Effects of age on left ventricular diastolic function
Publication date: Available online 27 November 2018Source: Cor et VasaAuthor(s): Jan Pyszko, Jan Václavík, Tomáš Václavík, Eva Kociánová, Monika Kamasová, Marie Lazárová, Miloš TáborskýAbstractIntroductionEchocardiography plays a pivotal role in the diagnosis of left ventricular diastolic function. There has been only limited data on effects of age on different parameters of left ventricular diastolic function.MethodsWe retrospectively searched and analysed a computerised echocardiography database data of subjects investigated...
Source: Cor et Vasa - November 27, 2018 Category: Cardiology Source Type: research

Editorial Board
Publication date: December 2018Source: Cor et Vasa, Volume 60, Issue 6Author(s): (Source: Cor et Vasa)
Source: Cor et Vasa - November 24, 2018 Category: Cardiology Source Type: research

High-sensitive cardiac troponin T is not always heart – Paraneoplastic systemic sclerosis simulated myocardial ischemia
ConclusionIn the present case, a localized scleroderma due a paraneoplastic SSc was accompanied by elevated hs-cTnT levels in the absence of cardiovascular disease. A reduced inflammation of skeletal muscle tissue due to rituximab treatment decreased hs-cTnT levels. This is the first report of an occult hs-cTnT elevation due to paraneoplastic SSc. (Source: Cor et Vasa)
Source: Cor et Vasa - November 6, 2018 Category: Cardiology Source Type: research

Pitfalls of anticoagulation therapy in pregnant women with mechanical valve prostheses. The case of two thrombotic events during one pregnancy
Publication date: Available online 5 November 2018Source: Cor et VasaAuthor(s): Filip Koubek, Jiří Vejvoda, David Alan, Josef VeselkaAbstractIn anticoagulated patients with mechanical valve prostheses, heparin is still the only possible alternative to warfarin that we choose in some specific situations. One such situation is pregnancy due to the known teratogenic effect of warfarin in a dose-dependent manner. During outpatient treatment with low molecular weight heparin, its efficacy should be monitored regularly and a different target range of the monitored parameter should be kept in mind than with other diagnose...
Source: Cor et Vasa - November 6, 2018 Category: Cardiology Source Type: research

Idarucizumab administration in a patient with incarcerated bowel hernia
Publication date: Available online 17 October 2018Source: Cor et VasaAuthor(s): Ersin Doğanözü, Ilker Sahin, Emir Karacaglar, Senem Has Hasırcı, Mehmet Zeki BuldanliAbstractAtrial fibrillation is the most common rhythm disorder worldwide. Oral anticoagulants are used in the treatment of atrial fibrillation. Non vitamin K oral anticoagulants have been used more often because of the fact that they are more effective and safer than conventional warfarin therapy. The absence of antidote in the majority of new generation oral anticoagulants leads to some difficulties in clinical usage. Idarucizumab, a recently intr...
Source: Cor et Vasa - October 18, 2018 Category: Cardiology Source Type: research

Interventricular septal defect as a complication of a concomitant aortic valve replacement and aortocoronary bypass surgery
Publication date: Available online 13 October 2018Source: Cor et VasaAuthor(s): Tomáš Toporcer, Karol Trejbal, Martin Ledecký, Martin Sivčo, Adrián Kolesár, František SabolAbstractVentricular septal defect (VSD) is a rare complication of surgical aortic valve replacement (AVR) and transcatheter aortic valve replacement (TAVI), with an incidence of 1%.An 81-year-old man underwent AVR with double aortocoronary bypass. Several hours after surgery haemodynamic instability accrued, and echocardiography showed a VSD. The patient underwent another surgery with the use of cardiopulmonary ...
Source: Cor et Vasa - October 14, 2018 Category: Cardiology Source Type: research

Trends in the history and fate of patients hospitalized for acute myocardial infarction
Publication date: Available online 13 October 2018Source: Cor et VasaAuthor(s): Vladimír Staněk, Marie Gebauerová, Michael Želízko, Jan Piťha, Rudolf Poledne, Věra Lánská, Jolana Mrázková, Jiří Kettner, Josef KautznerAbstractThe aim of the study is to report on the history of ischemic heart disease (IHD), clinical course and early and late mortality in 1291 middle-aged men (
Source: Cor et Vasa - October 14, 2018 Category: Cardiology Source Type: research

A young patient with large myxoma in the right atrium
This article presents a case of a young patient who was four years treated for asthma bronchiale before the final diagnosis of myxoma was established and patient was adequately treated. (Source: Cor et Vasa)
Source: Cor et Vasa - October 14, 2018 Category: Cardiology Source Type: research

Direct-Acting Oral Anticoagulants: Less is not always more
We report a case in which self-prescribed dose reduction of the orally active, direct factor Xa inhibitor, Rivaroxaban, was associated with the unusual thrombo-embolic complication of acute ST-segment elevation myocardial infarction (STEMI) in the setting of a fluctuating renal function and estimated glomerular filtration falling in and out of the range where dose reduction of Rivaroxaban is suggested. The case highlights the importance of dosing of Rivaroxaban in those patients who sit around the recommended dosage regimen cut offs as they are well known to be at risk of bleeding should their CrCl fall
Source: Cor et Vasa - October 10, 2018 Category: Cardiology Source Type: research

Prediction of long-term renal denervation efficacy
Publication date: Available online 9 October 2018Source: Cor et VasaAuthor(s): Jan Kvasnička, Lukáš Lambert, Petr Waldauf, Tomáš Zelinka, Ondřej Petrák, Branislav Štrauch, Robert Holaj, Tomáš Indra, Zuzana Krátká, Judita Klímová, Jan Václavík, Eva Kociánová, Igor Nykl, Otakar Jiravský, Gabriela Rappová, Miloš Táborský, Marian Branny, Jiří Widimský, Ján RosaAbstractDiversity of blood pressure response and great variability within studies emphasise the need...
Source: Cor et Vasa - October 9, 2018 Category: Cardiology Source Type: research

Editorial Board
Publication date: October 2018Source: Cor et Vasa, Volume 60, Issue 5Author(s): (Source: Cor et Vasa)
Source: Cor et Vasa - October 4, 2018 Category: Cardiology Source Type: research

Cor et Vasa issue dedicated to case reports for the fifth time
Publication date: October 2018Source: Cor et Vasa, Volume 60, Issue 5Author(s): Michael Aschermann (Source: Cor et Vasa)
Source: Cor et Vasa - October 4, 2018 Category: Cardiology Source Type: research

Surgical remove of a dislocated Amplatzer septal occluder in the right pulmonary artery
Publication date: Available online 2 October 2018Source: Cor et VasaAuthor(s): Tomáš Toporcer, Martin Ledecký, Stanislav Juhás, Miroslav Gejguš, Adrián Kolesár, František SabolAbstractAtrial septal defects represent 5.9% of all cases of congenital heart malformations. Percutaneous implantation of occluder devices is a widely used strategy in the treatment of this malformation.A 65-year-old woman was admitted for percutaneous closure of an atrial septal defect. During the procedure, dislocation of the Amplatzer occluder into the right pulmonary artery occurred. Surgery...
Source: Cor et Vasa - October 4, 2018 Category: Cardiology Source Type: research

Midventricular obstruction in hypertrophic cardiomyopathy
Publication date: Available online 7 September 2018Source: Cor et VasaAuthor(s): Tomas Brezak, Josef VeselkaAbstractIn this series of case reports we present three patients with midventricular obstruction as a less usual complication of hypertrophic cardiomyopathy. We briefly analyse mechanisms leading to the developement of midventricular obstruction, its consequences, therapeutic alternatives and especially diagnostic possibilities of echocardiography including the demonstration of typical findings. The aim of the article is to remind this less frequent variant of the disease that may be encountered in a cardiologist&rsq...
Source: Cor et Vasa - September 8, 2018 Category: Cardiology Source Type: research

Ebstein’s anomaly with significant dysplasia of the tricuspid valve presenting at 73 years of age. A case report
We present the case of a patient with a milder form of EA and a contribution of dysplasia, with the disease undiagnosed until his eighties when he developed heart failure accompanied by significant tricuspid regurgitation. Tricuspid valve replacement with a bioprosthesis and atrial septal defect occlusion were followed by significant improvement of RV function and remission of the patient’s problems. (Source: Cor et Vasa)
Source: Cor et Vasa - September 6, 2018 Category: Cardiology Source Type: research

Extracorporeal membrane oxygenation in a patient with yew and escitalopram intoxication
We present a case of a 25-year-old patient with yew and escitalopram ingestion in a suicide attempt. He presented to the emergency department of a regional hospital with cardiology center without cardiosurgery clinic, but with VA ECMO team on site. Pulseless ventricular tachycardia and fibrillation unresponsive to usual treatment developed soon after presentation and the patient had to be placed on VA ECMO during ongoing cardiopulmonary resuscitation using Lucas CPR device. Patient survived and was successfully weaned off VA ECMO after 4 days with normalization of cardiac function and without severe liver or kidney dysfunc...
Source: Cor et Vasa - September 6, 2018 Category: Cardiology Source Type: research

MitraClip in patients with functional mitral regurgitation and advanced heart failure – Single centre experience
Publication date: Available online 1 September 2018Source: Cor et VasaAuthor(s): Aleš Benák, Blanka Skalická, Jana Hašková, Martin Kotrč, Radka Kočková, Vladimír Pořízka, Michael Želízko, Josef Kautzner, Vojtěch MelenovskýAbstractAimChronic heart failure with left ventricular (LV) dysfunction is often associated with functional mitral regurgitation (MiR). This may be ameliorated, mitral valve morphology permitting, by implanting a MitraClip. Registry data demonstrate a positive effect on symptoms. A decrease in mortality and shorter hospitalisation ...
Source: Cor et Vasa - September 1, 2018 Category: Cardiology Source Type: research

Heart rate variability in atrial septal defect both before and after operation
This article is a literature review of the data on the characteristics of HRV in patients with atrial septal defect (ASD), as well as the regularities of its dynamics after surgical and X-ray endovascular correction of the defect. The article also highlights possible pathophysiology of these vegetative abnormalities. (Source: Cor et Vasa)
Source: Cor et Vasa - August 29, 2018 Category: Cardiology Source Type: research

Editorial Board
Publication date: August 2018Source: Cor et Vasa, Volume 60, Issue 4Author(s): (Source: Cor et Vasa)
Source: Cor et Vasa - August 28, 2018 Category: Cardiology Source Type: research

Iatrogenic epinephrine-induced Takotsubo cardiomyopathy in beta-blocker poisoning: Case report
In conclusion, Takotsubo cardiomyopathy was probably triggered in the present case by the association of three etiologies: emotional stress, epinephrine infusion and beta-blocker poisoning. Physicians should be aware of possible iatrogenic triggers of this disease, especially the harmful effects of catecholamine on heart function and/or poisoning with cardiotoxic drugs. (Source: Cor et Vasa)
Source: Cor et Vasa - August 28, 2018 Category: Cardiology Source Type: research

ST segment elevations caused by invasion of carcinoma of the thymus to the myocardium
Publication date: Available online 25 August 2018Source: Cor et VasaAuthor(s): Věra Müllerová, Jozef Jakabčin, Vladěna Skálová, Pavel ČervinkaAbstractPathological ST segment elevations in 12-lead ECG are in most cases caused by ischemic heart disease during acute transmural infarction. ST segment elevations in ECG can even have non-ischemic etiology during another cardiac disease and there are also rare causes of ST elevations of a non-cardiac origin. In this case report, the authors present the case of a 68-year-old male patient with carcinoma of the thymus, which was growing through to the c...
Source: Cor et Vasa - August 26, 2018 Category: Cardiology Source Type: research

The less common arrhythmias in the acute cardiac care unit
Publication date: Available online 23 August 2018Source: Cor et VasaAuthor(s): Predrag Stojadinović, Jiří Kettner, Josef Kautzner (Source: Cor et Vasa)
Source: Cor et Vasa - August 23, 2018 Category: Cardiology Source Type: research

Corrigendum to ``Asymptomatic damage of central nervous system defined by excess level of protein S100B by patients undergoing the radiofrequency ablation of ventricular tachycardia’’ [Cor et Vasa 60 (2018) e281–e286]
Publication date: Available online 17 August 2018Source: Cor et VasaAuthor(s): E. Šušková, O. Jiravský, R. Neuwirth, J. Chovančík, M. Branny (Source: Cor et Vasa)
Source: Cor et Vasa - August 18, 2018 Category: Cardiology Source Type: research

The 2018 European Heart Rhythm Association Practical Guide on the use of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation: Summary of the document prepared by the Czech Society of Cardiology
Publication date: Available online 16 August 2018Source: Cor et VasaAuthor(s): Robert Čihák, Luděk Haman, Miloš Táborský (Source: Cor et Vasa)
Source: Cor et Vasa - August 17, 2018 Category: Cardiology Source Type: research

Bridging anticoagulation therapy
Publication date: Available online 14 August 2018Source: Cor et VasaAuthor(s): Štefan Volovár, Radka Tancošová, Richard RokytaAbstractOral anticoagulation therapy is used in patients with various diagnoses to reduce the risk of thromboembolic events or to induce a hypocoagulation state to facilitate dissolution of a thrombus. In clinical practice we often encounter anticoagulated patients, many of whom have been diagnosed with nonvalvular atrial fibrillation. Each year a significant number of these patients undergo a medical procedure, which, in some cases, requires temporary discontinuation of ...
Source: Cor et Vasa - August 14, 2018 Category: Cardiology Source Type: research

Single coronary artery with double coronary courses: Tips and tricks
Publication date: Available online 11 August 2018Source: Cor et VasaAuthor(s): Murat Gul, Ozcan Ozeke, Anil Ozen, Fatih Mehmet Ucar, Serkan Cay, Dursun ArasAbstractCongenital coronary artery anomalies are uncommon and the vast majority is diagnosed incidentally during coronary angiogram or necropsy. A single coronary artery is one of the most rarely seen coronary artery anomalies Determination of its course (inter-arterial, intra-septal, pre-pulmonic or retro-aortic) is very important regarding its clinical significance. Avoiding the misdiagnosis of an unsuspected anomalous coronary artery is critical to the patient and it...
Source: Cor et Vasa - August 12, 2018 Category: Cardiology Source Type: research

Cardioembolic stroke as consequence of myocardial infarction: Case report and concise review
Publication date: Available online 11 August 2018Source: Cor et VasaAuthor(s): Ondřej Černý, Tomáš Roubíček, Jindřich Kupec, Rostislav PolášekAbstractDespite tremendous achievements in myocardial infarction therapy, thromboembolic complications remain very serious and its prognosis often fatal. Postinfarction cardioembolic stroke is the most frequent and has the highest mortality of all ischemic stroke subtypes. In this case report we describe cardioembolic stroke from postinfarction apical left ventricular aneurysm as a first symptom of myocardial infarction. In brief literatu...
Source: Cor et Vasa - August 12, 2018 Category: Cardiology Source Type: research

Analysis of elective coronary angiography findings in patients with suspected angina pectoris in the cardiocenter Hradec Králové – Real-life clinical practice in light of the guidelines
ConclusionMost of the patients referred for elective CA had medium risk of IHD. The patient medical history alone was not a reliable predictor of IHD. The stress tests for detection of ischemia were performed scarcely with the dominance of stress electrocardiogram, which was not reliable in the ischemia detection in the clinical practice. The imaging stress tests were not used to a sufficient extent and the rate of negative elective CAs was high in the analyzed study population. (Source: Cor et Vasa)
Source: Cor et Vasa - August 11, 2018 Category: Cardiology Source Type: research

Pulmonary embolism cohort in Pisek Hospital
We present retrospective unselected cohort of 204 consecutive patients treated for pulmonary embolism at Internal medicine department of Hospital Písek. We achieved low in-patient mortality (5.88%) even with a very conservative use of thrombolysis (8.82%). In total there were 39 patients with high risk PE (2009 czech nomenclature as ``massive’’), 44 with intermediate-risk PE (2009 czech nomenclature as ``submassive’’), 121 with low-risk PE (2009 czech nomenclature as ``small’’). Data were collected before 2014 ESC guidelines and PEITHO study.CTA was performed in 81.86% of patients...
Source: Cor et Vasa - August 3, 2018 Category: Cardiology Source Type: research

Foam cell formation and cholesterol trafficking and metabolism disturbances in atherosclerosis
Publication date: Available online 25 July 2018Source: Cor et VasaAuthor(s): Alexandrina Volobueva, Dongwei Zhang, Andrey V. Grechko, Alexander N. OrekhovAbstractFoam cells are typical components of atherosclerotic plaques, where they actively participate in the intracellular cholesterol accumulation. Onset and further progression of atherosclerosis is tightly associated with foam cell formation. These cells can originate both from the circulating monocytes/macrophages and from the resident smooth muscular cells migrating to the growing lesion. Classically activated pro-inflammatory M1 macrophages play an important role in...
Source: Cor et Vasa - July 25, 2018 Category: Cardiology Source Type: research

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