Infected thoracic stentgraft and prosthetic graft with replacement by human aortic allograft
Publication date: Available online 17 July 2018Source: Cor et VasaAuthor(s): Vladimir Sihotsky, Peter Berek, Abraham John Mathews, Ivan Kopolovets, Maria Kubikova, Frantisek Sabol, Adrian Kolesar, Luboslav Bena, Jan Rosocha, Maria Frankovicova (Source: Cor et Vasa)
Source: Cor et Vasa - July 18, 2018 Category: Cardiology Source Type: research

Acute purulent pericarditis caused by Clostridium septicum
We describe the case of a 71-year-old man suffering from liver cirrhosis with an acute purulent pericarditis. The organism responsible for his pericarditis was Clostridium septicum; a Gram-positive obligatory pathogen, commonly associated with gastrointestinal tumours. Despite the prolonged, targeted antibiotic therapy, the infection resulted in endocarditis and the need for an urgent the aortic valve replacement. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Surgical management of idiopathic constrictive pericarditis
Publication date: Available online 31 March 2017Source: Cor et VasaAuthor(s): Serkan Burç Deşer, Semih Murat YücelAbstractConstrictive pericarditis is defined as impaired diastolic cardiac function leading to heart failure, progressive fluid overload, systemic venous congestion and reduction of cardiac output. Both ventricles affected by the constriction; however, symptoms of right heart failure dominate. The congestive heart failure and normal left ventricular systolic functions are seen in the presence constrictive pericarditis. Pericardiectomy is considered as the mainstay treatment method for constrictive ...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Anomalous left circumflex artery occlusion: A technical challenge in primary percutaneous coronary intervention?
Publication date: Available online 31 March 2017Source: Cor et VasaAuthor(s): Giuseppe Andò, Vittorio Virga, Olimpia Trio, Alessandro Di Giorgio, Francesco SaporitoAbstractAnomalies of the coronary arteries can be found in approximately 1% of patients undergoing coronary angiography. Most coronary anomalies do not result in signs, symptoms, or complications, and usually are discovered as incidental findings at the time of catheterization. Coronary anomalies may pose several challenges to the interventional cardiologist in the emergency setting, as anomalous vessels may be difficult to find or to selectively cannulat...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Cardiac implantable devices and Takotsubo syndrome. A rare but potential eventuality
We report the case of a female patient who suffered from Takotsubo cardiomyopathy associated to a coronary fistula after pacemaker implantation. Its occurrence should be always remembered by the implanters, avoiding it by an appropriate psychological screening and use of conscious sedation. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Anomalous left coronary artery from the pulmonary artery: A rare case diagnosed in an adult
This article reports on a 45-year-old asymptomatic man with the ALCAPA diagnosed thanks to a detailed cardiac examination, that followed the finding of the left bundle branch block and a decreased left ventricular systolic ejection fraction. Although coronary angiography and computed tomography are considered to be the key diagnostic methods for ALCAPA, in this case the diagnosis was established based on echocardiography. Previously, the patient has been under regular review by a cardiologist with the incorrect diagnosis of multiple ventricular septal defects. In fact, this diagnosis resulted from a misinterpretation of th...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Cardiobacterium hominis and endocarditis. Rare but important clinical relevance
Publication date: Available online 25 May 2017Source: Cor et VasaAuthor(s): Annamaria Ioppolo, Claudia Morabito, Gessica D’Amico, Antonio Taormina, Emmanuele Soraci, Giuseppe DattiloAbstractInfective endocarditis is a severe disease with high morbidity rate. Cardiobacterium hominis (CH) is a member of the HACEK group of microorganisms. We show the case of a man of 56 years with infective endocarditis on a native mitral valve, sustained by C. hominis. The relevance of this case is based on the fact that infections sustained by CH, even if not so frequent (about 1–3% of all cases), are a possible cause of infecti...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Case report of an unusual presentation of aortic dissection
Publication date: Available online 26 May 2017Source: Cor et VasaAuthor(s): Júlio Gil, Bruno Marmelo, Luís Abreu, Hugo Antunes, Luísa Gonçalves, Davide Moreira, Luís Ferreira dos Santos, José Costa Cabral (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Heart rate variability evaluation in the assessment of cardiac autonomic neuropathy in patients with type 2 diabetes
Publication date: Available online 2 June 2017Source: Cor et VasaAuthor(s): Rudolf Metelka, Lubica Cibičková, Jaromíra Gajdová, Ondřej KrystyníkAbstractIntroductionHeart rate variability (HRV) is a respected measure used in the assessment of cardiac autonomic neuropathy (CAN) and it can serve as an independent prognostic indicator of sudden arrhythmic death risk. Despite the importance of early detection, the diagnosis of CAN is often made too late, especially in diabetics. Besides the long subclinical phase of CAN, reasons for this include great diversification of employed diagnostic methods ...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

A new lesion in an old stent: A new insight into very late stent thrombosis
Publication date: Available online 20 June 2017Source: Cor et VasaAuthor(s): Kamran Majeed, Richard Alcock (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Media sclerosis Mönckeberg affects microcirculation
Publication date: Available online 23 June 2017Source: Cor et VasaAuthor(s): P. Lanzer, C. ZouboulisAbstractMedia sclerosis Mönckeberg is known to be associated with progressive deposits of crystalline and amorphous hydroxyapatite within the media of large arteries. Here we provide evidence for calcifications within microcirculation in a 66-year-old patient with known and documented media sclerosis Mönckeberg of large peripheral arteries. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

An unusual case of a subacute right ventricular perforation from a pacemaker lead with subsequent left hemothorax
Publication date: Available online 5 July 2017Source: Cor et VasaAuthor(s): Ryan K. Dean, Rogin Subedi, Dalvir Gill, Amitpal Nat (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Acute temponade due to postinfarction myocardial rupture successfully managed with urgent pericardiotomy
Publication date: Available online 8 July 2017Source: Cor et VasaAuthor(s): Shi-Min Yuan, Jin-Zao Chen, Yao-Hua Yu, Liang-Qing Lin, Xiang-Kui Fang, Jing LinAbstractPostinfarction myocardial rupture is rare and fatal. A 60-year-old female developed hemodynamic collapse after 2-h acute precordial pains. Acute tamponade and cardiogenic shock were confirmed. The patient underwent urgent pericardiotomy under the aid of intraaortic balloon pump and inotropic infusions. The differential diagnosis of acute chest pain is important. Early diagnosis and prompt surgical intervention of acute temponade are crucial for rescuing the pati...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Subclavian artery stenosis: An unusual cause of periprocedural myocardial infarction following the surgical myocardial revascularization
Publication date: Available online 19 July 2017Source: Cor et VasaAuthor(s): T. Lopuchovský, M. Moščovič, R. Novotný, A. Kolesár, Š. Lukačín, F. SabolAbstractThe introduced case report explains the atypical periprocedural myocardial infarction following the surgical myocardial revascularization. 60-year-old man has undergone the coronary bypass surgery with arterial graft of left mammary artery (LIMA) to left anterior descending artery (LAD) and venous graft to posterior interventricular branch of right coronary artery. Early in the post-surgery period a perioperative myocardial...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Iatrogenic life-threating condition in a patient with multiple rare disorders
Publication date: Available online 23 July 2017Source: Cor et VasaAuthor(s): Martyna Zaleska, Olga Możeńska, Mariola Laszuk, Piotr Suwalski, Dariusz Artur KosiorAbstractAndersen–Tawil syndrome (long QT syndrome 7) is a rare inherited disorder, characterized by periodic paralysis, long QT, ventricular arrhythmias and skeletal abnormalities.A 52-year-old female with a history of long QT-syndrome, ICD implantation (secondary prevention of cardiac arrest) and systemic vasculitis was admitted due to an electrical storm caused by endocarditis. She was admitted again short after discharge due to multi-organ failure, which...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Mexiletine as a one effective alternative for antiarrhythmic drugs and ablation resistant electrical storm – A case report
We present case of 78-year-old male transferred to our Department due to multiple episodes of malignant ventricular arrhythmias refractory to previous antiarrhythmic treatments (device settings optimization, amiodarone treatment, lidocaine infusion and optimal pharmacotherapy). Additionally, patient had ischemic end-stage heart failure and implanted CRT-D. We excluded secondary causes of electrical storm and due to inefficacy of medical therapy, we applied radiofrequency ablation. During 1st day after procedure life-threatening VT/VF recurred. As our last choice, we modified therapy and introduced mexiletine, what resulted...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

An anomalous case of S-ICD malfunctioning: A big trouble or a soap bubble?
Publication date: Available online 2 August 2017Source: Cor et VasaAuthor(s): Pasquale Crea, Angela Nicotera, Bruna Crea, Antonio Taormina, Giuseppe PiccioloAbstract12 h after the implant of a S-ICD the patient accused an inappropriate shock due to noise oversensing. ICD interrogation showed undersensing of ventricular signals on primary vector and significative noise on alternative vector. Surprisingly, 2 days full recovery of sensing of primary vector was observed. Trapped air was likely to be the cause of malfunctioning. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Recurrent infective endocarditis as a manifestation of Loeffler's endocarditis: The diagnostic importance of cardiac magnetic resonance imaging
We present a 60-year-old patient with a history of recurrent infective endocarditis due to different Streptococcus species. Transthoracic echocardiography (TTE) revealed a circumscript echodense structure near the apex of the left ventricle, suggestive of a vegetation. Positron emission tomography revealed increased activity at the same site of the left ventricle and showed no other abnormalities. The patient was treated with intravenous antimicrobial therapy for each episode of infective endocarditis (3x). The vegetation near the apex remained visible on follow-up TTE. Diagnostic cardiac magnetic resonance imaging (CMR) w...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Transcatheter aortic valve replacement – Therapeutical option in a patient with complex heart disease
Publication date: Available online 26 August 2017Source: Cor et VasaAuthor(s): P. Zdráhal, J. Bis, P. Polanský, J. Dušek, J. ŠťásekAbstractAuthors are presenting a case report describing diagnostic and therapeutic approach in patient with severe dyspnoea. The dominant cause of the symptoms was combined aortic valve disease and monstrous obesity. The other findings were combined mitral valve disease and provoked midventricular obstruction of the left ventricle. A complex cardiac surgery was not recommended due to the aortic valve annulus size, massive calcification of both mitral and aort...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Rupture of free wall of left ventricle in a patient with takotsubo cardiomyopathy
Publication date: Available online 20 September 2017Source: Cor et VasaAuthor(s): Jan Hulka, Jiri SoukupAbstractTakotsubo cardiomyopathy (TTC) belongs to rare heart disease with symptoms imitating acute coronary syndrome with ST segment elevation. Usually, it occurs predominantly in postmenopausal women. In most cases, the disease has an uncomplicated course, but some patients may develop severe complications (e.g. cardiogenic shock, severe heart failure, malignant arrhythmia, thromboembolism or myocardial wall rupture). This case report describes an 82-year-old man with TTC complicated rupture of the left ventricular free...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Dual-lumen catheter in coronary chronic occlusions
We report three CTO cases successfully treated using a dual-lumen catheter after other crossing strategies failed to cross the occlusion. This tool is easy and reliable to use and could be useful in similar situations in CTO cases. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

The importance of a higher dose of a mineralocorticoid receptor antagonist in reducing risk of recurrent hospitalization in a patient with advanced chronic heart failure – A case report
Publication date: Available online 22 September 2017Source: Cor et VasaAuthor(s): G. Mairgani, V. Mála, F. MálekAbstractThe authors present the significance of a higher dose of a mineralocorticoid receptor antagonist in reducing the frequency of hospitalizations for decompensated heart failure in a 67-year-old patient suffering from advanced chronic heart failure. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Arrhythmogenic cardiomyopathy of left ventricle. A rare event, but possible
Publication date: Available online 23 October 2017Source: Cor et VasaAuthor(s): Michele Scarano, Germana Gizzi, Cesare MantiniAbstractArrhythmogenic right ventricular dysplasia (ARVD) is a form of inherited cardiomyopathy characterized by fibro-fatty substitution mainly right ventricular (RV). Affected patients may succumb to life-threatening ventricular arrhythmias and heart failure. It is even more common among athletes who experience sudden cardiac death (SCD). The disease involvement is not limited only to the RV, but the left ventricle (LV) can also be involved. We have reported a case of a 38 years-old man, with two ...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Combined orthotopic heart transplantation followed by autologous stem cell transplantation in a patient with light chain amyloidosis and isolated cardiac involvement
We present a case of amyloidosis AL with isolated myocardial involvement. Because of a refractory heart failure picture, patient underwent orthotopic heart transplant (OHT). The replaced heart showed an important midwall infiltration. Ten months after he underwent autologous stem-cell transplantation (ASCT) with a favorable outcome. The case demonstrates that OHT followed by ASCT in highly selected patients with light chain amyloidosis is a life-saving procedure. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

“Acute coronary syndrome” and heart failure caused by a large hiatal hernia
Publication date: Available online 11 November 2017Source: Cor et VasaAuthor(s): Jiří Holý, Pavel Červinka, Nedal Omran, Ján KoscelanskýAbstractUpside down stomach (UDS) as a severe form of hiatal hernia has various clinical scenarios. Patients could be asymptomatic or present with haemodynamic collapse due to mechanical compression of the mediastinum.We herein present a case of 71-year-old woman referred to our clinic due to acute coronary syndrome with acute onset of heart failure, which was treated accordingly. Throughout the diagnostic and therapeutic process, a diagnosis of an incarcerate...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Ventricular fibrillation as a primary manifestation of Wolff–Parkinson–White syndrome
Publication date: Available online 20 November 2017Source: Cor et VasaAuthor(s): Tereza Eichlerová, Jiří Knot, Pavel OsmančíkAbstractWolff–Parkinson–White syndrome (WPW) is defined as a condition involving an accessory pathway associated with symptoms. A typical ECG pattern of a pre-excitation shows a short PQ interval, presence of delta wave and a broad QRS complex on surface ECG. The underlying mechanism involves an accessory pathway, which enables conduction of a depolarization wave from atria to ventricles bypassing the AV node and predisposes to arrhythmias and sudden cardiac death. ...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

An unrecognized combined congenital heart defect – Bicuspid aortic valve and ventricular septal defect as a cause of acute heart failure in adulthood
We report on a case of 51-year-old man with an unrecognized combined congenital heart defect: bicuspid aortic valve (with severe aortic insufficiency), a serious defect of ventricular septum (with pulmonary hypertension) and severe tricuspid valve insufficiency, presenting as an acute heart failure. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Giant-cell myocarditis – A case report and a brief review
Publication date: Available online 20 November 2017Source: Cor et VasaAuthor(s): Jan Látal, Miloslav Špaček, Jan Přeček, Zbyněk Tüdös, Martin Hutyra, Tomáš Tichý, Miloš TáborskýAbstractGiant-cell myocarditis is an extremely rare disease with high morbidity and mortality. In the majority of cases, the course of the disease is in the form of fulminant myocarditis. The cornerstone of the treatment is aggressive immunosuppresive therapy in addition to heart failure treatment, however the need for mechanical circulatory support or heart transplant is high. In...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Cardiac arrest in patient with significant pulmonary regurgitation after surgical valvulotomy at 10 years of age for isolated pulmonary stenosis
We present the case of a 46-year-old man with gradually progressing pulmonary regurgitation after surgical valvulotomy at 10 years of age. Despite regular follow-ups by the cardiologist, the patient was never referred to a specialized centre and cardiac arrest caused by ventricular fibrillation occurred after physical exercise. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Surgical resection of occluded abdominal stent graft followed by aorto-bi-iliac vascular reconstruction with Intergard Synergy vascular prosthesis
ConclusionWhen endovascular treatments of stent grafts’ branch occlusion fail, surgical treatment, despite its higher perioperative risks and technical challenges, remains the only treatment option. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Impact of radial and femoral access on radiation dose and fluorography time in patients with acute coronary syndrome
ConclusionWe found that the radiation dose was lower in femorally accessed group. Although radiation dose is not the main concern in patients with acute coronary syndromes, our results suggest that femoral access can be preferred over radial access in certain situations. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Prognostic value of cystatin C in relation to other markers of renal function in early prediction of hospital mortality and major cardiac adverse events in patients with ST elevation myocardial infarction treated by primary percutaneous coronary intervention
Publication date: Available online 6 December 2017Source: Cor et VasaAuthor(s): Jan Přeček, Martin Hutyra, Martin Sněhota, Jiří Jarkovský, Tomáš Adam, Miloslav Špaček, Štěpán Hudec, Miloš TáborskýAbstractIntroductionCystatin C has been implicated as a prognostic marker in cardiovascular diseases. The aim of prospective study was to evaluate the benefits of measuring cystatin C for prognostic stratification to predict hospital mortality and the rates of major cardiac adverse events (MACE) in ST elevation myocardial infarction (STEMI) patients and to...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Cardiac resynchronization therapy – A comparison of VV delay optimization by 3D echocardiography using systolic dyssynchrony index and QRS width assessment at 6 months after CRT implantation
ConclusionIndividual CRT optimization using SDI compared with QRS duration assessment did not reveal any significant differences in echocardiographic parameters and clinical outcomes at 6-month follow-up. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Education in the area of heart and vessel diseases for 40+ citizens
Publication date: Available online 6 January 2018Source: Cor et VasaAuthor(s): Věra Olišarová, Valérie Tóthová, Lenka Šedová, Sylva Bártlová, Ivana Chloubová, Helena Michálková, Radka Prokešová, Marie TrešlováAbstractIntroduction and goalThe heart and vessel diseases rank among main causes of death worldwide. In the Czech Republic, they account for a high proportion of hospitalizations. Although such diseases can be very well influenced through elimination of influenceable risk factors, their prevalence in the C...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Left atrial myxoma complicated with a myocardial infarction in a 10-year-old boy: A case report and review of the literature
Publication date: Available online 17 January 2018Source: Cor et VasaAuthor(s): Ahmed. Sghaier, Nejeh. Ben Halima, Ghada. Hamila, Houssem Thabet, Marwa. Ben Abdallah, Yossra. MessaoudiAbstractA 10-year-old child experienced syncope on exertion, preceded by chest pain and palpitations. The physical exam had no particularities except for a diastolic roll at the mitral area. The initial electrocardiogram showed a ventricular tachycardia successfully wiped out by cardioversion. The electrical control showed an extensive anterior myocardial infarction. Emergency Doppler echocardiography showed a dilated LV, akinesia of the apic...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

The positive impact of a four-week Cardiac Rehabilitation program on depression levels of cardiological patients
Publication date: Available online 17 January 2018Source: Cor et VasaAuthor(s): Floriana Caccamo, Simone Saltini, Cristina Marogna, Vito Sava, Roberto Carlon, Federico VignagaAbstractPurposeTo investigate the positive impact of a Cardiac Rehabilitation program on levels of depression in patients after an acute cardiac event and to verify if some socio-demographic variables, as diagnosis, gender and age, and variables related to work and social support (working occupation, marital status, presence/absence of children) could be considered as predictors of depression, both at the beginning and at the end of the Cardiac Rehabi...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Cardiac implantable electronic devices and chemotherapy: A risky combination
We present a case of CHT-induced CDE in a 64-year-old male with multiple cardiac risk factors. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Atrial fibrillation, oral anticoagulants and health related quality of life
ConclusionNOAC usage correlates with the best health related quality of life scores, gaining a statistically significant difference compared to warfarin users in physical functioning (warfarin – 95.85, NOACs – 124.57; p = 0.012) and social functioning mean ranks (warfarin – 95.16, NOACs – 119.08; p = 0.026). Age had low negative correlation with physical functioning scores. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Our experience with surgical minimally invasive aortic valve replacement
ConclusionIn this study we describe our technique and results of minimally invasive aortic valve replacement in our institution. Based on our results, we evaluate this technique as safe and well reproducible. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Alternating bundle-branch block in acute coronary syndrome
We present a case of a patient with a known left bundle-branch block (LBBB) who developed a new right bundle-branch block (RBBB) in a setting of acute coronary syndrome. Coronary angiogram revealed subtotal proximal LAD stenosis that was resolved with stent implantation. After the percutaneous coronary intervention RBBB disappeared and LBBB reappeared. The probable reason for the alternating bundle-branch block in the presented case is a new origin of ventricular impulses after initial medical treatment. New onset RBBB has been an intriguing clinical entity often associated with acute myocardial infarction. RBBB could be a...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Late recurrence of fulminant myocarditis related to HSS/DRESS
Publication date: Available online 1 February 2018Source: Cor et VasaAuthor(s): Miguel Ardérius, Miguel Nobre Menezes, Tiago Marques, Dulce Brito, Ana Ortins-Pina, Mónica Mendes Pedro, Fausto Pinto, Fátima VeigaAbstractHypersensitivity Syndrome or Drug Reaction with Eosinophilia and Systemic Symptoms (HSS/DRESS) is a rare pharmacological hypersensitivity reaction that may include cardiac involvement, with high mortality and long-term heart failure.A 28-year-old woman, two months after the diagnosis of DRESS secondary to sulfasalazine, developed fulminant eosinophilic necrotizing myocarditis. After inte...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Infectious aneurysm of the ascending aorta – Successful conservative treatment in a high-risk patient
We report a case of an infectious aneurysm of the ascending aorta with an atypical clinical manifestation and a complicated diagnostic process, which resulted in successful comprehensive conservative management of a high-risk patient who rejected radical surgical treatment. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Development of early reperfusion after the first episode of acute pulmonary embolism
ConclusionThe analysis did not identify risk factors significantly associated with the absence of early reperfusion of the PE. This points toward the need of further follow-up of patients after a PE with the aim of identifying the patients with the high risk of developing the chronic thromboembolic disease and CTEPH. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Use of OPCAB in Czechia 2010–2015: Have we learned any lessons?
Publication date: Available online 13 February 2018Source: Cor et VasaAuthor(s): Jan Hlavička, Tomáš Vaněk, Jiří Jarkovský, Klára BenešováAbstractIntroductionOff-pump coronary artery bypass grafting (OPCAB) is a well-established technique for coronary revascularization, which is used worldwide as well as in the Czech Republic (CZ). However, the number of patients undergoing this procedure varies from department to department. We wanted to see if the very latest publications regarding off-pump coronary revascularization had changed the way the procedure was viewed by Czech...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Should we fear infarct-like myocarditis?
ConclusionInfarct-like myocarditis was the most common presentation of acute myocarditis during the observation time. No patient had an early recurrence of the disease (i.e., within 1 year) and no left ventricular (LV) systolic dysfunction was developed. Infarct-like myocarditis has a specific feature that differs from other types of myocarditis. It has good prognosis, which is independent of physical exertion starting 1 month after hospital discharge. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

The prognostic value of exercise stress echocardiography – Validation of a newly implemented method in our center
ConclusionExercise stress echocardiography in hands of an experienced operator is a safe and valuable method. Negative result of a diagnostic exercise stress echocardiography has, based on our experience, an excellent negative predictive value concerning cardiovascular morbidity and mortality within the 17 month-time median. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Scimitar syndrome – A case report
Publication date: Available online 15 February 2018Source: Cor et VasaAuthor(s): Juraj Bujdák, Jiří Vondrák, Jan Matějka, Pavel Král, Bořivoj KorbelAbstractThe authors present a case of a rare congenital cardiopulmonary anomaly. In the discussion section, possible associated disorders, clinical syndromes and diagnostic possibilities are considered. The case report is supported by the chest radiograph and the 2D and 3D computer tomography scans. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Rare cause of recurrent systemic embolism in a middle-aged woman with undiagnosed lung A-V malformation
We report a case of the recurrent systemic embolism in a 48-year-old woman without previous medical history. Gradual clinical development revealed a combination of rare anatomical and pathological findings. The first manifestation of the disease in the patient was repeated systemic embolization in the left arm requiring repeated surgical embolectomy in a very short time sequence. In a parallel search for a possible source, clinically silent pulmonary embolism, patent foramen ovale and significant vascular A-V malformation in the left lung were diagnosed. In the subsequent period, there was an unexpected event of an acute m...
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Acute coronary syndrome and coronary microfistulae left ventricular. A rare event, but possible
Publication date: Available online 12 March 2018Source: Cor et VasaAuthor(s): Francesco Messina, Sergio CroscaAbstractCoronary fistulae are rare anatomic anomalies and those ones draining in left ventricle have low incidence. Apical hypertrophy of left ventricle is a relatively rare manifestation of hypertrophic cardiomyopathy, sometimes associated with coronary fistulae. We show the case of a coronary microfistulae draining on left ventricle associated with an apical hypertrophic cardiomyopathy which manifested for the first time as an acute coronary syndrome NSTEMI. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Cost effectiveness analysis of out-patient and remote monitoring of patients after pacemaker replacement from the perspective of the health care payer
ConclusionRemote monitoring, is from the perspective of the health care payer, not associated with costs reduction in patients after pacemaker replacement due to battery depletion compared to standard out-patient follow-up. (Source: Cor et Vasa)
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research