Lauren Giudicatti, Benjamin Silbert, Xiao-Fang Xu, Anthony Putrino, Felicity Lee, Amit Shah, Robert Larbalestier, Karim Slimani, Andrew Laycock, Kaitlyn Lam
{"title":"Post-Myocardial Infarction Ventricular Septal Defect Successfully Treated with Impella as Bridge to Cardiac Transplantation.","authors":"Lauren Giudicatti, Benjamin Silbert, Xiao-Fang Xu, Anthony Putrino, Felicity Lee, Amit Shah, Robert Larbalestier, Karim Slimani, Andrew Laycock, Kaitlyn Lam","doi":"10.1155/2022/5690844","DOIUrl":"https://doi.org/10.1155/2022/5690844","url":null,"abstract":"<p><p>A 63-year-old female presented late with anterior ST-elevation myocardial infarction and cardiogenic shock. This was complicated by acute ventricular septal defect with large left-to-right shunt. An Impella CP was inserted on day seven with rapid haemodynamic improvement. This facilitated bridge to cardiac transplant on day twelve post-MI.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"5690844"},"PeriodicalIF":0.6,"publicationDate":"2022-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9357800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40703145","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}
Abdulbaril Olagunju, Chandana Shekar, Michael Morris, Anantharam Kalya, Farouk Mookadam, Samuel Unzek
{"title":"Blood Cancer and the Heart: Light Chain Cardiomyopathy in Refractory Multiple Myeloma.","authors":"Abdulbaril Olagunju, Chandana Shekar, Michael Morris, Anantharam Kalya, Farouk Mookadam, Samuel Unzek","doi":"10.1155/2022/7846846","DOIUrl":"https://doi.org/10.1155/2022/7846846","url":null,"abstract":"<p><p>We report a case of a 57-year-old woman with a history of multiple myeloma (MM) and light chain (AL) amyloidosis who presented due to worsening dyspnea on exertion. Her MM has been refractory to multiple chemotherapy regimens and two autologous bone marrow transplantation. Diagnostic evaluations including serum kappa and lambda chains, echocardiogram, pyrophosphate cardiac scan, and cardiac magnetic resonance were indicative of a progression to AL cardiomyopathy. Addition of daratumumab to her regimen appeared to ameliorate the progression of AL cardiomyopathy. However, it was stopped due to adverse effects of pancytopenia and allergic reactions including skin rash and hives. She was hospitalized for heart failure exacerbation and died approximately 2 months following the discontinuation of daratumumab. This case highlights the late presentation of AL cardiomyopathy in refractory MM.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"7846846"},"PeriodicalIF":0.6,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9356901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40596097","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}
Deborah Adepoju, Jamie A L Smith, Stephen J Leslie
{"title":"Life-Threatening Coronary Vasospasm Treated by Implantable Cardioverter Defibrillator: The Warning Signs.","authors":"Deborah Adepoju, Jamie A L Smith, Stephen J Leslie","doi":"10.1155/2022/4504028","DOIUrl":"https://doi.org/10.1155/2022/4504028","url":null,"abstract":"<p><p>Coronary artery vasospasm is the sudden narrowing of an artery caused by rapid prolonged contraction. It reduces blood supply to the heart and can present with typical cardiac chest pain symptoms. Vasospasm can lead to fatal arrhythmic complications such as ventricular fibrillation. Our case report describes an example of this occurring in a 53-year-old female, and the management plan that ensued. We look at the importance of accurate and prompt diagnosis of vasospasm and how this can have implications for treatment options. One of the available treatments for vasospasm is placement of an implantable cardioverter defibrillator (ICD). This delivers a shock in the event of future life-threatening arrhythmia, with the aim of preventing cardiac arrest. ICD placement, however, is not always a suitable option. This case report discusses the various challenges that arose while making the decision for ICD placement and gives insight into the best available treatment options for coronary artery vasospasm. We also highlight early warning signs that predict life-threatening vasospastic events and how this can be diagnosed and treated appropriately.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"4504028"},"PeriodicalIF":0.6,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9348961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40688581","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}
{"title":"Ticagrelor-Induced Torsades de Pointes following Myocardial Infarction.","authors":"Seong Hyeon Bu, Sung-Hwan Kim","doi":"10.1155/2022/4505964","DOIUrl":"https://doi.org/10.1155/2022/4505964","url":null,"abstract":"<p><p>We report a case of excessive QT prolongation and subsequent torsades de pointes (TdP) following the administration of ticagrelor in a 58-year-old male patient. The patient had no suspected cause of QT prolongation. After cessation of ticagrelor, QT interval was normalized and no further TdP was observed.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"4505964"},"PeriodicalIF":0.6,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40571961","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}
Azhar Farooqui, Tin Lwin, Daniel Costa, Simon Hetherington, Raj Mattu
{"title":"Recurrence of LV Thrombus in a Patient with Severe Ischaemic Cardiomyopathy Anticoagulated with Apixaban.","authors":"Azhar Farooqui, Tin Lwin, Daniel Costa, Simon Hetherington, Raj Mattu","doi":"10.1155/2022/8156942","DOIUrl":"https://doi.org/10.1155/2022/8156942","url":null,"abstract":"<p><strong>Background: </strong>Anticoagulation with warfarin remains the mainstay treatment for left ventricular thrombi. Although successful thrombus resolution has been reported with direct oral anticoagulants' (DOACs') recurrence/progression while resuming Apixaban therapy is yet to be reported. <i>Case Presentation</i>. This case report describes left ventricular thrombus progression/recurrence in a patient anticoagulated with Apixaban undergoing implantable cardioverter defibrillator to cardiac resynchronisation therapy with defibrillator upgrade procedure. He was thereafter changed to warfarin. Contrast echocardiogram at 6 months follow-up did not identify the previously demonstrated mural thrombus.</p><p><strong>Conclusion: </strong>Prospective randomised control trials should be conducted in patients with left ventricular thrombus to compare anticoagulants, assess the efficacy and safety of DOACs, and evaluate uninterrupted DOAC versus transient withdrawal for cardiac device procedures.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"8156942"},"PeriodicalIF":0.6,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40574514","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}
{"title":"One 6-F Guiding Catheter and One Microcatheter to Accomplish a Retrograde Chronic Total Occlusion Approach: The \"Reverse Tip-In\" or \"Introspect\" Technique.","authors":"Ata Firouzi, Zahra Hosseini, Ehsan Khalilipur","doi":"10.1155/2022/2952898","DOIUrl":"https://doi.org/10.1155/2022/2952898","url":null,"abstract":"The retrograde approach has significantly increased the overall success rate of chronic total occlusion (CTO) percutaneous coronary intervention (PCI), up to 90% in the hands of experienced CTO operators. The “tip-in” technique involves inserting an antegrade microcatheter over the retrograde guidewire, allowing for antegrade intervention on the CTO segment. Through the presentation of the following case, we want to illustrate how to undertake a retrograde approach to bridge the occluded segment via the “reverse tip-in” or “introspect” technique, using a single guiding catheter with one microcatheter inside.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"2952898"},"PeriodicalIF":0.6,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40639487","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}
{"title":"Interruption of the Right Pulmonary Artery in a Neonate.","authors":"Mohammadreza Khalilian, Taraneh Faghihi Langroudi, Ali Dabbagh, Ramin Baghaei Tehrani, Tahmineh Tahouri","doi":"10.1155/2022/7666677","DOIUrl":"https://doi.org/10.1155/2022/7666677","url":null,"abstract":"<p><p>Interruption of the right pulmonary artery is a very rare anomaly which can be associated with other congenital heart lesions or can occur in isolation. Clinical presentations of the unilateral interruption of a pulmonary artery are varied including pulmonary hypertension, recurrent infection, dyspnea, exercise intolerance, hemoptysis, and chest pain. Less commonly, patients may be asymptomatic. Diagnosis of this anomaly is made by echocardiography and CT angiography as well as cardiac MRI. Treatment options are medical versus surgical management and often recommended in symptomatic patients with pulmonary hypertension, recurrent infection, and hemoptysis. Herein, we describe a very rare case of right pulmonary artery originating from the right subclavian artery in a 12-day-old neonate.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"7666677"},"PeriodicalIF":0.6,"publicationDate":"2022-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9308526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40554489","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}
{"title":"Intravascular Lithotripsy for Underexpanded Stent in Heavily Calcified Coronary Artery Disease.","authors":"Tejas Raxwal, Cauvery Balhara, Dipak Parekh","doi":"10.1155/2022/7075933","DOIUrl":"https://doi.org/10.1155/2022/7075933","url":null,"abstract":"<p><strong>Objective: </strong>Can intravascular lithotripsy safely modify calcium in an underexpanded stent and result in optimal expansion and improved outcome? Coronary artery calcification results in difficulty with stent delivery and expansion and is associated with adverse outcomes. Intravascular lithotripsy (IVL) by delivering acoustic pressure waves modifies calcium plaque that improve vessel compliance resulting in optimizing stent deployment.</p><p><strong>Results: </strong>A 63-year-old patient presented with acute coronary syndrome with symptoms of unstable angina who underwent angiography that showed calcified right coronary artery which was treated with balloon angioplasty and stenting with drug eluting stent. However, after multiple inflations with noncompliant balloon, the patient was noted to have persistent residual in stent stenosis of 70%. Stenotic lesion in poorly expanded stent was treated with Shockwave C2 Coronary Intravascular Lithotripsy catheter resulting in 0% residual stenosis. The patient was followed for major adverse cardiovascular events at 30 days and 12 months. The patient remained MACE free at 30 days and 12 months.</p><p><strong>Conclusions: </strong>Coronary IVL safely and effectively facilitated stent expansion in severely calcified lesion in a poorly expanded stent with MACE free at 12-month follow-up.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"7075933"},"PeriodicalIF":0.6,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9307410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40644818","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}
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":"<p><strong>Background: </strong>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. <i>Case Summary</i>. 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.</p><p><strong>Conclusion: </strong>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.</p>","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}
Kojiro Toda, Masashi Fujino, Kota Murai, Teruo Noguchi
{"title":"Therapeutic Potential of a Vasopressin V2 Receptor Antagonist for Calcium Channel Blocker-Associated Edema with Vasospastic Angina.","authors":"Kojiro Toda, Masashi Fujino, Kota Murai, Teruo Noguchi","doi":"10.1155/2022/9550006","DOIUrl":"https://doi.org/10.1155/2022/9550006","url":null,"abstract":"<p><p>Calcium channel blocker- (CCB-) associated peripheral edema does not resolve without CCB discontinuation or dose reduction. However, renin-angiotensin system (RAS) inhibitors have been reported to be effective for CCB-associated edema. We report a case of vasospastic angina with refractory CCB-associated edema. A 78-year-old man had refractory edema induced by a CCB. It was successfully treated with tolvaptan, an active vasopressin V2 receptor antagonist. The aim of this case report is to understand the mechanism and treatment of CCB-associated peripheral edema and how tolvaptan affects peripheral edema.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"9550006"},"PeriodicalIF":0.6,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40598413","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}