Case Reports in Cardiology最新文献_第3页

Cardiac Tuberculoma Presenting as Sudden Cardiac Death in an Immunocompetent Young Man: A Case Report and Literature Review. 免疫功能正常青年心脏结核瘤表现为心源性猝死：病例报告和文献综述。

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Case Reports in Cardiology Pub Date : 2023-10-04 eCollection Date: 2023-01-01 DOI: 10.1155/2023/2207204

Alemayehu Shiferaw Lema

引用次数: 1

Acute Cardiac Manifestations of SARS-CoV-2 Infection: Spotting the Clot. 严重急性呼吸系统综合征冠状病毒2型感染的急性心脏表现：发现凝块。

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Case Reports in Cardiology Pub Date : 2023-09-14 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6366959

Robert N Kerley, Amal John, Sajjad Matiullah, Mark Rogan

引用次数: 0

Kounis and Takotsubo, Two Syndromes Bound by Adrenaline: The "ATAK" Complex. Kounis和Takotsubo，肾上腺素结合的两个综合征：“ATAK”复合体。

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Case Reports in Cardiology Pub Date : 2023-09-14 eCollection Date: 2023-01-01 DOI: 10.1155/2023/7706104

Ravi Vazirani Ballesteros, Juan Carlos Gómez Polo, Carmen Olmos, Isidre Vilacosta

{"title":"Kounis and Takotsubo, Two Syndromes Bound by Adrenaline: The \"ATAK\" Complex.","authors":"Ravi Vazirani Ballesteros, Juan Carlos Gómez Polo, Carmen Olmos, Isidre Vilacosta","doi":"10.1155/2023/7706104","DOIUrl":"https://doi.org/10.1155/2023/7706104","url":null,"abstract":"Background. The term \"ATAK\" complex has been coined by the association of adrenaline, takotsubo, anaphylaxis and Kounis syndrome. We present an uncommon case of an \"ATAK\" complex with biphasic onset and a midventricular takotsubo pattern. Case Summary. A 50-year-old male was brought to the emergency department in anaphylactic shock. He had progressive exertional dyspnea and angina for the past 2 days. The intravenous administration of adrenaline for anaphylactic shock resulted in chest pain and concerning ECG repolarization findings. The patient was immediately transferred to the catheterization laboratory. Coronary angiography showed a midventricular ballooning pattern without significant coronary stenosis, with subsequent recovery during hospitalization, suggestive of takotsubo syndrome. The allergy tests remained inconclusive for the trigger. Discussion. Adrenaline-mediated stress is the link between these two entities, in which Kounis syndrome itself or anaphylactic shock treatment (adrenaline) are potential triggers for takotsubo syndrome.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2023 ","pages":"7706104"},"PeriodicalIF":0.6,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41163034","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

Impella-Supported Optical Coherence Tomography-Guided Aggressive Rotational Atherectomy for Heavily Calcified Lesions in Left Main Trunk Bifurcation in a Patient with Severe Left Ventricular Systolic Dysfunction. Impella支持的光学相干断层扫描引导下的积极旋转动脉粥样硬化切除术治疗严重左心室收缩功能障碍患者左主干分叉处的严重钙化病变。

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Case Reports in Cardiology Pub Date : 2023-08-14 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6894610

Masahiro Koide, Kento Fukui, Hikaru Sugimoto, Yuki Takeda, Koji Sogabe, Yukinori Kato, Hiroki Kitajima, Satoshi Akabame

{"title":"Impella-Supported Optical Coherence Tomography-Guided Aggressive Rotational Atherectomy for Heavily Calcified Lesions in Left Main Trunk Bifurcation in a Patient with Severe Left Ventricular Systolic Dysfunction.","authors":"Masahiro Koide, Kento Fukui, Hikaru Sugimoto, Yuki Takeda, Koji Sogabe, Yukinori Kato, Hiroki Kitajima, Satoshi Akabame","doi":"10.1155/2023/6894610","DOIUrl":"10.1155/2023/6894610","url":null,"abstract":"The Impella, a percutaneous left ventricular assist device, has been reported to minimize the risk of hemodynamic compromise and improve clinical outcomes during percutaneous coronary intervention (PCI) in complex high-risk indicated patients (CHIPs). Optical coherence tomography (OCT) provides information on calcified plaque thickness, which is helpful in determining the indication and endpoint of atherectomy during PCI for calcified lesions. However, there are few reports on OCT-guided aggressive rotational atherectomy with Impella assistance in CHIPs. A 71-year-old man on dialysis for end-stage renal failure was admitted for congestive heart failure. Transthoracic echocardiography revealed severe left ventricular systolic dysfunction, and coronary angiography performed after improvement of heart failure showed severe stenosis with heavily calcified lesions in the left main trunk (LMT) bifurcation and right coronary artery. The patient refused coronary artery bypass surgery and was revascularized using PCI. PCI was started with prophylactic Impella CP insertion because of the high risk of hemodynamic collapse. After OCT-guided rotational atherectomy with 1.5- and 2.0-mm burr toward the left anterior descending artery and left circumflex artery, respectively, double-kissing culotte stenting was performed in the LMT, and good dilation was obtained. Impella CP was removed immediately after PCI without hemodynamic compromise, and the procedure was completed.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2023 ","pages":"6894610"},"PeriodicalIF":0.6,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10442179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10058037","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

Acute Lymphocytic Myocarditis in a Young Male Post-COVID-19. 一名年轻男性在 COVID-19 后患上急性淋巴细胞性心肌炎

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Case Reports in Cardiology Pub Date : 2023-06-22 eCollection Date: 2023-01-01 DOI: 10.1155/2023/7646962

Mintje Bohné, Sebastian Bohnen, Stephan Willems, Karin Klingel, Dietmar Kivelitz, Edda Bahlmann

{"title":"Acute Lymphocytic Myocarditis in a Young Male Post-COVID-19.","authors":"Mintje Bohné, Sebastian Bohnen, Stephan Willems, Karin Klingel, Dietmar Kivelitz, Edda Bahlmann","doi":"10.1155/2023/7646962","DOIUrl":"10.1155/2023/7646962","url":null,"abstract":"Background: Lymphocytic myocarditis is a rare form of myocarditis, associated with a high mortality rate due to a high risk of sudden cardiac death. Lymphocytic myocarditis might present as a relevant extrapulmonary manifestation after coronavirus disease 2019 (COVID-19) infection. Case presentation. We report a case of a 26-year-old male with lymphocytic myocarditis, presenting with a 1-month history of increasing fatigue, palpitations, and shortness of breath. Eight weeks before, he was tested positive for SARS-CoV-2. He had received 2-dose schedule of the COVID-19 mRNA vaccine Comirnaty® (BioNTech/Pfizer) 6 months prior to his admission. Diagnostic work-up by echocardiography and cardiac magnetic resonance (CMR) imaging demonstrated a severely reduced left ventricular function and a strong midmyocardial late gadolinium enhancement (LGE). Histology and immunohistology of the endomyocardial biopsies revealed an acute lymphocytic myocarditis. Immunosuppressive therapy with a steroid taper in combination with azathioprine 300 mg/day was initiated. The patient was equipped with a LifeVest®. On day 17, a non-sustained ventricular tachycardia was documented. Follow-up CMR imaging after 3 months showed a slightly improved systolic left ventricular function, and a strong LGE was still detectable.Conclusions: The case highlights the significance of recognizing lymphocytic myocarditis correlated to COVID-19. It is important to be vigilant also of a later presentation of cardiomyopathy in patients diagnosed with COVID-19 due to high mortality without immediate support.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2023 ","pages":"7646962"},"PeriodicalIF":0.6,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9743474","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

Case Report: Rare Case of Staphylococcus pasteuri Endocarditis. 病例报告：罕见的糊状葡萄球菌心内膜炎病例。

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Case Reports in Cardiology Pub Date : 2023-03-25 eCollection Date: 2023-01-01 DOI: 10.1155/2023/4624492

Esben Merrild, Mette Winther, Jonathan Nørtoft Dahl, Tine Sneibjerg Ebsen, Steffen Leth, Simon Winther

{"title":"Case Report: Rare Case of Staphylococcus pasteuri Endocarditis.","authors":"Esben Merrild, Mette Winther, Jonathan Nørtoft Dahl, Tine Sneibjerg Ebsen, Steffen Leth, Simon Winther","doi":"10.1155/2023/4624492","DOIUrl":"10.1155/2023/4624492","url":null,"abstract":"A 45-year-old woman was admitted with severe pain in the right leg and dyspnea. Her medical history included previous Staphylococcus aureus endocarditis, biological aortic valve replacement, and intravenous drug abuse. She was febrile but did not have any focal signs of infection. Blood tests showed raised infectious markers and troponin levels. Electrocardiogram showed sinus rhythm without signs of ischemia. Ultrasound revealed thrombosis of the right popliteal artery. The leg was not critically ischemic, and therefore, treatment with dalteparin was chosen. Transesophageal echocardiography showed an excrescence on the biological aortic valve. Empiric treatment for endocarditis was started with intravenous vancomycin, gentamicin, and oral rifampicin. Blood cultures subsequently grew Staphylococcus pasteuri. On day 2, treatment was changed to intravenous cloxacillin. Due to the comorbidity, the patient was not a candidate for the surgical treatment. On day 10, the patient developed moderate expressive aphasia and weakness in the right upper limb. Magnetic resonance imaging showed micro-embolic lesions scattered across both hemispheres of the brain. Treatment was changed from cloxacillin to cefuroxime. On day 42, infectious markers were normal, and echocardiography showed regression of the excrescence. Antibiotic treatment was stopped. Follow-up on day 52 did not show any signs of active infection. However, on day 143, the patient was readmitted with cardiogenic shock due to aortic root fistulation to the left atrium. She quickly deteriorated and died.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2023 ","pages":"4624492"},"PeriodicalIF":0.6,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10066806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9302100","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 Rare Case of Persistent Bacteremia: Leadless Micra Pacemaker Endocarditis. 罕见的持续性菌血症病例：无引线米克拉起搏器心内膜炎

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Case Reports in Cardiology Pub Date : 2023-01-18 eCollection Date: 2023-01-01 DOI: 10.1155/2023/8326020

Himax Patel, Sean Harrell, Haitham Hreibe, Musa Sharkawi, Wael AlJaroudi

引用次数: 0

Ventricular Septal Rupture-The Resurgence of a Post-Myocardial Infarction Dreadful Complication during COVID-19 Pandemic. 室间隔破裂--心肌梗死后可怕并发症在 COVID-19 大流行期间卷土重来。

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Case Reports in Cardiology Pub Date : 2023-01-05 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3521526

João Ferreira Reis, Luís Almeida Morais, Lídia Sousa, António Fiarresga

{"title":"Ventricular Septal Rupture-The Resurgence of a Post-Myocardial Infarction Dreadful Complication during COVID-19 Pandemic.","authors":"João Ferreira Reis, Luís Almeida Morais, Lídia Sousa, António Fiarresga","doi":"10.1155/2023/3521526","DOIUrl":"10.1155/2023/3521526","url":null,"abstract":"In the midst of the coronavirus disease-2019 (COVID-19) pandemic, an 84-year-old female patient was admitted due to non-exertional syncope preceded by retrosternal pain. She had experienced a prolonged episode of oppressive chest pain 6 days before her presentation, but due to the concern of contracting COVID-19, she did not present for medical care. Upon admission to the emergency department, the patient was in circulatory shock, with her physical examination being remarkable for the presence of a holosystolic murmur. Admission electrocardiogram revealed an inferior ST-segment elevation with Q waves with extension to the posterior wall, consistent with subacute infarct in the right coronary artery (RCA) territory, and the patient was transferred for primary percutaneous coronary intervention. Upon arrival to the catheterization laboratory, a summary transthoracic echocardiogram was performed, which revealed inferior wall and infero-septal akinesia with an 18 mm ventricular septal rupture. Coronary angiography documented occlusion of the proximal segment of a dominant RCA. Due to a high perioperative risk, the patient underwent successful retrograde percutaneous closure with a 24 mm MemoPart™ device, with mild to moderate residual shunt. Despite an immediate clinical improvement, the patient died 12 hours after the procedure due to refractory cardiogenic shock.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2023 ","pages":"3521526"},"PeriodicalIF":0.6,"publicationDate":"2023-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9836817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10536394","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 Rare Coexistence of Simultaneous Cardio-Cerebral Infarction. 罕见的同时并发心脑梗死。

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Case Reports in Cardiology Pub Date : 2023-01-01 DOI: 10.1155/2023/9986712

Vijay Yadav, Ratna Mani Gajurel, Chandra Mani Poudel, Paras Thapa, Manju Sharma, Suraj Shrestha

{"title":"A Rare Coexistence of Simultaneous Cardio-Cerebral Infarction.","authors":"Vijay Yadav, Ratna Mani Gajurel, Chandra Mani Poudel, Paras Thapa, Manju Sharma, Suraj Shrestha","doi":"10.1155/2023/9986712","DOIUrl":"https://doi.org/10.1155/2023/9986712","url":null,"abstract":"Background: Contemporaneous acute myocardial infarction (AMI) and acute ischemic stroke (AIS), termed cardio-cerebral infarction (CCI), is a rare medical emergency. The effectual management of this situation is exigent since early management of one condition will inevitably delay the other. Case Presentation. A 60-year-old woman presented to our hospital with concurrent AMI of the inferior left ventricular wall, complicated by cardiogenic shock and transient complete heart block, and AIS of more than 4.5 hour duration. The cerebral computerized tomography angiography revealed a right-sided terminal internal carotid artery (ICA) occlusion, and the coronary angiogram depicted double vessel disease with a culprit lesion in the right coronary artery (RCA). The patient underwent mechanical thrombectomy for the ICA occlusion by an interventional neuroradiologist followed by the primary percutaneous coronary intervention of the culprit RCA by the interventional cardiologists in the same setting.Conclusion: A patient with concurrent AMI and AIS is a challenging situation to treat in the emergency department, and the treatment must be individualized for each patient.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2023 ","pages":"9986712"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10118898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9387573","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

Late Incidental Discovery of Compression of the Left Anterior Descending Coronary Artery by an Endocardial Defibrillator Lead. 意外发现心内膜除颤器导联压迫左冠状动脉前降支。

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Case Reports in Cardiology Pub Date : 2023-01-01 DOI: 10.1155/2023/6646715

Alex Scripcariu, Denis Gaty, Philippe Maury

引用次数: 0