Journal of cardiology case reports最新文献

{"title":"Bilateral superior vena cava with contralateral atrial drainage with brain abscess and transient ischemic attack in adult patient","authors":"S. John, Santosh C Uppu, Poyee P Tung, D. Adebo","doi":"10.15761/jccr.1000152","DOIUrl":"https://doi.org/10.15761/jccr.1000152","url":null,"abstract":"Structured abstract Objectives: Rare case of bilateral superior vena cava (SVC) with contralateral atrial drainage in an adult patient with brain abscess and transient ischemic attack diagnosed with cardiac magnetic resonance imaging (MRI). Background: Anomalous systemic venous return is a variable congenital malformation. Furthermore, the consequence of anomalous systemic venous return is also variable. Prior literature has documented drainage of superior vena cava to the left atrium, with right to left shunting. We report a case of bilateral SVC with contralateral atrial drainage in an adult patient. The consequence of the right to left shunt resulted in brain and frequent episodes of transient ischemic attack (TIA). Methods: Evaluation of echocardiography and cardiac MRI demonstrated bilateral SVC with contralateral atrial drainage. Results: Transthoracic echocardiogram revealed dilated coronary sinus. Agitated saline bubble contrast study from right upper extremity showed immediate opacification of the left cardiac chambers suggestive of right SVC draining to left atrium. Transesophageal echocardiogram confirmed dilated coronary sinus; agitated saline contrast injection from left arm revealed complete opacification of the coronary sinus followed by opacification of the right heart, consistent with the presence of the left sided SVC draining to dilated coronary sinus. Cardiac MRI confirmed right SVC draining to the left atrium and the left SVC draining to the right atrium. Conclusions: Anomalous systemic venous return is a relatively common and variable congenital malformation with heterogeneous consequences. Anomalous drainage of systemic venous return to the left atrium is an unusual variant of systemic venous return anomalies, which is characterized by right-to-left shunt. We present extremely rare case of bilateral SVC draining into contralateral atrium, resulting in a right-to-left shunt. This right-to-left shunt can result in persistent hypoxemia, mild cyanosis, paradoxical embolism with brain abscess. Patients may also remain asymptomatic. With accurate diagnosis, this condition can be treated with good short-term results. abstract Anomalous systemic venous return is a variable congenital malformation. Furthermore, the consequence of anomalous systemic venous return is also variable. Prior literature has documented drainage of superior vena cava (SVC) to the left atrium, with right to left shunting [1-3]. We report extremely rare case of bilateral superior vena cava with contralateral atrial drainage in an adult patient. The consequence of the right to left shunt in this patient resulted in brain abscess as well as frequent episodes of transient ischemic attack.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67482593","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":"Complex cause of ischaemic stroke in patient after mitral bioprosthesis implantation- A case report","authors":"K. Kosmalska, A. Hrynkiewicz, Krzyszof Jarmoszewicz, Marcin Fihalkowski","doi":"10.15761/jccr.1000130","DOIUrl":"https://doi.org/10.15761/jccr.1000130","url":null,"abstract":"We present the history of 60-years-old woman with mitral and aortic bioprosthesis that have been implanted together with left atrial appendage closure. The patient had been treated with VKA and low dose of acetylsalicylic acid since surgery. On 28th day of postoperative period an ischemic stroke occurred. In transoesophageal echocardiography we have discovered non-obstructive thrombosis of the artificial mitral annulus and a gap in left atrial appendage (LAA) patch. There was rapid outflow through the gap in LAA directing to mitral annulus in close proximity to visible thrombus. The pathologic flow might have had the contribution in thrombus mobilization and stroke occurrence. We have decided to change anticoagulation to low molecular weight heparin. In control echocardiography, during heparin therapy, thirteen days later, there was remarkable worsening of annulus thrombosis with multiple thrombi present. Re-exchange anticoagulation to warfarin yielded in almost complete resolution of thrombosis after eleven days. We decided to continue anticoagulation over recommended three months not only due to incident of thrombosis but also suspicion of history of atrial fibrillation and presence of disrupt-ed LAA patch.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67481676","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":"Liaison of blood O2 level and ride phobia","authors":"M. I. Qadri, Rimsha Ghaffar","doi":"10.15761/JCCR.1000145","DOIUrl":"https://doi.org/10.15761/JCCR.1000145","url":null,"abstract":"Oxygen saturation is the fraction of oxygen-saturated hemoglobin relative to total hemoglobin in the blood. The human body requires and regulates a very precise and specific balance of oxygen in the blood. Normal arterial blood oxygen saturation levels in humans are 95–100. If the level is below 90 percent, it is considered low and called hypoxemia. Low concentration of oxygen may cause a large number of pulmonary disorders. It is actually accumulation of large number of phobias relating to fear of heights, close rooms, and dark places etc. Rides phobia can be overcome with the help of certain therapies. Pulse oximetry is an estimate the percentage of oxygen. Oxygen level play a vital role in our body. From this study it has made clear that people with high level of blood oxygen are more afraid of rides as compared to those whose oxygen level in blood is low.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67482399","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":"Envenomation by an arachnid (Latrodectus or Steatoda): Case report involving a woman and her female dog","authors":"J. F. Porras-Villamil, M. Olivera, Ángela Catalina Hinestroza-Ruiz, G. López-Moreno","doi":"10.15446/cr.v6n1.79718","DOIUrl":"https://doi.org/10.15446/cr.v6n1.79718","url":null,"abstract":"Introduction: Accidents involving spiders bites usually cause mild medical reactions that lead to local symptoms and, less commonly, systemic effects. The most medically significant spiders belong to the genera Latrodectus and Loxosceles . This paper presents a posible case of steatodism in a young woman and her pet. Case description: 26-year-old female patient, who reports a clinical history characterized by paresthesia, malaise, fever, diarrea and a painful papule in the left cheek after being bitten by a spider. Immediately after being bit, the patient hit the spider with the back of her hand and it fell to the ground, where her dog swallowed it. The dog presented with vomiting and general discomfort after ingestion. Symptomatic therapy was given for comfort, and neither the patient nor the dog required antivenin therapy. Both evolved favorably. Discussion: The relevance of this case is the involvement of two mammals (a human and her dog) due to the accidental contact with a spider, possibly of the genus Latrodectus or Steatoda . Conclusion: Two possible cases of steatodism are described. Since spider bites are a relatively frequent reason for medical consultation in Colombia, it is important to diagnose and manage them properly.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"36 1","pages":"33-43"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80324432","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":"Dysmorphic features in a newborn with neurological, liver and kidney involvement by defective peroxisomal biogenesis. Case report","authors":"Yolanda Cifuentes, C. Arteaga","doi":"10.15446/cr.v6n1.78747","DOIUrl":"https://doi.org/10.15446/cr.v6n1.78747","url":null,"abstract":"Introduccion. Los errores innatos del metabolismo pueden ocasionar importante morbimortalidad en el periodo neonatal. Dentro de estos trastornos se encuentran los desordenes en la biogenesis del peroxisoma, que originan cuadros clinicos complejos y graves debido a que los peroxisomas estan presentes en todas las celulas nucleadas de los mamiferos. Presentacion del caso. Paciente dismorfica recien nacida quien presento convulsiones al nacer y desarrollo compromiso neurologico, hepatico, renal y cardiaco durante sus 20 dias de vida; en la necropsia se confirmo compromiso hepatico y renal, por lo que se sospecho de una enfermedad peroxisomal. Las alteraciones bioquimicas reportadas en el presente caso fueron compatibles con un trastorno en la biogenesis de los peroxisomas. Como antecedente se registro la muerte neonatal de un hermano y un primo. Discusion. La presencia de dismorfismo y convulsiones al nacer puede indicar la presencia de una enfermedad metabolica. En la paciente reportada, los hallazgos del examen fisico y la demostracion del compromiso hepatico, renal y cardiaco se ajustan a la descripcion inicial del sindrome de Zellweger; por su parte, las alteraciones bioquimicas son concluyentes de un trastorno en la biogenesis de los peroxisomas. Conclusiones. Es necesario definir si el dismorfismo es un hallazgo aislado y si existe afectacion de otros organos o sistemas para establecer un posible diagnostico de biogenesis de los peroxisomas. Asimismo, los errores innatos del metabolismo deben incluirse en el diagnostico de los recien nacidos dismorficos cuando hay compromiso de varios organos, pues su identificacion posibilita la asesoria genetica.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":"17-24"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82831599","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":"Cardiocerebral infarction with sinus node dysfunction: A management conundrum?","authors":"Rahul Nijhawan, S. Asotra, P. Negi, Rajesh Sharma, K. Mahajan","doi":"10.15761/JCCR.1000138","DOIUrl":"https://doi.org/10.15761/JCCR.1000138","url":null,"abstract":"Acute ischemic stroke (AIS) and acute myocardial infarction (AMI) are well recognized clinical entities with established management algorithms. However, concurrent cardio-cerebral infarction (CCI) is an extremely rare phenomenon with grave prognosis. Here we present a case of cardio-cerebral infarction with sinus node dysfunction and highlights the existing challenge to its management.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67481768","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":"When right is left and left is right: using the JL3.5 guide catheter for left and right coronary PCI","authors":"K. Vaidya, Lowe Hc","doi":"10.15761/JCCR.1000139","DOIUrl":"https://doi.org/10.15761/JCCR.1000139","url":null,"abstract":"A case is presented using the Judkins Left (JL 3.5) guide catheter to cannulate both the left main coronary artery and then the right coronary artery for multivessel transradial coronary intervention, to highlight this straightforward, novel approach.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67481858","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":"The self-made covered stent technique for treating coronary artery perforations","authors":"Darshan Doshi, R. Hatem, A. Masoumi, N. Lembo, D. Karmpaliotis","doi":"10.15761/JCCR.1000141","DOIUrl":"https://doi.org/10.15761/JCCR.1000141","url":null,"abstract":"Coronary artery perforations (CAP) are rare but known complications during percutaneous coronary intervention (PCI). We present two cases demonstrating the novel “Self-Made Covered Stent” technique for managing CAP. The technique involves creating a controlled dissection flap, which is then tacked down with a stent to seal the CAP.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67481972","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":"Recurrent dramatic QT prolongation in a patient with the sickle cell disease","authors":"P. Mathias, B. Abraham, Jooby John","doi":"10.15761/jccr.1000147","DOIUrl":"https://doi.org/10.15761/jccr.1000147","url":null,"abstract":"Acquired long QT syndrome, occurs in 0.7% of hospitalizations. However, recurrent acquired long QT syndrome, during the same hospitalization is quite rare. We report the unusual case of a patient with sickle cell disease who developed symptomatic QT interval prolongation, that occurred despite documented normalization of electrolytes, and absence of any QT prolonging medications. We provide hypotheses to explain the phenomenon, including, the presence of sickle cell disease, genetic predisposition, transient elevation of pulmonary artery pressures, and episodic elevation of vagal tone. *Correspondence to: Patrick Mathias, Assistant Professor of Medicine, University of central Florida, Orlando, Florida, USA. Cardiovascular Associates, Kissimmee, Florida, USA, E-mail: indianpat127@yahoo.com","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67482097","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":"Third degree heart block and elevated troponin following acute respiratory hypoxic failure in a COVID-19 recovered patient in the absence of coronary artery disease","authors":"Samer Khalil, A. Collins, Naser Mubarak, Tahir Khalil","doi":"10.15761/jccr.1000159","DOIUrl":"https://doi.org/10.15761/jccr.1000159","url":null,"abstract":"","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67483064","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}