Case Reports in Cardiology最新文献

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Acute Heart Failure in Advanced Systemic Sclerosis With Multiorgan Involvement. 晚期系统性硬化症伴多器官累及的急性心力衰竭。
IF 0.5
Case Reports in Cardiology Pub Date : 2026-07-21 eCollection Date: 2026-01-01 DOI: 10.1155/cric/5532920
Hanna Maria Eivindson, Esben Uggerby Naesser, Per Ivarsen, Brian Bridal Løgstrup
{"title":"Acute Heart Failure in Advanced Systemic Sclerosis With Multiorgan Involvement.","authors":"Hanna Maria Eivindson, Esben Uggerby Naesser, Per Ivarsen, Brian Bridal Løgstrup","doi":"10.1155/cric/5532920","DOIUrl":"10.1155/cric/5532920","url":null,"abstract":"<p><strong>Background: </strong>Heart failure secondary to autoimmune diseases is uncommon. Systemic sclerosis (SSc) is a chronic autoimmune disorder marked by microvascular damage and progressive fibrosis in multiple organ systems.</p><p><strong>Case summary: </strong>A man in his 60s, without cardiovascular risk factors, presented with worsening dyspnea (in cardiogenic pulmonary edema), chronic finger cyanosis with ischemic ulcers, progressive dysphagia for about 2 years, and a 10 kg weight loss over 6-12 months. Echocardiography showed a severely impaired left ventricular ejection fraction of 10%. Computer tomography excluded malignancy but demonstrated pleural effusion and pulmonary edema. The patient received immediate treatment for cardiogenic pulmonary edema and was stabilized. Further diagnostic evaluation confirmed diffuse cutaneous systemic sclerosis (dcSSc).</p><p><strong>Discussion: </strong>Primary cardiac involvement as an initial manifestation of dcSSc is rare and remains a significant source of morbidity and mortality.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"5532920"},"PeriodicalIF":0.5,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551328","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
Guidewire Ablation via Coronary Venous System for Frequent VPBs: A Case Report. 经冠状静脉系统导丝消融治疗频繁VPBs 1例报告。
IF 0.5
Case Reports in Cardiology Pub Date : 2026-07-13 eCollection Date: 2026-01-01 DOI: 10.1155/cric/1553244
Ling Jiang, Jichun Liu, Tao Ge, Jun Tang, Youquan Wei
{"title":"Guidewire Ablation via Coronary Venous System for Frequent VPBs: A Case Report.","authors":"Ling Jiang, Jichun Liu, Tao Ge, Jun Tang, Youquan Wei","doi":"10.1155/cric/1553244","DOIUrl":"10.1155/cric/1553244","url":null,"abstract":"<p><strong>Background: </strong>Ventricular arrhythmias originating from the left ventricular summit (LVS) are challenging to treat with conventional catheter ablation due to the region's complex anatomy, proximity to coronary arteries, and epicardial fat coverage. Percutaneous guidewire ablation via the coronary venous system (CVS) provides a minimally invasive therapeutic option for refractory arrhythmias in this area.</p><p><strong>Case presentation: </strong>Herein, we present the case of a 60-year-old Asian female patient who had a 1-year history of palpitations and was diagnosed with symptomatic, frequent ventricular premature beats (VPBs). The patient exhibited an inadequate response to metoprolol and amiodarone as pharmacological therapy and conventional ablation approaches. Following guidewire ablation via the CVS, the VPBs were eliminated entirely, her palpitations fully resolved, and no procedure-related complications, such as coronary artery injury or thrombosis, were observed. During follow-up, there was no recurrence of VPBs, and left ventricular function remained normal.</p><p><strong>Conclusion: </strong>By employing precise mapping, individualized parameter settings, and strict safety monitoring, percutaneous guidewire ablation via the CVS can effectively treat drug-refractory VPBs originating from the LVS. Importantly, this approach could serve as a complementary option when traditional ablation methods are unsuccessful, offering a feasible therapeutic strategy for complex ventricular arrhythmias.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"1553244"},"PeriodicalIF":0.5,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13358361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438812","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 Ventricular Mass in an Oncology Patient and Cocaine User: Metastasis or Thrombus? 肿瘤患者和可卡因使用者的左心室肿块:转移还是血栓?
IF 0.5
Case Reports in Cardiology Pub Date : 2026-07-11 eCollection Date: 2026-01-01 DOI: 10.1155/cric/3086928
Dhan Bahadur Shrestha, Prakash Raj Oli, Mustafain Meghani
{"title":"Left Ventricular Mass in an Oncology Patient and Cocaine User: Metastasis or Thrombus?","authors":"Dhan Bahadur Shrestha, Prakash Raj Oli, Mustafain Meghani","doi":"10.1155/cric/3086928","DOIUrl":"10.1155/cric/3086928","url":null,"abstract":"<p><strong>Background: </strong>Intracardiac thrombus is a common intracardiac mass in patients with left ventricular dysfunction (LVD).</p><p><strong>Case summary: </strong>A man with a history of malignant melanoma presented with emesis and acute left flank pain. He was found to have a left renal infarct and left ventricle (LV) mass, for which he was started on therapeutic anticoagulation. TTE showed a large, mobile mass measuring 2.5 × 2.0 cm in the LV cavity, with LVD. Cardiac metastasis was suspected, and surgical intervention was planned, but preoperative TEE could not reveal the LV mass seen previously, canceling the planned thoracotomy.</p><p><strong>Discussion: </strong>He had patent coronary arteries; therefore, cardiomyopathy was likely due to cocaine use, which might induce thrombosis within the dysfunctional LV. Medical management with therapeutic anticoagulation, along with guideline-directed medical therapy for LVD, continued.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"3086928"},"PeriodicalIF":0.5,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13355401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426167","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
Percutaneous Mitral Balloon Commissurotomy in an African Patient With Left-Sided Inferior Vena Cava: A Rare Case Report. 经皮二尖瓣球囊合并术治疗1例非洲患者左侧下腔静脉:一例罕见病例报告。
IF 0.5
Case Reports in Cardiology Pub Date : 2026-06-30 eCollection Date: 2026-01-01 DOI: 10.1155/cric/1699533
Mohammed Bedru Sebah, Yidnekachew Asrat Birhan, Gashaw Solela
{"title":"Percutaneous Mitral Balloon Commissurotomy in an African Patient With Left-Sided Inferior Vena Cava: A Rare Case Report.","authors":"Mohammed Bedru Sebah, Yidnekachew Asrat Birhan, Gashaw Solela","doi":"10.1155/cric/1699533","DOIUrl":"10.1155/cric/1699533","url":null,"abstract":"<p><p>This case report describes a rare clinical scenario involving a 40-year-old Ethiopian female patient with very severe rheumatic mitral stenosis, found to have an anomalous transposition of the inferior vena cava (IVC). She successfully underwent a technically challenging percutaneous mitral balloon commissurotomy. To the best of our knowledge, this is the first documented case in an African patient where such a procedure has been successfully performed in the context of a congenital IVC anomaly.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"1699533"},"PeriodicalIF":0.5,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363845","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
Recurrent Ventricular Fibrillation Associated With Graves' Disease: A Case Report. 复发性心室颤动伴格雷夫斯病1例
IF 0.5
Case Reports in Cardiology Pub Date : 2026-06-28 eCollection Date: 2026-01-01 DOI: 10.1155/cric/6567826
In Tae Moon, Sihun Kim, Sung Hun Park, You-Jeong Ki, Jung Yeon Chin
{"title":"Recurrent Ventricular Fibrillation Associated With Graves' Disease: A Case Report.","authors":"In Tae Moon, Sihun Kim, Sung Hun Park, You-Jeong Ki, Jung Yeon Chin","doi":"10.1155/cric/6567826","DOIUrl":"10.1155/cric/6567826","url":null,"abstract":"<p><p>Although tachyarrhythmias are associated with thyrotoxicosis, the association with ventricular fibrillation is unknown. This case reports a recurrent ventricular fibrillation with Graves' disease that was successfully treated with an implantable cardioverter defibrillator. A 33-year-old woman presented with ventricular fibrillation cardiac arrest. She was diagnosed with Graves' disease and was taking antithyroid drugs, but her hyperthyroidism was poorly controlled. The patient received intensive care unit care, including extracorporeal membrane oxygenator, ventilator, and renal replacement therapy. Implantable cardioverter defibrillator was implanted for the secondary prevention of ventricular fibrillation. Two months after the procedure, ventricular fibrillation recurred, and an implantable cardioverter defibrillator successfully prevented sudden cardiac death. She maintained a normal sinus rhythm and normal thyroid function after receiving radioactive iodine-131 therapy. Ventricular fibrillation is a rare but fatal manifestation in patients with hyperthyroidism. Implantable cardioverter defibrillator should be considered, especially in patients with poorly controlled hyperthyroidism, for the prevention of sudden cardiac death.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"6567826"},"PeriodicalIF":0.5,"publicationDate":"2026-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13311308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353963","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
Near-Fatal Arrhythmia From Severe Mitral Annular Disjunction. 严重二尖瓣环分离引起的近致命性心律失常。
IF 0.5
Case Reports in Cardiology Pub Date : 2026-06-26 eCollection Date: 2026-01-01 DOI: 10.1155/cric/2912144
Peter-Jon Williams, Mark Schwade, Ryan F Bloomquist, Robert Sorrentino, Deya A Alkhatib, Christine Mills
{"title":"Near-Fatal Arrhythmia From Severe Mitral Annular Disjunction.","authors":"Peter-Jon Williams, Mark Schwade, Ryan F Bloomquist, Robert Sorrentino, Deya A Alkhatib, Christine Mills","doi":"10.1155/cric/2912144","DOIUrl":"10.1155/cric/2912144","url":null,"abstract":"<p><p>Mitral annular disjunction (MAD) is increasingly recognized as a structural abnormality associated with ventricular arrhythmias and sudden cardiac arrest, particularly in the setting of bileaflet mitral valve prolapse (MVP). A 43-year-old man with a history of migraines presented following a witnessed out-of-hospital cardiac arrest and was successfully resuscitated with a single AED shock. Transthoracic echocardiography showed mitral regurgitation with bileaflet prolapse and suspected MAD. An implantable cardioverter-defibrillator was placed for secondary prevention, and the patient was discharged in stable condition with outpatient surgical follow-up where robotic-assisted mitral valve repair was successfully performed. Advanced imaging plays a pivotal role in diagnosis and risk stratification when MAD presents as sudden cardiac arrest.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"2912144"},"PeriodicalIF":0.5,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347242","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 Mitral Valve Repair for Single Leaflet Device Attachment Following Transcatheter Edge-to-Edge Repair: A Case Report. 经导管边缘对边缘修复后单叶装置附着二尖瓣成功修复一例报告。
IF 0.5
Case Reports in Cardiology Pub Date : 2026-06-22 eCollection Date: 2026-01-01 DOI: 10.1155/cric/6112171
Takuro Makiura, Masahiro Daimon, Takahiro Katsumata
{"title":"Successful Mitral Valve Repair for Single Leaflet Device Attachment Following Transcatheter Edge-to-Edge Repair: A Case Report.","authors":"Takuro Makiura, Masahiro Daimon, Takahiro Katsumata","doi":"10.1155/cric/6112171","DOIUrl":"10.1155/cric/6112171","url":null,"abstract":"<p><p>An 87-year-old man underwent transcatheter edge-to-edge repair (TEER), one MitraClip NT︎ from anterior commissure (AC), 8 months prior for severe mitral regurgitation (MR) due to functional etiology and A1 chordal rupture, complicated by heart failure. Following improvement in heart failure, he was discharged home independently 2 weeks postprocedure. However, 4 months ago, he experienced worsening heart failure, and echocardiography revealed recurrent severe MR due to single leaflet device attachment (SLDA) at P1, prompting a surgical intervention. Intraoperatively, after establishing cardiopulmonary bypass and inducing cardiac arrest, transseptal access revealed the MitraClip NT︎ firmly adhered to the P1 leaflet and extensive rupture of the A1 chordae. The MitraClip NT︎ and involved leaflet tissue were excised en bloc, the defect was repaired, artificial chordae were implanted, edge-to-edge repair of the AC region was performed, and a prosthetic annuloplasty ring was sutured in place, successfully eliminating regurgitation. Since MitraClip NT︎ becomes encapsulated by fibrous tissue within 2-3 months postimplantation, isolated removal becomes technically difficult in the late phase. Therefore, en bloc resection with the leaflet is necessary in cases of SLDA-related recurrent MR. SLDA involving the posterior mitral leaflet is considered more amenable to mitral valve repair than that involving the anterior mitral leaflet. Patients selected for TEER generally have limited surgical tolerance; thus, minimizing operative and cardiopulmonary bypass times is essential. Surgical approach should be tailored based on leaflet morphology and clip location.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"6112171"},"PeriodicalIF":0.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13284735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310339","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 Myocardial Infarction Following Androctonus crassicauda Envenomation: A Case Report. 刺棘雄蚊中毒致急性心肌梗死1例。
IF 0.5
Case Reports in Cardiology Pub Date : 2026-06-19 eCollection Date: 2026-01-01 DOI: 10.1155/cric/7231648
Banafshe Nouri, Mohammad Fotouhi Siyah Pirani, Alireza Malekrah, Safa Mousavi
{"title":"Acute Myocardial Infarction Following <i>Androctonus crassicauda</i> Envenomation: A Case Report.","authors":"Banafshe Nouri, Mohammad Fotouhi Siyah Pirani, Alireza Malekrah, Safa Mousavi","doi":"10.1155/cric/7231648","DOIUrl":"10.1155/cric/7231648","url":null,"abstract":"<p><strong>Background: </strong>Scorpion envenomation is a significant clinical problem in endemic regions. Cardiovascular complications are recognized, but acute myocardial infarction (AMI) following <i>Androctonus crassicauda</i> envenomation has not been previously reported.</p><p><strong>Case presentation: </strong>A 20-year-old previously healthy male presented 2 h after a scorpion sting to the left ankle with severe chest pain, diaphoresis, and nausea. An ECG showed ST-segment elevations in the anterior leads, and cardiac biomarkers were elevated. Echocardiography revealed severe hypokinesia of the left ventricular apex and septum (EF 30%). The patient received intravenous thrombolysis shortly after low-dose polyvalent antivenom, with rapid improvement. Coronary angiography was not performed; thus, alternative mechanisms such as coronary vasospasm, toxin-induced myocarditis, or Kounis syndrome cannot be excluded.</p><p><strong>Conclusion: </strong>This case highlights a rare but potentially life-threatening cardiac complication of <i>A. crassicauda</i> envenomation. Clinicians in endemic regions should consider scorpion sting in the differential diagnosis of acute coronary syndromes in young patients without traditional cardiovascular risk factors. Early recognition, antivenom administration, and cardiovascular support are essential. Further studies are needed to clarify specific cardiotoxic mechanisms.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"7231648"},"PeriodicalIF":0.5,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13280456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297292","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
Incidental Coronary Sinus Stenosis During Coronary Angiography: A Rare Angiographic Finding. 冠状动脉造影时偶然发生的冠状窦狭窄:一种罕见的血管造影发现。
IF 0.5
Case Reports in Cardiology Pub Date : 2026-06-19 eCollection Date: 2026-01-01 DOI: 10.1155/cric/9568368
Nazanin Alaei Faradonbeh, Ehsan Khalilipur, Mobina Yarahmadi, Ali Shamsedini
{"title":"Incidental Coronary Sinus Stenosis During Coronary Angiography: A Rare Angiographic Finding.","authors":"Nazanin Alaei Faradonbeh, Ehsan Khalilipur, Mobina Yarahmadi, Ali Shamsedini","doi":"10.1155/cric/9568368","DOIUrl":"10.1155/cric/9568368","url":null,"abstract":"<p><strong>Background: </strong>The coronary sinus (CS) is a major venous drainage pathway of the heart but is rarely the site of clinically significant pathology. When obstruction of the CS occurs, it can lead to serious hemodynamic consequences and a high risk of mortality if not promptly identified.</p><p><strong>Case presentation: </strong>We report the case of a 60-year-old male with Type 2 diabetes mellitus on chronic hemodialysis, who presented with chest pain and dyspnea. While undergoing diagnostic coronary angiography for suspected ischemia, severe stenosis of the CS was incidentally observed. The patient had elevated left ventricular end-diastolic pressure (LVEDP) and diffuse coronary artery disease. Management included optimization of volume status through intensified hemodialysis, along with guideline-directed heart failure therapy. The patient's symptoms and hemodynamic parameters subsequently improved.</p><p><strong>Conclusion: </strong>This case highlights the importance of recognizing rare CS abnormalities during coronary angiography. Although the clinical significance of incidental CS stenosis remains uncertain, awareness of such findings may help guide further evaluation in selected patients.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"9568368"},"PeriodicalIF":0.5,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13280460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297354","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
Progressive Right-Sided Heart Failure and Secondary Tricuspid Valve Disease in Pediatric Lutembacher Syndrome: A Case Report. 儿童Lutembacher综合征的进行性右侧心力衰竭和继发性三尖瓣疾病1例报告。
IF 0.5
Case Reports in Cardiology Pub Date : 2026-06-19 eCollection Date: 2026-01-01 DOI: 10.1155/cric/1744460
Christopher Collin Hayes, Kelly Chodos, Bryan P Stefek
{"title":"Progressive Right-Sided Heart Failure and Secondary Tricuspid Valve Disease in Pediatric Lutembacher Syndrome: A Case Report.","authors":"Christopher Collin Hayes, Kelly Chodos, Bryan P Stefek","doi":"10.1155/cric/1744460","DOIUrl":"10.1155/cric/1744460","url":null,"abstract":"<p><strong>Background: </strong>Lutembacher syndrome (LS) is a rare condition characterized by the coexistence of mitral stenosis (MS) and an atrial septal defect (ASD). Clinical manifestations vary according to the severity of MS and the size of the ASD.</p><p><strong>Case presentation: </strong>We report a 13-year-old female with congenital MS and a secundum ASD who presented with decompensated right heart failure after being lost to follow-up for 10 years. Progressive worsening of MS and enlargement of the ASD resulted in significant left-to-right shunting, severe right heart volume overload, pulmonary hypertension, tricuspid annular dilation, and severe tricuspid regurgitation. Cardiac catheterization demonstrated low cardiac output, pulmonary overcirculation, and postcapillary pulmonary hypertension. The patient underwent mechanical mitral valve replacement, ASD closure, and tricuspid annuloplasty.</p><p><strong>Outcome: </strong>Postoperatively, the patient experienced transient left ventricular dysfunction that gradually improved with medical therapy. At 2-year follow-up, she demonstrated normal biventricular systolic function and complete resolution of heart failure symptoms.</p><p><strong>Conclusion: </strong>This case highlights how a large ASD may initially mask symptoms of severe MS while simultaneously promoting progressive right-sided heart failure and secondary tricuspid valve disease. Early surveillance and timely intervention are essential to prevent irreversible cardiac remodeling in patients with LS.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"1744460"},"PeriodicalIF":0.5,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13280464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297336","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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