{"title":"Mycotic aneurysm of the ulnar artery.","authors":"Hamid Shamsolkottabi, Mahmoud Saeidi, Abolghasem Zarezadeh, Sayed Mohammad Hashemi Jazi, Mahfar Arasteh","doi":"10.15420/ahhj.2011.9.1.60","DOIUrl":"https://doi.org/10.15420/ahhj.2011.9.1.60","url":null,"abstract":"<p><strong>Context: </strong>Mycotic aneurysm of the ulnar artery is extremely rare. We report a case of mycotic aneurysm of the ulnar artery due to subacute bacterial endocarditis (SBE) presenting with a painful pulsatile mass in hypotenar region.</p><p><strong>Case report: </strong>In a 39-year-old man, treated as a case of SBE, a painful progressive pulsatile mass appeared in the left hypotenar region. Ultrasonography and angiography showed an aneurysm of ulnar artery in this region. The aneurysm was resected by surgery.</p><p><strong>Conclusion: </strong>Since the diagnosis may be difficult at the early phase and in some cases limb loss may occur, there should be high clinical suspicion to make a prompt diagnosis.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"9 1","pages":"E60-2"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30060749","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":"Interventional cardiology in 2011- a look back.","authors":"Richard A Schatz, Rachel L Israel","doi":"10.15420/ahhj.2011.9.1.11","DOIUrl":"https://doi.org/10.15420/ahhj.2011.9.1.11","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"9 1","pages":"E11-4"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30061815","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":"Future directions in cardiac surgery-part II.","authors":"Lawrence H Cohn, James Hubbard","doi":"10.15420/ahhj.2011.9.1.15","DOIUrl":"https://doi.org/10.15420/ahhj.2011.9.1.15","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"9 1","pages":"E15-8"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30061816","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}
Preeti Chandra, Saurav Chatterjee, Nishant Koradia, Deepak Thekkoott, Bilal Malik, Robert Frankel, Jacob Shani
{"title":"Predisposing Factors, Demographics, Angiographic Features, and the Possible Role of Inflammation in Coronary Perforations-A 10-year Single-center Experience.","authors":"Preeti Chandra, Saurav Chatterjee, Nishant Koradia, Deepak Thekkoott, Bilal Malik, Robert Frankel, Jacob Shani","doi":"10.15420/ahhj.2011.9.2.87","DOIUrl":"https://doi.org/10.15420/ahhj.2011.9.2.87","url":null,"abstract":"<p><strong>Background: </strong>Coronary perforation during percutaneous coronary intervention is a rare but dreaded complication. The risk factors, optimal management, and outcome remain obscure.</p><p><strong>Objectives: </strong>To determine the predisposing factors, optimal management, and preventive strategies. We retrospectively looked at coronary perforations at our catheterization laboratory over the last 10 years. We reviewed patient charts and reports. Two independent operators, in a blinded approach, reviewed all procedural cineangiograms. Data were analyzed by simple statistical methodology.</p><p><strong>Results: </strong>Nine patients were treated conservatively and six patients were treated with prolonged balloon inflation. Six patients were treated with polytetrafluoroethylene (PTFE)-covered stents. One patient required emergency coronary artery bypass graft. No deaths were reported. Subjects with perforations also had a significantly higher total white blood cell count (means 12,134 versus 6,155, 95 % confidence interval [CI], p< 0.0001, n=22), total absolute neutrophil count (means 74.2 % versus 57.1 %, 95 % CI, p<0.0001, n=22), and neutrophil:lymphocyte ratio (means 3.65 versus 1.50, 95% CI, p<0.0001, n=22).</p><p><strong>Conclusions: </strong>Coronary perforations are rare but potentially fatal events. Hypertension, small vessel diameter, high balloon:artery ratio, use of hydrophilic wires, and presence of myocardial bridging appear to be possible risk factors. Most perforations can be treated conservatively or with prolonged balloon inflation using perfusion balloons. Use of PTFE-covered stents could be a life-saving measure in cases of large perforations. Subjects with perforations also had greater systemic inflammation as indicated by elevated white cell counts.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"9 2","pages":"87-9"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32350187","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":"Spontaneous calcific coronary embolus from a degenerative calcific aortic valve-a rare cause of acute ST segment elevation myocardial infarction.","authors":"Adam P Vasconcellos, Kenneth S Korr","doi":"10.15420/ahhj.2011.9.1.55","DOIUrl":"https://doi.org/10.15420/ahhj.2011.9.1.55","url":null,"abstract":"<p><p>This case report describes pathology-proven spontaneous coronary embolization from a calcific aortic valve resulting in an acute ST segment elevation myocardial infarction. It serves as an important reminder that, especially for elderly patients with coexisting aortic valvular disease, initial treatment for abrupt coronary artery occlusion with aspiration thrombectomy catheterization is standard of care.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"9 1","pages":"E55-9"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30060747","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 five-year retrospective on futures in cardiology-part one.","authors":"Sylvan Lee Weinberg","doi":"10.15420/ahhj.2011.9.1.6","DOIUrl":"https://doi.org/10.15420/ahhj.2011.9.1.6","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"9 1","pages":"E6"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30060748","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}
Daniel D Correa de Sa, Thais Coutinho, Paul Sorajja
{"title":"Saphenous vein graft aneurysm-an unusual cause of mediastinal mass.","authors":"Daniel D Correa de Sa, Thais Coutinho, Paul Sorajja","doi":"10.15420/ahhj.2011.9.1.52","DOIUrl":"https://doi.org/10.15420/ahhj.2011.9.1.52","url":null,"abstract":"<p><p>We report the case of a 78-year-old man who was incidentally found to have a large, ovoid mass on a chest X-ray. Nineteen years before, he had undergone a coronary artery bypass graft (CABG). A chest computed tomography (CT) scan revealed a 6.8 x 6.7 cm aneurysm of the saphenous vein bypass graft anastomosed to the distal right coronary artery with contrast filling only the proximal end of the graft. The inferior wall of the left ventricle was akinetic on echocardiography, suggesting prior myocardial infarction of this vascular bed. Because of the patient's comorbidities, occlusion of the graft, and prior inferior infarction, clinical observation was elected.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"9 1","pages":"E52-4"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30060746","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}
Karen Mrejen-Shakin, Ricardo Lopez, Mohandas M Shenoy
{"title":"Life-threatening Takotsubo Cardiomyopathy.","authors":"Karen Mrejen-Shakin, Ricardo Lopez, Mohandas M Shenoy","doi":"10.15420/ahhj.2011.9.2.119","DOIUrl":"https://doi.org/10.15420/ahhj.2011.9.2.119","url":null,"abstract":"<p><strong>Objective: </strong>To report a case of seizure-induced takotsubo cardiomyopathy with rare etiology and rarer complications.</p><p><strong>Methods: </strong>A 50-year-old woman had multiple epileptic seizures and later developed acute heart failure complicated by ventricular fibrillation and shock. A two-dimensional echocardiogram revealed apical ballooning of the left ventricle resembling a takotsubo (a Japanese fisherman's pot used to trap octopi). The apex was also hypokinetic.</p><p><strong>Results: </strong>The hemodynamic abnormalities normalized with defibrillation, assisted ventilation, inotropic support, and pressor agents. More importantly, the apical ballooning deformity and systolic dysfunction reversed. The echocardiogram normalized three months later. A nuclear treadmill stress test was negative for ischemia.</p><p><strong>Conclusions: </strong>Apical ballooning of the left ventricle and hypokinesis are typical echocardiographic features in takotsubo cardiomyopathy, a stress-induced heart disease. It may follow severe emotional, physical, and neurologic stressors, in our rare case, grand mal seizures (0.2 % of all takotsubo disease patients). Also rare are life-threatening complications. Based on these observations, in a case with severe stress followed by acute heart failure, takotsubo cardiomyopathy should be a major diagnostic consideration. The dramatic initial triggering event, in our case an epileptic seizure, should not mask the possibility of coexisting takotsubo cardiomyopathy. Awareness of this disease, anticipation of complications, and two-dimensional echocardiography will help channel the management in the right direction.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"9 2","pages":"119-21"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32351586","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 genomic revolution for cardiovascular disease-a progress report at five years.","authors":"Alexandre F R Stewart, Robert Roberts","doi":"10.15420/ahhj.2011.9.1.19","DOIUrl":"https://doi.org/10.15420/ahhj.2011.9.1.19","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"9 1","pages":"E19-23"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30061817","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}
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