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.