Archivos Peruanos de cardiologia y cirugia cardiovascular最新文献

[[Electrocardiogram in the pediatric athlete: physiological adaptations, borderline findings, and alarm criteria]]. 小儿运动员的心电图：生理适应、边缘性发现和报警标准。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2026-06-29 eCollection Date: 2026-04-01 DOI: 10.47487/apcyccv.v7i2.626

Alan García Yánez, Miguel Mateo Montañez Soler, Kevin Villa Lopera, Hernando Baquero Aguilera

引用次数: 0

Intracavitary thrombus in the left ventricle and high-risk pulmonary embolism. A case report. 左心室腔内血栓和高危肺栓塞。一份病例报告。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2026-06-29 eCollection Date: 2026-04-01 DOI: 10.47487/apcyccv.v7i2.540.

Nishly Alejandra De La Luz Solórzano, Alexis Daniel Martínez Jiménez, Marco Antonio Rubio Bueno, Mónica Vinay, María Mónica De Ávila Gómez, Diego Araiza Garaygordobil

{"title":"Intracavitary thrombus in the left ventricle and high-risk pulmonary embolism. A case report.","authors":"Nishly Alejandra De La Luz Solórzano, Alexis Daniel Martínez Jiménez, Marco Antonio Rubio Bueno, Mónica Vinay, María Mónica De Ávila Gómez, Diego Araiza Garaygordobil","doi":"10.47487/apcyccv.v7i2.540.","DOIUrl":"https://doi.org/10.47487/apcyccv.v7i2.540.","url":null,"abstract":"Massive pulmonary embolism (PE) is a life-threatening condition typically requiring systemic thrombolysis. The presence of a left ventricular (LV) thrombus represents a relative contraindication due to the high risk of systemic embolization, requiring individualized management. We present a 73-year-old woman with a history of non-Hodgkin lymphoma in remission, severe LV dysfunction from chemotherapy and radiotherapy, permanent atrial fibrillation under apixaban, and stage 3 chronic kidney disease. She presented with progressive dyspnea, edema, and syncope. On admission, she presented with cardiogenic shock. Imaging confirmed massive bilateral PE and an LV intracavitary thrombus. Thrombolysis was contraindicated due to multiple high-risk factors: LV thrombus, ongoing anticoagulation, advanced age, and renal dysfunction. Management consisted of therapeutic anticoagulation with unfractionated heparin, vasopressor and inotropic support, and close monitoring, showing progressive clinical improvement. This case highlights the complexity of managing massive PE in cardio-oncology patients and underscores the need for individualized strategies when thrombolysis poses unacceptable risks.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 2","pages":"164-167"},"PeriodicalIF":0.0,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801982","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

[[Supravalvular pulmonary stenosis as a manifestation of a mediastinal germ cell tumor: a case report]]. 纵隔生殖细胞瘤表现为瓣上肺狭窄1例。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2026-06-29 eCollection Date: 2026-04-01 DOI: 10.47487/apcyccv.v7i2.569

Mario B García-Saavedra, Hilton D'janggo-Cruz, Jianmartín A Galecio, Cristian A Chava-Ponte, Brigitte Illary Pizarro-Alvarado, Guillermo Valencia, Patricia Rioja-Viera, Ángel Zamora-Chuquisengo

引用次数: 0

Extremely Late Post-Infarction Ventricular Septal Rupture: A Case Report of Successful Surgical Repair. 极晚期梗死后室间隔破裂：一例成功手术修复。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2026-06-29 eCollection Date: 2026-04-01 DOI: 10.47487/apcyccv.v7i2.602

Diego Davila-Flores, Adriana Gutiérrez-Yllu, Brenda Baltodano-García, Wendy Junes-Gonzales, Renee Montesinos-Segura

{"title":"Extremely Late Post-Infarction Ventricular Septal Rupture: A Case Report of Successful Surgical Repair.","authors":"Diego Davila-Flores, Adriana Gutiérrez-Yllu, Brenda Baltodano-García, Wendy Junes-Gonzales, Renee Montesinos-Segura","doi":"10.47487/apcyccv.v7i2.602","DOIUrl":"https://doi.org/10.47487/apcyccv.v7i2.602","url":null,"abstract":"Mechanical complications of ST-elevation myocardial infarction have become rare in high-income settings due to timely reperfusion. However, they remain more prevalent and carry a high mortality in regions lacking access to early reperfusion. We present a 62-year-old man with inferior STEMI managed conservatively without reperfusion. At four months, he developed progressive dyspnea. One year later, echocardiography revealed a large basal ventricular septal rupture and severe eccentric mitral regurgitation, all absent at discharge. The patient's transfer to a cardiovascular surgery center was delayed by two years, a consequence of the COVID-19 pandemic. Imaging confirmed an inferobasal left ventricular pseudoaneurysm, basal ventricular septal rupture, severe mitral regurgitation, and a left ventricular ejection fraction of 45%. Right heart catheterization showed a significant left-to-right shunt; coronary angiography revealed multivessel coronary artery disease. He underwent successful surgical repair and remained asymptomatic at the three-year follow-up.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 2","pages":"147-151"},"PeriodicalIF":0.0,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802028","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

aVR/V1 ST-segment elevation with diffuse depression in acute coronary syndrome with prior coronary artery bypass grafting. 急性冠状动脉综合征合并冠状动脉搭桥术患者aVR/V1 st段抬高伴弥漫性降低。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2026-06-29 eCollection Date: 2026-04-01 DOI: 10.47487/apcyccv.v7i2.625

Armando Hong Ming Yee-Acendra, Andrea Carolina Wilcox-Robles

引用次数: 0

[[Patient-reported outcomes in very elderly patients after transcatheter aortic valve implantation]]. [患者报告的经导管主动脉瓣置入术后高龄患者的预后]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2026-06-29 eCollection Date: 2026-04-01 DOI: 10.47487/apcyccv.v7i2.634

Martín Leonardo Gil Folgar, María Florencia Grande Ratti, Gastón Perman, Ignacio Miguel Seropian, Cristian Maximiliano Garmendia, Maximiliano Smietniansky, María Eugenia Riggi, Carla Romina Agatiello, María Celeste Puga

引用次数: 0

[¿Es realmente protectora la PCI protegida? Reflexiones críticas a partir de CHIP-BCIS3 y la evidencia previa]. [受保护的PCI真的具有保护作用吗？基于CHIP-BCIS3和先前证据的批判性反思]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2026-06-29 eCollection Date: 2026-04-01 DOI: 10.47487/apcyccv.v7i2.633.

Fernando Quevedo-Candela, Tomás Cieza

引用次数: 0

Neo-Aortoiliac reconstruction of complicated aneurysms: First case report in a Peruvian hospital. 复杂动脉瘤的新腹主动脉重建：秘鲁一家医院的第一例报告。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2026-06-29 eCollection Date: 2026-04-01 DOI: 10.47487/apcyccv.v7i2.608.

Helen Sofía Choquehuanca-Bedoya, Jarol Isaac Núñez-Barrientos, Mónica Danae Pérez-Cuello, Martín Augusto Gil-Cusirramos, Neyel Abner Cáceres-Cancho, Daniel Silva-Naupari

{"title":"Neo-Aortoiliac reconstruction of complicated aneurysms: First case report in a Peruvian hospital.","authors":"Helen Sofía Choquehuanca-Bedoya, Jarol Isaac Núñez-Barrientos, Mónica Danae Pérez-Cuello, Martín Augusto Gil-Cusirramos, Neyel Abner Cáceres-Cancho, Daniel Silva-Naupari","doi":"10.47487/apcyccv.v7i2.608.","DOIUrl":"https://doi.org/10.47487/apcyccv.v7i2.608.","url":null,"abstract":"Mycotic aneurysms are rare vascular pathologies requiring tailored surgical approaches in septic and anatomically complex settings. We present the case of a 68-year-old male with diabetes mellitus and tobacco use, admitted with abdominal sepsis and purulent perianal discharge. Imaging revealed a ruptured 90 mm infrarenal abdominal aortic aneurysm with features suggestive of an aortomesenteric fistula. Due to the high risk of prosthetic graft infection, aortic reconstruction with an autologous femoral vein was selected. After preoperative venous mapping, a bifurcated graft was constructed using a reversed femoral vein following the Neo-aortoiliac system principles and the Myller cuff technique. During laparotomy, the contained ruptured aneurysm with multiple adhesions was confirmed, and the autologous graft was interposed proximally at the aorta and distally at the iliac arteries. This case highlights the feasibility of autologous vein grafting in complex infected aortic reconstruction within a septic setting.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 2","pages":"137-141"},"PeriodicalIF":0.0,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802031","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

Diagnosis of ATTR cardiac amyloidosis by ^99mTc-PYP scintigraphy: case series. 99mTc-PYP显像诊断ATTR型心脏淀粉样变：病例分析。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2026-06-29 eCollection Date: 2026-04-01 DOI: 10.47487/apcyccv.v7i1.592

Daniel Arturo Santos Orihuela, Rosita Aracely Mendoza Santa Cruz

{"title":"Diagnosis of ATTR cardiac amyloidosis by 99mTc-PYP scintigraphy: case series.","authors":"Daniel Arturo Santos Orihuela, Rosita Aracely Mendoza Santa Cruz","doi":"10.47487/apcyccv.v7i1.592","DOIUrl":"https://doi.org/10.47487/apcyccv.v7i1.592","url":null,"abstract":"Objectives: To describe the application of the noninvasive diagnostic algorithm for transthyretin cardiac amyloidosis (ATTR) using 99mTc-PYP scintigraphy in a Peruvian hospital.Materials and methods: A descriptive case series was conducted between 2024 and 2025 at the Nuclear Medicine Department of Hospital Nacional Guillermo Almenara Irigoyen (Lima, Peru). Six patients with clinical suspicion of ATTR referred from Cardiology were included. A standardized protocol was applied, consisting of the administration of 20 mCi of 99mTc-PYP, planar imaging, and SPECT acquisition at 1 and 3 hours. Noninvasive diagnosis was established in the presence of visual myocardial uptake grade 2-3 (Perugini scale), confirmed by SPECT and after the exclusion of monoclonal plasma cell dyscrasia. The heart-to-contralateral lung (H/CL) ratio was used as a complementary quantitative parameter.Results: The average age was 69.7±10.3 years; 66.7% were male. All patients had left ventricular hypertrophy and 83.3% had heart failure. Three patients (50%) showed grade 2-3 uptake; among them, two (33.3%) met criteria for noninvasive ATTR diagnosis (grade 3, positive SPECT, and negative monoclonal screening), with H/CL values above diagnostic cutoffs. One grade 2 case had an IgG kappa monoclonal component and was classified as inconclusive. Three patients (50%) had grade 1 uptake, considered equivocal, with H/CL values below diagnostic thresholds. SPECT was essential to confirm true myocardial uptake and avoid overinterpretation in borderline cases.Conclusions: Structured application of the noninvasive diagnostic algorithm with 99mTc-PYP is feasible in our setting and allows for appropriate classification of patients with suspected ATTR.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 2","pages":"92-98"},"PeriodicalIF":0.0,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801939","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

Long RP tachycardia: a diagnostic challenge. A case report. 长RP型心动过速：一个诊断挑战。一份病例报告。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2026-06-29 eCollection Date: 2026-04-01 DOI: 10.47487/apcyccv.v7i2.627.

Juan Morales, Óscar Aza, Lorena Giraldo, Efraín Gil

{"title":"Long RP tachycardia: a diagnostic challenge. A case report.","authors":"Juan Morales, Óscar Aza, Lorena Giraldo, Efraín Gil","doi":"10.47487/apcyccv.v7i2.627.","DOIUrl":"https://doi.org/10.47487/apcyccv.v7i2.627.","url":null,"abstract":"Permanent junctional reciprocating tachycardia (PJRT), also known as Coumel tachycardia, is a rare form of supraventricular tachycardia predominant in children and classically associated with tachycardia-induced cardiomyopathy. Its occurrence in adults is uncommon, and recurrence after a previously failed conventional ablation is even less frequently reported. We report the case of a 33-year-old woman with palpitations since childhood. At 12 years of age, she underwent a conventional electrophysiological study with radiofrequency ablation. However, symptoms persisted, requiring multiple antiarrhythmic drugs and frequent emergency department visits with only partial control, prompting a redo procedure. On this occasion, three-dimensional electroanatomical mapping with the \"open-window\" technique was used. During the procedure, orthodromic reciprocating tachycardia (ORT) using a right posteroseptal occult accessory pathway with decremental retrograde conduction was diagnosed. Radiofrequency ablation of the accessory pathway was successful, with a favorable clinical outcome at follow-up. Coumel tachycardia is an unusual type of supraventricular tachycardia, even more so in adults. The diagnostic approach begins with the electrocardiogram and extends to invasive methods such as electroanatomical mapping, which enable precise characterization of the arrhythmic substrate.","PeriodicalId":72295,"journal":{"name":"Archivos Peruanos de cardiologia y cirugia cardiovascular","volume":"7 2","pages":"158-163"},"PeriodicalIF":0.0,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802020","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