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.
A 68-year-old patient with history of recent coronary artery bypass surgery (CABG) was admitted to our hospital with incessant monomorphic ventricular tachycardia (VT) and was treated successfully with radiofrequency catheter ablation (RFA).
Various maneuvers like lying down or sitting upright and attempting deep inspiration tends to help in such conditions. This case report is reporting an unusual presentation of this syndrome due to its long duration of episode than the duration described in the previous reports.
Presentation of an acute coronary syndrome related to infective endocarditis is rare but potentially lethal. For young people, acute myocardial infarction and an infection syndrome should lead us to suspect IE.
The case of a patient with repetitive syncope episodes with a history of using loperamide at high doses for recreational purposes in search of an effect similar to heroin, is reported. In the diagnostic approach with Holter monitoring, ventricular tachycardia and ventricular fibrillation were evidenced. We also present the treatment of our case and review the literature.
Bradycardia during the early period following heart transplantation frequently occurs with an incidence of 14 to 44% and it is usually self-limited. The incidence of late bradycardia (from 30 days to more than 5 or 6 months after transplantation) has been reported to be 1.5%. A 33-year-old male patient with a history of orthotopic heart transplantation in 2013 presented with complaints of dizziness and near syncope. A DDDR permanent pacemaker was implanted for sinus pauses exceeding 3 seconds recorded on Holter examination. Shortly after the procedure, he developed sudden cardiovascular collapse. Cardiopulmonary resuscitation was performed and a pulse steroid treatment (2 grams of methylprednisolone) was given. After 2 days, the patient was extubated. While making preparations for re-transplantation, cardiopulmonary arrest developed again and he died. Sinus pause may be a clue for rejection and is an important finding in predicting clinical course.
We report a case of a 55-year-old gentleman who had undergone thoracic EVAR. Thirty months after the given procedure he presented with RTAD and underwent supracoronary aortic replacement. The article is intended to remind the clinicians of the importance of early detection of the possible complications when performing EVAR, and the significance of a rapid response.
We present a case of a 78-year-old female patient who was admitted to our hospital with progressive dyspnea and chest pain. Echocardiography revealed multiple masses of different shape and size in the left atrium, the left and right ventricles. Cardiac magnetic resonance confirmed multiple cardiac masses with signs of invasion in the myocardium and heterogeneous late gadolinium enhancement in all these masses. A biopsy of the abdominal mass revealed an undifferentiated pleomorphic sarcoma.