Case Reports in Cardiology最新文献_第10页

Acute Coronary Artery Occlusion during Transcatheter Aortic Valve Replacement in a Patient with an Anomalous Left Circumflex Coronary Artery. 左旋冠状动脉异常患者经导管主动脉瓣置换术中的急性冠状动脉闭塞。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-08 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6257367

Rongfeng Xu, Jiandong Ding, Lijuan Chen, Yi Feng, Genshan Ma

{"title":"Acute Coronary Artery Occlusion during Transcatheter Aortic Valve Replacement in a Patient with an Anomalous Left Circumflex Coronary Artery.","authors":"Rongfeng Xu, Jiandong Ding, Lijuan Chen, Yi Feng, Genshan Ma","doi":"10.1155/2022/6257367","DOIUrl":"https://doi.org/10.1155/2022/6257367","url":null,"abstract":"Background: Acute coronary artery occlusion (CAO) during transcatheter aortic valve replacement (TAVR) is a rare but life-threatening complication during the procedure; there were a few case reports about an anomalous LCX during perioperative period. We report a case of successful coronary protection using the chimney stenting technique in a patient with a severely calcified aortic valve and an anomalous LCX. Case Summary. A 75-year-old man was found an anomalous left circumflex coronary artery (LCX) originating from the right coronary cusp with severely calcified aortic valve stenosis requiring TAVR. When a self-expanding aortic valve was deployed, we found flow compromise in the right coronary system and circumflex to TIMI-0 flow. By using the chimney stenting technique, we rapidly planted 2 stents from the proximal CX branch to the sinotubular junction and the coronary flow was maintained.Conclusion: Chimney stenting protection as a bailout technique is safe and feasible and should be considered in patients deemed to be at high risk of coronary flow compromise, especially with an anomalous LCX.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"6257367"},"PeriodicalIF":0.6,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40513197","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: 1

Therapeutic Potential of a Vasopressin V2 Receptor Antagonist for Calcium Channel Blocker-Associated Edema with Vasospastic Angina. 血管加压素V2受体拮抗剂治疗钙通道阻滞剂相关性水肿伴血管痉挛性心绞痛的潜力

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-08 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9550006

Kojiro Toda, Masashi Fujino, Kota Murai, Teruo Noguchi

引用次数: 1

Anterior Papillary Muscle Rupture due to Acute Myocardial Microinfarction of the Small High Lateral Branch. 小高外侧支急性心肌微梗死致前乳头肌破裂。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-08 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7149724

Takanori Kono, Kazuyoshi Takagi, Shinya Negoto, Eiki Tayama

{"title":"Anterior Papillary Muscle Rupture due to Acute Myocardial Microinfarction of the Small High Lateral Branch.","authors":"Takanori Kono, Kazuyoshi Takagi, Shinya Negoto, Eiki Tayama","doi":"10.1155/2022/7149724","DOIUrl":"https://doi.org/10.1155/2022/7149724","url":null,"abstract":"Papillary muscle rupture is a catastrophic condition, of which most cases manifest posterior papillary muscle rupture. Anterior papillary muscle rupture is a rare condition. Particularly, anterior papillary muscle rupture due to acute myocardial microinfarction of the small high lateral branch is extremely rare. Since papillary muscle rupture can occur even in such a small branch or small area due to myocardial infarction, echocardiographic and/or ventriculographic confirmation is essential in cases of sudden worsening of heart failure. Herein, we report the case of anterior papillary muscle rupture with a good outcome. A 61-year-old man was admitted to our hospital with cardiogenic shock. Echocardiography revealed severe mitral regurgitation due to papillary muscle rupture. Coronary angiography demonstrated high-grade stenosis in the high lateral branch. However, no other significant stenoses were found. Emergency mitral valve replacement was performed. The patient was discharged 19 days after surgery without any complications.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"7149724"},"PeriodicalIF":0.6,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40598412","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

Eosinophilic Myocarditis: An Often-Overlooked Diagnosis in Patients Presenting with Heart Failure. 嗜酸性心肌炎:心衰患者常被忽视的诊断。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-01 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8453581

Young Min Cho, Abdullah Asreb, Riaz Mahmood, Ahmad Moaz, Ugochukwu Egolum

{"title":"Eosinophilic Myocarditis: An Often-Overlooked Diagnosis in Patients Presenting with Heart Failure.","authors":"Young Min Cho, Abdullah Asreb, Riaz Mahmood, Ahmad Moaz, Ugochukwu Egolum","doi":"10.1155/2022/8453581","DOIUrl":"https://doi.org/10.1155/2022/8453581","url":null,"abstract":"Introduction. Hypereosinophilic syndrome (HES) is a rare disease characterized by unexplained peripheral eosinophilia along with evidence of end-organ damage. Cardiac involvement is the most life-threatening consequence and is frequently underreported with a prevalence of around 5%. The gold standard for diagnosis is myocardial biopsy, but less-invasive imaging such as cardiac MR (CMR) has been frequently used to help with the diagnosis. We are presenting a unique case of a patient diagnosed with Eosinophilic myocarditis (EM) supported by CMR with rapid improvement after starting steroid treatment. Case Presentation. A 67-year-old African American female with extensive cardiovascular disease history presenting with chest pain was diagnosed with EM secondary to hypereosinophilic syndrome (HES). Lab workup revealed absolute eosinophils of 4.70 × 103/μL (normal 0-0.75 × 103/μL). Transthoracic echocardiography showed mild reduction in left ventricular function and a large obliterating thrombus in the right ventricular apex. CMR showed increased signal intensity at the left ventricular and right ventricular apex, consistent with myocardial edema. Subsequently, the patient was placed on dexamethasone 10 mg daily with significant symptomatic improvement. Discussion. EM is a rare complication of hypereosinophilic syndrome and can mimic common cardiovascular diseases such as acute exacerbation of heart failure or myocardial infarction. A high index of suspicion is essential especially in the setting of suggestive lab workup. CMR is a promising noninvasive and cost-effective alternative for myocardial biopsy in diagnosis.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"8453581"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9270166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40489956","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

Transcatheter Tricuspid Valve-in-Valve Replacement Using a J-Valve System for a Failed Tricuspid Bioprosthesis. 使用j型瓣膜系统进行经导管三尖瓣瓣内置换术治疗三尖瓣生物假体失败。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-06-29 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7353522

Mingkui Zhang, Hui Xue, Lifu Miao, Xiujie Tang, Yanbin Shao

{"title":"Transcatheter Tricuspid Valve-in-Valve Replacement Using a J-Valve System for a Failed Tricuspid Bioprosthesis.","authors":"Mingkui Zhang, Hui Xue, Lifu Miao, Xiujie Tang, Yanbin Shao","doi":"10.1155/2022/7353522","DOIUrl":"https://doi.org/10.1155/2022/7353522","url":null,"abstract":"Background: Redo operation for failed tricuspid bioprosthetic valves is associated with high morbidity and mortality. Transcatheter tricuspid valve-in-valve implantation has become an acceptable option for high-risk patients with a failed tricuspid bioprosthesis. We present a case of successful tricuspid valve-in-valve implantation using a J-valve in a failed tricuspid bioprosthesis position. Case Summary. A 48-year-old male, who had a failed tricuspid bioprosthesis, presented with right-side heart failure, right-to-left shunting at the atrial level, severe dyspnea, cyanosis, peripheral edema, hepatauxe, and ascites. After the interdisciplinary assessment, we successfully performed transcatheter tricuspid valve-in-valve implantation with the J-valve system. At 34-month postoperative follow-up, the patient had no symptoms of heart failure and the echocardiogram showed good valve position and well hemodynamic status.Conclusions: This case demonstrated that the J-valve system may be a new option for high-risk patients with a failed tricuspid bioprosthetic valve.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"7353522"},"PeriodicalIF":0.6,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9259371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40489957","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

An Extremely Rare Presentation of Four Coronary Anomaly Patterns Originating from the Right Coronary Sinus. 四种冠状动脉异常模式起源于右冠状窦的极为罕见的表现。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-06-28 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7125401

Nabil Braiteh, Wajeeh Rehman, Wajiha Ali, Owais Ahmed

{"title":"An Extremely Rare Presentation of Four Coronary Anomaly Patterns Originating from the Right Coronary Sinus.","authors":"Nabil Braiteh, Wajeeh Rehman, Wajiha Ali, Owais Ahmed","doi":"10.1155/2022/7125401","DOIUrl":"https://doi.org/10.1155/2022/7125401","url":null,"abstract":"Background: \"Coronary anomaly\" is defined as the coronary feature or pattern seen in <1% of the population. The most common CAAs are anomalies of origin, specifically having a separate LCX and LAD origin with an incidence of 0.41%. The second most common anomaly is the LCX arising from the RCA (0.37%). Treatment options include CABG, coronary unroofing, reimplantation, or medical therapy. Case Presentation. We present the case of an 85-year-old male who presents with an acute coronary syndrome who was found to have an extremely rare combination of different coronary anomaly patterns including left main coronary artery (LMCA) atresia, small LAD arising posteriorly from the right coronary cusp, anomalous left circumflex artery arising from the RCA, and an anomalous LAD arising from the left circumflex artery which is originating from the RCA.Conclusions: To the best of our knowledge, this is the first case report to describe four coronary anomalies in a single patient. When CAAs are diagnosed, it is of utmost importance for cardiologists to do further imaging and workup that might include a stress test to be able to offer patients the best management options.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"7125401"},"PeriodicalIF":0.6,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9256456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40593268","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

Serotonin Syndrome Induced Tako-Tsubo Syndrome. 血清素综合征诱发Tako-Tsubo综合征。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-06-26 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7551440

Ian Lancaster, Jeffrey Steinhoff, Jose Mosco-Guzman, Deep Patel

引用次数: 1

Heart Team Intervention for Calcified Left Main Coronary Disease and Jeopardized Left Internal Mammary Artery Graft. 心脏小组介入钙化左主干冠状动脉病变及危及左乳内动脉移植物。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-06-22 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7712888

Nobunari Tomura, Masashi Fujino, Yu Kataoka, Shuichi Yoneda, Hiroaki Sasaki, Teruo Noguchi

{"title":"Heart Team Intervention for Calcified Left Main Coronary Disease and Jeopardized Left Internal Mammary Artery Graft.","authors":"Nobunari Tomura, Masashi Fujino, Yu Kataoka, Shuichi Yoneda, Hiroaki Sasaki, Teruo Noguchi","doi":"10.1155/2022/7712888","DOIUrl":"https://doi.org/10.1155/2022/7712888","url":null,"abstract":"It is sometimes difficult to identify the culprit lesion and treatment strategy in patients with acute coronary syndrome who have complex coronary lesions and jeopardized left internal mammary artery graft. This report describes a heart team approach for a non-ST-segment elevation myocardial infarction case with complex coronary vasculature. A 73-year-old man presented to the emergency department with crescendo angina. He had a history of total aortic arch replacement with concomitant coronary artery bypass graft using left internal mammary artery. Emergent coronary angiography demonstrated severe stenosis at left main trunk bifurcation caused by calcified nodule. While the bypass graft to left anterior descending coronary artery was patent, the proximal segment of left subclavian artery was occluded. Following the prompt discussion with our heart team, we performed percutaneous coronary intervention in the first step for treating the left main stenosis using rotational atherectomy into the unprotected left circumflex artery. After clinical recovery, stress myocardial scintigraphy identified the presence of anteroseptal ischemia, which indicated coronary subclavian steal syndrome due to left subclavian artery occlusion. Contrast-enhanced CT visualized that the occlusion originated from the anastomosis, suggesting the potential procedural risk of endovascular treatment by dilatation. Our heart team discussed again and decided to undergo axillo-axillary artery bypass surgery. He was discharged 8 days after the surgery without any sequelae. This is the rare case report of non-ST-segment elevation myocardial infarction who had similar condition to coronary subclavian steal syndrome after total aortic arch replacement. This case highlights the importance of a collaborative approach of the heart team to identify the best therapeutic strategy in a patient with complex coronary vasculature.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"7712888"},"PeriodicalIF":0.6,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9242785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40580177","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

Reverse Takutsubo Cardiomyopathy in a Patient with Phlegmasia Cerulea Dolens. 多发性青色痰症患者的逆行突发性心肌病。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-06-22 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5413237

Gift Echefu, Daniel Hammett, Amir Ausef, Lance LaMotte

{"title":"Reverse Takutsubo Cardiomyopathy in a Patient with Phlegmasia Cerulea Dolens.","authors":"Gift Echefu, Daniel Hammett, Amir Ausef, Lance LaMotte","doi":"10.1155/2022/5413237","DOIUrl":"https://doi.org/10.1155/2022/5413237","url":null,"abstract":"Reverse takotsubo cardiomyopathy (rTTC) is a rare variant of takotsubo cardiomyopathy (TTC) which is characterized by reversible left ventricular (LV) dysfunction. Emotional and physical stress have been implicated in triggering TTC especially in postmenopausal women. TTC and its variants are becoming more recognized due to the widespread adoption of early coronary angiography in the setting of acute coronary syndromes. A man in his late 50s presented to the emergency department with left lower extremity pain, swelling, and cyanosis. Clinical assessment was consistent with phlegmasia cerulea dolens, with deep venous thrombosis detected by venous duplex ultrasound. During his admission, he developed clinical and EKG findings suggestive of acute coronary syndrome. Emergent coronary angiography and ventriculography revealed basal and midventricular hypokinesis with hyperdynamic left ventricular apex, depressed LV dysfunction without coronary artery obstruction diagnostic of reverse takotsubo cardiomyopathy. Venous thromboembolism is a rare finding but has been associated with takotsubo cardiomyopathy and should be considered in the appropriate setting.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"5413237"},"PeriodicalIF":0.6,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9242792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40580178","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

Heart Block Initiated by Candlenut Ingestion 食用核桃引起的心脏传导阻滞

IF 0.6

Case Reports in Cardiology Pub Date : 2022-05-30 DOI: 10.1155/2022/3679968

O. Lawani, M. Winter

{"title":"Heart Block Initiated by Candlenut Ingestion","authors":"O. Lawani, M. Winter","doi":"10.1155/2022/3679968","DOIUrl":"https://doi.org/10.1155/2022/3679968","url":null,"abstract":"The candlenut tree is a tropical plant that has a vast number of uses which include fertilizer, dye, ink for tattooing, and fuel. The inner seed of the nut is the most utilized portion of the plant and is often sold as a food additive, natural laxative, or a weight loss supplement. Unfortunately, the seed itself is very toxic when consumed whole and in its raw state. Typical symptoms of toxicity include abdominal pain, vomiting, and diarrhea. Rarely, it can cause cardiac dysrhythmias, most commonly bradycardia and atrioventricular heart block. We present a case of a young adult female with no significant past medical history who developed typical symptoms of toxicity, as well as atrioventricular heart block following ingestion of a candlenut. Most documented cases describe complete resolution of gastrointestinal and cardiac symptoms about one week following ingestion; however, treatment while inpatient can consist of inotropes or vasopressor support, intravenous fluid hydration, electrolyte replacement, and antiemetics. Although the mechanism of action remains unclear, this report provides physicians with an understanding of the risks of ingestion and the knowledge of typical management of the toxic effects of the candlenut.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43204091","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