Yalçın Gökoğlan, Sait Demirkol, Ibrahim Halil Kurt, Oben Baysan, Serdar Fırtına, Barış Bugan, Hürkan Kurşaklıoğlu
{"title":"Percutaneous effective closure of severe aortic prosthetic paravalvular leak using Amplatzer duct occluder device with the guidance of 3D TEE.","authors":"Yalçın Gökoğlan, Sait Demirkol, Ibrahim Halil Kurt, Oben Baysan, Serdar Fırtına, Barış Bugan, Hürkan Kurşaklıoğlu","doi":"10.5152/akd.2012.046","DOIUrl":"https://doi.org/10.5152/akd.2012.046","url":null,"abstract":"Aortic paravalvular leaks are well-known complications of prosthetic valve replacement. They are asymptomatic and small, but sometimes may cause symptoms due to severe regurgitation or hemolysis. Medical therapy is limited, while operation causes significant mortality. Percutaneous transcatheter closure techniques, potentially offer symptomatic relief. We describe the use of an Amplatzer duct occluder device with the guidance of 3dimensional transesophageal echocardiography (3DTEE) in a patient with severe aortic prosthetic paravalvular leak resulting in effective closure.","PeriodicalId":55524,"journal":{"name":"Anadolu Kardiyoloji Dergisi-The Anatolian Journal of Cardiology","volume":" ","pages":"181-2"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39967532","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}
{"title":"A case of iatrogenic hypothyroidism presented with cardio-inhibitory syncope and resolved by thyroxine supplementation.","authors":"Melike Sezgin Evim, Birsen Uçar, Zübeyir Kılıç, Birgül Kırel","doi":"10.5152/akd.2012.048","DOIUrl":"https://doi.org/10.5152/akd.2012.048","url":null,"abstract":"","PeriodicalId":55524,"journal":{"name":"Anadolu Kardiyoloji Dergisi-The Anatolian Journal of Cardiology","volume":" ","pages":"185-6"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39968922","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}
{"title":"Giant right atrial thrombi associated with permanent hemodialysis catheter in a young patient: 3-dimensional echocardiography views.","authors":"Fahrettin Öz, Yaşar Çizgici, Zehra Buğra","doi":"10.5152/akd.2012.057","DOIUrl":"https://doi.org/10.5152/akd.2012.057","url":null,"abstract":"","PeriodicalId":55524,"journal":{"name":"Anadolu Kardiyoloji Dergisi-The Anatolian Journal of Cardiology","volume":" ","pages":"E9"},"PeriodicalIF":0.0,"publicationDate":"2012-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/akd.2012.057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39968151","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}
{"title":"Broken guidewire during primary percutaneous coronary intervention.","authors":"Taner Sen, Tolga Aksu, Afşin Parspur, Celal Kilit","doi":"10.5152/akd.2012.055","DOIUrl":"https://doi.org/10.5152/akd.2012.055","url":null,"abstract":"A 68-year-old female patient was admitted to emergency room with acute anterior myocardial infarction. Her coronary angiography revealed an acute total occlusion in the ostial segment of the left anterior descending coronary artery (LAD) (Fig. 1). The lesion was successfully crossed with a floppy guidewire (Fig. 2) and then predilated with balloon. Because of the close proximity of the lesion to the left main coronary artery (LMCA), a second guidewire was tried to send to the left circumflex artery (CX). The tip of the guidewire became curved while trying to pass the CX. Then it was thought to change the guidewire with another one. The tip of the second guidewire was broken inside the guiding catheter while pulling back but it was not understood during the procedure. Then another guidewire was passed to CX. A bare metal stent was sent to the lesion in LAD. When the stent arrived to the lesion area, the broken tip of the guidewire was seen at the end of the stent as a ring and entrapped over the culprit lesion (Fig. 3). The stent was crossed within","PeriodicalId":55524,"journal":{"name":"Anadolu Kardiyoloji Dergisi-The Anatolian Journal of Cardiology","volume":" ","pages":"E7-8"},"PeriodicalIF":0.0,"publicationDate":"2012-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/akd.2012.055","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39968906","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}
{"title":"Papillary fibroelastoma of the mitral valve chordae causing transient ischemic attacks.","authors":"Burak Onan, Ismihan Selen Onan, Kürşad Öz, Ihsan Bakır","doi":"10.5152/akd.2012.058","DOIUrl":"https://doi.org/10.5152/akd.2012.058","url":null,"abstract":"Cardiac papillary fibroelastoma (CPF) is the most common tumor of the heart valves. Although the tumor generally arises from the valvular endocardium of the mitral or aortic valve, there have been limited numbers of reports on isolated CPF of the mitral valve chordate. This benign tumor may present with systemic embolization. Fragile papillary fronds or fibrin aggregations on the tumor is a cause for systemic embolization. The differential diagnosis includes other heart tumors such as myxoma or lipoma, vegetation, thrombus formation, calcification and Lambl's excrescences. Surgery can be performed with complete resection preserving the mitral valve and its subvalvular apparatus. A 36-year-old woman presented with history of transient ischemic attacks. The patient had experienced several episodes of dysphasia and mental confusion previously. Transthoracic echocardiography revealed a mobile intracardiac mass along the anterior chordae of the mitral valve. To evaluate this lesion in detail, transesophageal echocardiography examination revealed an isolated lesion along the primary chordae of the mitral valve was 15x13 mm in size with an irregular border (Fig. 1, Video. See corresponding video/movie images at ww.anakarder.com). There was no invasion of the papillary muscle, mitral leaflets, or annulus. The tumor was removed from the primary chordae with shave excision","PeriodicalId":55524,"journal":{"name":"Anadolu Kardiyoloji Dergisi-The Anatolian Journal of Cardiology","volume":" ","pages":"E10"},"PeriodicalIF":0.0,"publicationDate":"2012-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/akd.2012.058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39968539","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}
Halit Zengin, Serkan Yüksel, Korhan Soylu, Murat Meriç
{"title":"Giant cardiac structure in thoracic cavity.","authors":"Halit Zengin, Serkan Yüksel, Korhan Soylu, Murat Meriç","doi":"10.5152/akd.2012.056","DOIUrl":"https://doi.org/10.5152/akd.2012.056","url":null,"abstract":"A 52-year-old male patient with a history of mitral valve replacement due to rheumatic valve disease was admitted to our clinic with shortness of breath. Heart sounds revealed metallic 1st heart sound and normal 2nd heart sound without any murmur. Breath sounds were not heard over the lower and middle zones of the right lung with dullness on percussion. Telecardiography was remarkable with a cardiac silhouette filling almost all portions of middle and lower parts of thorax on the right side. He had also double contour shape in the cardiac silhouette, which is a sign of left atrial dilatation (Fig. 1). Transthoracic echocardiography demonstrated an ejection fraction of 38% and left ventricular enddiastolic diameter of 60 mm. The most important finding was in the left atrium. It had a dimension of 182x181 mm on apical four-chamber view (Fig. 2, Video 1. See corresponding video/movie images at www.anakarder.com). Functions of prosthetic mitral valve were normal. Ball-like mass image of the left atrium filling right hemithorax completely and left hemithorax partially showed an interesting image on telecardiography. In addition, left atrial dilatation was clearly visualized on the telecardiography. A giant left atrium is a rare and well-known entity associated with mitral valve disease. It can be misdiagnosed from telecardiography as a mass lesion or pleural or pericardial effusion especially in unstable patients. Pleurocentesis and biopsy can be dangerous. When such a cardiomegaly is detected in telecardiography, an appropriate differential diagnosis must be made by using modalities like echocardiography and thorax computed tomography.","PeriodicalId":55524,"journal":{"name":"Anadolu Kardiyoloji Dergisi-The Anatolian Journal of Cardiology","volume":" ","pages":"E8"},"PeriodicalIF":0.0,"publicationDate":"2012-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/akd.2012.056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39968888","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}