Journal of cardiology case reports最新文献_第9页

Fever of unknown origin. A changing clinical spectrum and a diagnostic challenge 不明原因的发烧。不断变化的临床谱和诊断挑战

Journal of cardiology case reports Pub Date : 2020-07-01 DOI: 10.15446/cr.v6n2.87649

M. Casarrubias-Ramírez

引用次数: 0

Neuodevelopmental consequences of massive cerebellar bleeding in a preterm infant 早产儿大量小脑出血的神经发育后果

Journal of cardiology case reports Pub Date : 2020-03-01 DOI: 10.5167/UZH-186107

U. Jochumsen, R. Etter, M. Hauff, G. Natalucci, B. Latal

引用次数: 0

Delayed extensive right brachial and radial artery thrombosis: A rare complication of transradial cardiac catheterization 迟发性广泛右臂及桡动脉血栓形成:经桡动脉心导管置入术中一种罕见的并发症

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15761/JCCR.1000136

K. Shah, Abdelsalam Elshaikh, Matthew Krinock, C. Ruggeri

引用次数: 0

Severe cardiomyopathy induced by Adalimumab administration for Crohn's disease 阿达木单抗治疗克罗恩病引起的严重心肌病

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15761/jccr.1000129

A. Toufaily

{"title":"Severe cardiomyopathy induced by Adalimumab administration for Crohn's disease","authors":"A. Toufaily","doi":"10.15761/jccr.1000129","DOIUrl":"https://doi.org/10.15761/jccr.1000129","url":null,"abstract":"The use of tumor necrosis factor alpha inhibitors - anti-TNFa (infliximab, adalimumab, and certolizumab) in the treatment of Inflammatory Bowel Disease (IBD) provide a major therapeutic advance, allowing significant benefits in the induction and maintenance of remission in Crohn’s disease [1-3]. However, the safety-profile of TNF inhibitors with regard to worsening or new onset of heart failure is still very controversial. Consequently, there has been a lot of attention paid to the risk of cardiovascular side effects associated with adalimumab therapy [4-6]. A 42 year old woman treated with adalimumab for severe Crohn’s disease exacerbation; 8 days after the second dose of adalimumab (80mg), she presented with dramatic clinical features of heart failure and pulmonary edema. Echocardiography demonstrated severely depressed left ventricle contractility with ejection fraction 35%; cardiac MRI revealed no gadolinium enhancement (no ischemia, no myocarditis). Adalimumab was discontinued, and patient was treated with evidence-based oral disease-modifying HF therapy; 2 months later, cardiac function has returned to normal. This case clearly demonstrated the acute onset of decompensated heart failure with adalimumab usage.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67482058","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: 2

Glenn procedure should be done as soon as possible and definitely before the mean Pulmonary artery pressure elevated 格伦手术应尽快完成，并确定在平均肺动脉压升高之前

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15761/jccr.1000163

H. A. Aljadayel, Reza Abbaszadeh, B. Azari, M. Meraji, Gholamreza Azari, Yasaman Khalili, Akbar Nikpajouh

{"title":"Glenn procedure should be done as soon as possible and definitely before the mean Pulmonary artery pressure elevated","authors":"H. A. Aljadayel, Reza Abbaszadeh, B. Azari, M. Meraji, Gholamreza Azari, Yasaman Khalili, Akbar Nikpajouh","doi":"10.15761/jccr.1000163","DOIUrl":"https://doi.org/10.15761/jccr.1000163","url":null,"abstract":"Introduction : There are still conflicting results regarding the effect of basal pulmonary arterial pressure on the consequences of Glenn surgery and require further studies in this regard. Aim of the study : Our main goal was to assess this hypothesis that the use of Glenn surgical technique (Glenn shunt implantation) can lead to better prognosis in patients with a single ventricular heart who are candidate of Fontan surgery by preserving pulmonary artery pressure, while that high baseline pulmonary artery pressure is considered a risk factor for poor prognosis. Methods: This retrospective study was conducted on 81 consecutive patients with single ventricle heart defect who underwent isolated Glenn surgery and their files were complete in Shahid Rajaei Heart Center in Tehran from 1 January 2019 till 3 March 2020 Based on the pulmonary artery pressure assessed by angiography, patients were classified into two groups, group A patients whose pulmonary artery pressure equal to or less than 15 mmHg (n=41) and group B patients whose pulmonary artery pressure above 15 mmHg (n = 40) and information on the outcome after surgery was compared between the two groups. Results: The prevalence rate of ascites (3 pts. 7.4% versus 19 pts. 48.1%, p = 0.001) and pleural effusion (33.3% versus 85.2%, p = 0.001), the mean length of hospital stay (6.00 ± 2.37 days versus 9.48 ± 6.86 days, p = 0.16) and length of ICU stay (3.93 ± 1.07 days versus 5.30 ± 2.30 days, p = 0.008) all were longer in those patients with PAP >15 mmHg (group B). But there was no difference in the rate of cardiac arrhythmia between the groups (p = 0.192) in our study. Conclusion: High pulmonary artery pressure is associated with more postoperative complications and can be considered as a prognostic factor in patients undergoing Glenn surgery as in fact, high pulmonary pressure associated with postoperative ascites, pleural effusion, and long-term hospitalization.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67482817","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

Acute ST elevation MI with anterior descending artery obstruction after blunt chest wall trauma 钝性胸壁创伤后急性ST段抬高心肌梗死伴前降支梗阻

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15761/jccr.1000160

Preeti Jadhav, Maleeha Zahid, Bing Yue, G. Kamalakkannan, Claude Simon, J. Bella, T. Vittorio

引用次数: 0

Complex regional pain syndrome secondary to sacrococcygeal dislocation following trauma to the lumbosacral region. Case report 腰骶区外伤后继发于骶尾骨脱位的复杂区域疼痛综合征。病例报告

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15446/cr.v6n1.80451

Iván Torres-Salguero, A. Rubiano

{"title":"Complex regional pain syndrome secondary to sacrococcygeal dislocation following trauma to the lumbosacral region. Case report","authors":"Iván Torres-Salguero, A. Rubiano","doi":"10.15446/cr.v6n1.80451","DOIUrl":"https://doi.org/10.15446/cr.v6n1.80451","url":null,"abstract":"Introduccion. El sindrome doloroso regional complejo (SDRC) es una patologia poco frecuente que se caracteriza por causar compromiso a nivel inflamatorio, vasomotor y del sistema nervioso central (SNC). Su presentacion clinica puede ser subaguda, aguda o cronica y puede afectar considerablemente la calidad de vida del paciente. Presentacion del caso. Paciente femenina de 21 anos con trauma en region lumbosacra asociado a dolor y limitacion funcional, a quien se le practicaron imagenes diagnosticas que evidenciaron luxofractura sacrococcigea con posterior presencia de sintomas inflamatorios y autonomicos (agudos y cronicos) que se trataron con medicamentos y cirugia. La paciente respondio al tratamiento con mejoria de la sintomatologia a largo plazo. Discusion. El SDRC se presento posterior a un traumatismo y ocasiono sintomatologia subaguda que se agudizo hasta llegar a la presentacion cronica de la enfermedad. La inflamacion, la disfuncion vasomotora y el compromiso del SNC hacen de este caso un reto diagnostico y terapeutico multidisciplinario. Conclusion. El SDRC es una patologia poco frecuente y de dificil diagnostico; sin embrago,es necesario diagnosticarlo de forma oportuna para poder iniciar un tratamiento personalizado, ya que es una enfermedad que compromete considerablemente la calidad de vida del paciente.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82176012","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

Giant right coronary artery aneurysm. Case Report 巨大的右冠状动脉动脉瘤。病例报告

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15446/cr.v6n1.82446

Benjamín Iván Hernández-Mejía, Edison Ricardo Espinoza-Saquicela

{"title":"Giant right coronary artery aneurysm. Case Report","authors":"Benjamín Iván Hernández-Mejía, Edison Ricardo Espinoza-Saquicela","doi":"10.15446/cr.v6n1.82446","DOIUrl":"https://doi.org/10.15446/cr.v6n1.82446","url":null,"abstract":"Introduction: Coronary aneurysms are rare and are linked to drug abuse; symptomatology depends on the coronary anatomy. This is a case of acute coronary syndrome associated with a giant right coronary aneurysm.Case description: A 40-year-old male, with history of heroin and crack use since age 20, attended consultation due to dyspnea, stable angina and diaphoresis. An electrocardiogram showed ST segment overlay on the underside and troponin problems. A coronary catheterization was performed, which revealed apparent inconclusive aortato-right atrium fistula. Based on the findings, angiotomography and magnetic resonance imaging were performed, finding a giant right coronary aneurysm. The aneurysm was resected using extracorporeal circuit, femoral cannulation, moderate hypothermia, aortic cross-clamping and cardioplegia, and the right coronary artery was revascularized with the left internal saphenous vein. The patient had a satisfactory postoperative period and was discharged after 7 days.Conclusion: There is an important association between drug use and the development of coronary aneurysms. Aneurysm size makes diagnosis difficult, so complementary studies are necessary to establish a differential diagnosis. An appropriate surgical approach allows for a complete resection of the aneurysm and optimal coronary revascularization.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72797729","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

A case report of broken tip of thrombus aspiration catheter (Thrombuster II) in ectatic left circumflex artery of young patient with Kawasaki disease 年轻川崎病患者左旋扩张动脉血栓抽吸导管断头1例

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15761/jccr.1000132

M. M. Oo, Muhammad Db Ismail, I. Abidin, W. A. Ahmad

引用次数: 1

Type I kounis syndrome from paclitaxel infusion 紫杉醇输注引起的I型库尼斯综合征

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15761/JCCR.1000135

Benjamen Wang, Anver Sethwala, R. Gurvitch

引用次数: 0