio Garrido, Aswin Mathew, Jennifer A Mazzoni","doi":"10.1155/2024/8888201","DOIUrl":"https://doi.org/10.1155/2024/8888201","url":null,"abstract":"<p><p>Ventricular wall rupture is associated with poor outcomes subsequent to an acute myocardial infarction. We describe a case of postmyocardial infarction apical wall rupture following percutaneous coronary intervention. Our case emphasizes the importance of swift evaluation, diagnosis, and management to enhance survival in individuals confronting this critical condition.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2024 ","pages":"8888201"},"PeriodicalIF":0.6,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11479771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480485","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 and Milrinone-Bridge to Recovery in New HFrEF With Low-Output Heart Failure. 伊伐布雷定和米力农--新发低输出性心力衰竭患者的康复之桥
IF 0.6
Case Reports in Cardiology Pub Date : 2024-09-02 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5278240
Lekha Racharla, Lucas Gitzel, Max Joseph, Desire Guthier, Nael Hawwa
{"title":"Ivabradine and Milrinone-Bridge to Recovery in New HFrEF With Low-Output Heart Failure.","authors":"Lekha Racharla, Lucas Gitzel, Max Joseph, Desire Guthier, Nael Hawwa","doi":"10.1155/2024/5278240","DOIUrl":"https://doi.org/10.1155/2024/5278240","url":null,"abstract":"<p><p>In patients with newly diagnosed heart failure with reduced ejection fraction (HFrEF) who are on a downward clinical trajectory, options are mostly limited to left ventricular assist device and transplantation. However, in those with factors favorable for reverse remodeling, every effort should be made to promote native myocardial recovery. We present three patients with newly diagnosed severe HFrEF, NYHA Class 3-4 symptoms, and low cardiac output with and without organ malperfusion. Ivabradine and/or home milrinone were used during their tenuous hemodynamic period as a bridge to optimize guideline-directed medical therapy (GDMT), device therapy, and eventual reverse remodeling. Evidence of structural heart improvement continued far beyond 1 year.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2024 ","pages":"5278240"},"PeriodicalIF":0.6,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11383645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300580","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
Overcoming Double Jeopardy: Successful Orthotopic Heart Transplant in a Recipient With Bacterial and Fungal Infections. 克服双重危险：成功完成细菌和真菌感染受体的异位心脏移植。
IF 0.6
Case Reports in Cardiology Pub Date : 2024-07-17 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4175313
Paopat Munthananuchat, Bundit Naratreekoon, Narongrit Kantathut, Piya Samankatiwat, Akeatit Trirattanapikul, Teerapat Yingchoncharoen
{"title":"Overcoming Double Jeopardy: Successful Orthotopic Heart Transplant in a Recipient With Bacterial and Fungal Infections.","authors":"Paopat Munthananuchat, Bundit Naratreekoon, Narongrit Kantathut, Piya Samankatiwat, Akeatit Trirattanapikul, Teerapat Yingchoncharoen","doi":"10.1155/2024/4175313","DOIUrl":"https://doi.org/10.1155/2024/4175313","url":null,"abstract":"<p><p>Although active infection is generally a contraindication before an orthotopic heart transplant, a 16-year-old man diagnosed with dilated cardiomyopathy successfully underwent an orthotopic heart transplant despite having active probable invasive pulmonary aspergillosis and bacterial pneumonia in the presence of septic and cardiogenic shock.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2024 ","pages":"4175313"},"PeriodicalIF":0.6,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762539","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
Warning Function of Frank's Sign in Pre-Existing Cardiac Disease Patients: A Case Report. 先心病患者弗兰克体征的预警功能：病例报告
IF 0.6
Case Reports in Cardiology Pub Date : 2024-07-09 eCollection Date: 2024-01-01 DOI: 10.1155/2024/3766536
Mingzhe Wang, Yujing Zhang, Jiang Huang, Geping Liao, Wei Qian, Yaofu Zheng, Xiaoping Peng, Jianbing Zhu
{"title":"Warning Function of Frank's Sign in Pre-Existing Cardiac Disease Patients: A Case Report.","authors":"Mingzhe Wang, Yujing Zhang, Jiang Huang, Geping Liao, Wei Qian, Yaofu Zheng, Xiaoping Peng, Jianbing Zhu","doi":"10.1155/2024/3766536","DOIUrl":"10.1155/2024/3766536","url":null,"abstract":"<p><p>Frank's sign (FS) refers to a diagonal skin fold between the tragus and the outer edge of the earlobe. FS has been identified as an independent variable in coronary artery disease (CAD). Young patients with FS and previous myocardial infarction are still rarely reported in clinical studies. We report the case of a 49-year-old male smoker and diabetic, with a history of myocardial infarction, who presented to the emergency department due to 2 h typical cardiac chest pain. His urgent electrocardiography (ECG) showed ST elevation, and cardiac biomarkers were elevated after admission. A diagonal earlobe crease (DELC) was observed in physical tests. The preliminary diagnosis considered acute coronary syndrome (ACS). Subsequently, acute coronary artery angiography demonstrated a slit-like contrast defect in the proximal right coronary artery (RCA), with stenosis and occlusion in the distal segment. The percutaneous coronary intervention (PCI) was performed immediately. The patient's chest pain symptoms were relieved significantly after intervention. Our case indicates that FS should be highly regarded as a routine cardiovascular clinical examination, which can be effortlessly applied and be easily interpreted for screening to suspect the presence of ischemic heart disease. This may set strategies for primary screening in a younger population and prompt early diagnosis and treatment.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2024 ","pages":"3766536"},"PeriodicalIF":0.6,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11251791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629265","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
Left Pulmonary Artery Stenting for Left Pulmonary Artery Stenosis Following Patent Ductus Arteriosus Device Closure: Case Series and Review of the Literature. 左肺动脉支架植入术治疗动脉导管未闭装置闭合后左肺动脉狭窄：病例系列和文献综述。
IF 0.6
Case Reports in Cardiology Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6690515
Víctor Molina, Mehdi Hadid, Joaquim Miró, Nagib Dahdah
{"title":"Left Pulmonary Artery Stenting for Left Pulmonary Artery Stenosis Following Patent Ductus Arteriosus Device Closure: Case Series and Review of the Literature.","authors":"Víctor Molina, Mehdi Hadid, Joaquim Miró, Nagib Dahdah","doi":"10.1155/2024/6690515","DOIUrl":"10.1155/2024/6690515","url":null,"abstract":"<p><p>Percutaneous device occlusion is currently the standard of care for most cases of patent ductus arteriosus (PDA). Albeit infrequent, device-related left pulmonary artery (LPA) stenosis is a known complication of this procedure, occasionally requiring stent placement to relieve the obstruction. We present a series of four patients who required left pulmonary stenting after ductus arteriosus device closure. A review of the current evidence is presented.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2024 ","pages":"6690515"},"PeriodicalIF":0.6,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494175","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
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