Journal of cardiology case reports最新文献_第7页

Acute marginal branch occlusion presenting with anterior wall ST segment elevation during percutaneous coronary intervention of the mid right coronary artery 经皮冠状动脉介入治疗期间急性边缘支闭塞表现为前壁ST段抬高

Journal of cardiology case reports Pub Date : 2021-01-01 DOI: 10.15761/JCCR.1000156

K. Tan, Chan K Hui

引用次数: 0

Case reports of antegrade and retrograde iatrogenic coronary spiral dissection complicating percutaneous coronary intervention: Keep calm and carry on! 经皮冠状动脉介入治疗合并顺、逆行医源性冠状动脉夹层病例报告:保持冷静，坚持下去!

Journal of cardiology case reports Pub Date : 2021-01-01 DOI: 10.15761/jccr.1000165

Riccardo Iorio, Giuseppe Terlizzese, A. Pizzuto, E. Greco, Giuseppe Massimo Sangiorgi

{"title":"Case reports of antegrade and retrograde iatrogenic coronary spiral dissection complicating percutaneous coronary intervention: Keep calm and carry on!","authors":"Riccardo Iorio, Giuseppe Terlizzese, A. Pizzuto, E. Greco, Giuseppe Massimo Sangiorgi","doi":"10.15761/jccr.1000165","DOIUrl":"https://doi.org/10.15761/jccr.1000165","url":null,"abstract":"Iatrogenic dissection during PCI represents one of the most fearing complication of interventional cardiology, since abrupt hemodynamic instability and patient compromise may occur related to coronary occlusion. In this emergency situation, different hemodynamic support devices and interventional skills, are needed in order to promptly recover the patient from cardiogenic shock, especially when the left coronary three is involved by the dissection. We report herein two different iatrogenic retrograde, and antegrade dissections, one involving both left anterior descending artery, left circumflex and aortic bulb and the second characterized by abrupt closure of left main associated with severe hemodynamic compromise and ventricular fibrillation storm which required continuous DC shocks, Impella and ECMO devices support to stabilize the patient. Both cases were successfully managed percutaneously. Different techniques and tricks in order to re-open the vessels are described. We conclude that in case of iatrogenic coronary dissection, a “keep calm and carry on” strategy should be adopted by the interventional cardiologist team in order to solve such dramatic complication.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67483382","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}

引用次数: 0

Electrical Impedance Tomography: Monitoring of Pulmonary Ventilation in Pediatric Cardiac Postoperative 电阻抗断层扫描:监测小儿心脏术后肺通气

Journal of cardiology case reports Pub Date : 2021-01-01 DOI: 10.15761/jccr.1000170

Carolina Vieira de Campos, Paula Vieira Vincenzi Gaiolla, Marcelo Bisegli Jatene, C. Johnston, W. Brunow de Carvalho

引用次数: 0

Levosimendan for management of cardiogenic shock with electrical storm - A case report 左西孟旦治疗心源性电风暴休克1例报告

Journal of cardiology case reports Pub Date : 2021-01-01 DOI: 10.15761/JCCR.1000157

A. Rougé, J. Monségu

{"title":"Levosimendan for management of cardiogenic shock with electrical storm - A case report","authors":"A. Rougé, J. Monségu","doi":"10.15761/JCCR.1000157","DOIUrl":"https://doi.org/10.15761/JCCR.1000157","url":null,"abstract":"Background: Levosimendan, an inotrope and vasodilator, is a second-line treatment for cardiogenic shock. One of its main advantages is its prolonged effect compared to Dobutamine. Case presentation: Our reports show two cases of successful treatment with levosimendan involving patients presenting in a state of cardiogenic shock with electrical storm, which had never been described before. Levosimendan infusion, with no initial bolus dose, enabled us to correct the low cardiac output in both cases, with no secondary rhythm disturbances. Apart from the absence of any pro-arrhythmic effect, infusion of Levosimendan allowed a double angioplasty to be performed under optimal haemodynamic conditions in the first case; and provided us sufficient time to reflect on implantable cardioverter defibrillator implantation with resynchronization due to its conversion into active metabolites in the second case. Conclusion: Through the neutral effects of levosimendan on heart rhythm and the absence of Myocardial oxygen consumption (MvO2) increasing, these two cases show the feasibility and safety of levosimendan treatment in this indication; and emphasise levosimendan’s lack of pro-arrhythmic effect when used without a bolus dose. its its prolonged effect This discusses two clinical cases of patients to care with shock and treated by Levosimendan. these two cases, we will discuss the absence of a pro-arrhythmic effect.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67483000","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}

引用次数: 0

Unsuspected Iatrogenic Occlusion of Left Main Coronary Artery 意外医源性左冠状动脉主干闭塞

Journal of cardiology case reports Pub Date : 2021-01-01 DOI: 10.15761/jccr.1000169

R. Bhardwaj, S. Asotra, Rajeev Marwah, Ravi Kumar

引用次数: 0

Posterior reversible encephalopathy syndrome with spinal cord involvement 脊髓受累后可逆性脑病综合征

Journal of cardiology case reports Pub Date : 2021-01-01 DOI: 10.15761/JCCR.1000153

F. Serrano, M. Henry-Feugeas, E. Vidal-Petiot, Philippa C. Lavallée

引用次数: 0

Case report of dissection of the right coronary artery due to uncontrolled rotational movement of the guiding catheter: A twist in the story 导尿管旋转不受控制导致右冠状动脉夹层的病例报告:故事中的一个转折

Journal of cardiology case reports Pub Date : 2021-01-01 DOI: 10.15761/jccr.1000166

Ala Abu Dogosh, J. Weinstein, D. Zahger, C. Cafri

引用次数: 0

Different findings after PCI with both DES and BVS in a patient with coronary artery ectasia - A case report 冠状动脉扩张患者行PCI后DES和BVS的不同表现- 1例报告

Journal of cardiology case reports Pub Date : 2021-01-01 DOI: 10.15761/jccr.1000172

H. Ebelt, Alexandra Offhaus, Matthias Wiora, Andreas Schwenzky

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Mandibular distraction of free iliac crest bone graft as treatment in a patient with a history of gunshot wound. Case Report 下颌骨牵引游离髂骨移植物治疗枪伤患者1例。病例报告

Journal of cardiology case reports Pub Date : 2021-01-01 DOI: 10.15446/cr.v7n2.88563

Jaime Andrés Jiménez-Álvarez, Jesus Andrés Duque-Montealegre, José Manuel Valdés-Reyes

{"title":"Mandibular distraction of free iliac crest bone graft as treatment in a patient with a history of gunshot wound. Case Report","authors":"Jaime Andrés Jiménez-Álvarez, Jesus Andrés Duque-Montealegre, José Manuel Valdés-Reyes","doi":"10.15446/cr.v7n2.88563","DOIUrl":"https://doi.org/10.15446/cr.v7n2.88563","url":null,"abstract":"Introduction: The combination of non-vascularized iliac crest bone graft and distraction osteogenesis in a second surgical intervention has only been described to achieve alveolar ridge augmentation. This technique is not recommended to treat bone defects of the jaws caused by firearm projectile. Case presentation: 40-year-old woman with a segmental mandibular defect in the mandible body caused by the impact of a firearm projectile at the age of 1 year. The patient developed a severe Class II dentofacial anomaly that required a two-stage treatment; she underwent mandibular reconstruction with free iliac crest bone graft followed by a bilateral mandibular distraction at the level of the iliac crest bone graft. With these interventions, a remarkable improvement of the patient's malformation was achieved. Conclusion: Horizontal distraction of the free iliac crest bone graft is a safe and predictable procedure to treat dentolabial anomalies requiring mandibular reconstruction. This procedure was performed in the patient without complications. Further studies on the effectiveness of this technique are required.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90252804","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}

引用次数: 0

Resistant kawasaki disease in an infant causing giant coronary aneurysms with thrombosis 一例婴儿的耐药性川崎病导致巨大冠状动脉瘤伴血栓形成

Journal of cardiology case reports Pub Date : 2020-11-12 DOI: 10.15761/JCCR.1000158

A. Anass, Hasbaoui Brahim, S. Salah, Yajouri Abdelhakim, A. Rachid, Hassani Amale, A. Aomar, Faid Soumia

{"title":"Resistant kawasaki disease in an infant causing giant coronary aneurysms with thrombosis","authors":"A. Anass, Hasbaoui Brahim, S. Salah, Yajouri Abdelhakim, A. Rachid, Hassani Amale, A. Aomar, Faid Soumia","doi":"10.15761/JCCR.1000158","DOIUrl":"https://doi.org/10.15761/JCCR.1000158","url":null,"abstract":"A 13 month-old boy male infant admitted for fever, generalized polymorphous exanthema, hyperemic conjunctivae, and diarrhea. The onset of the disease was approximately 2 weeks before the admission with a generalized polymorphous exanthema for which he received antihistaminic treatment, but after 7 days he associated fever, hyperemic conjunctivae, and diarrhea being admitted in the regional hospital. The fever persisted despite the antibiotic and symptomatic treatment, and therefore he was transferred in our hospital. The clinical exam at the time of admission revealed influenced general status, generalized polymorphous exanthema, hyperemic pharynx, bilateral conjunctivitis, and approximately five diarrheic stools per day. The laboratory tests revealed leukocytosis (27,050/mL), with neutrophilia (19,900/mL), anemia (Hb 6.9 g/dL, Htc 19.7%, MEV 68.6 fL, MEH 24 pg), thrombocytosis (1,111,000/ mL), elevated inflammatory biomarkers (CRP An Abstract Giant coronary artery aneurysms that occur in 0.5 to 1% of patients with Kawasaki disease can be fatal if associated with thrombosis. Some patients may show persistent inflammation and fever despite treatment with repeated doses of intravenous immunoglobulin (IVIG), steroids, and aspirin. This report describes an infant boy with resistant Kawasaki disease who presented with extensive coronary artery involvement and coronary thrombosis. His inflammation was not controlled with multiple doses of IVIG, parenteral and oral steroids, or high-dose aspirin, and he finally needed infliximab, a monoclonal antibody against tumor necrosis factor alpha.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42628180","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}

引用次数: 0