On sweet undeniable feeling of power of international intellectual feudalism, bias, discrimination, censoring and theft
This report describes a 32 years old patient with Marfan syndrome and hypertension.
Echinococcosis is helminthiasis of cestodosis group characterized by formation of parasitic cysts in liver, lungs or other organs and tissues. Heart echinococcosis occurs in 0.5-2.0% of patients with generalized form of the disease. The embryos of echinococcus (scolexes) may penetrate into the heart in two ways - from the venous blood through the endocardium of the right heart and the breakout of hydatid cysts in the lung and pulmonary veins. In myocardium, scolex develops into mature hydatid cyst.
Prosthetic valve obstruction has an incidence ranging from 0.4% to 6% per year (1). Apart from thrombus formation, prosthetic valve obstruction can also be caused by pannus formation with variable frequency (2, 3). Correct diagnosis is of paramount importance in any patient with prosthetic valve obstruction. Real time three-dimensional echocardiography (RT 3D TEE) has the capacity to provide more in-depth analysis of any pannus related mechanical valve obstruction.
We present two rare cases of very late stent thrombosis occurring beyond ten years post initial drug eluting stent deployment.
A 14-year-old boy with Wolff-Parkinson-White syndrome underwent an electrophysiology study by the use of Navigation System Velocity Navix (St. Jude, USA) for symptoms of palpitations and persistence of pre-excitation during common exercise
The present report describes one strategy used for cardiopulmonary rehabilitation and to help wean a patient from mechanical ventilation, with prohibitive comorbidities that contra-indicate surgical mitral valve repair, using respiratory and peripheral muscle training associated with positive pressure ventilation
The aim of our case report is to describe rare anomaly of coronary artery origin concomitant with aortic root aneurysm, as well as to present the results of surgical correction of this pathology.
A 66 years old woman with known dilated cardiomyopathy and severely reduced ejection fraction presented with bundle branch reentrant tachycardia. Bundle branch reentrant tachycardia is an uncommon form of ventricular tachycardia incorporating both bundle branches into the reentry circuit. The diagnosis is based on electrophysiological findings and pacing maneuvres that prove participation of the His- Purkinje system in the tachycardia mechanism.
We describe a case of Streptococcus alactolyticus infective endocarditis complicated by bacteriemia. A 64-year-old male with a previous history of coronary artery bypass grafting applied to our cardiology outpatient clinic with complaints of dyspnea, fever, confusion and an apical holosystolic murmur.
A 39-year-old female patient who had aortic and mitral valve replacement due to rheumatic heart disease was also found to have cystic mass in the right ventricle on echocardiography during late routine control. The cystic mass identified on echocardiography was shown to be a pseudoaneurysm that develops from the membranous section of the interventricular septum and grows toward the right heart by ECG-triggered cardiac computed tomography performed for differential diagnosis. Because the patient did not accept the surgery, regular follow-ups were recommended.
Thus, our case demonstrated reduction of left atrium early in postoperative period and its slow reduction after surgery during 1 year. It is also showed human reserve capacity and possibility of left atrial dilatation to such sizes. Late diagnosis of such changes in heart is possibly related to the fact that patient was afraid to see doctors and undergo surgery. The left atrial cavity size determination can be done intraoperatively using method of surgical glove we suggested.
This case highlights it is necessary to investigate balance between efficacy and safety of lopinavir/ritonavir for COVID-19 therapy. Off –label prescribing lopinavir/ritonavir outside of a clinical trial setting should be avoided until the data have proven that treatment benefit over placebo.