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 5, 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 infective endoc...
Source: Cor et Vasa - July 5, 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 5, 2018 Category: Cardiology Source Type: research
Heart rate variability evaluation in the assessment of cardiac autonomic neuropathy in patients with type 2 diabetes
ConclusionAssessment of CAN using evaluation of HRV can optimally be performed (and simply realized in clinical practice) using SAHRV based on short ECG recordings during autonomic load imposed by orthoclinostatic test (Supine1–Standing–Supine2) and on postprocessing data analysis using complex indicator called “functional age of ANS”. In the detailed evaluation of sympathovagal balance, it complements the screening assessment with cardiovascular reflex tests (Ewing's battery). Besides the orthoclinostatic load, pronounced vagal provocation using rate-controlled, non-deepened breathing (12 cycles/min) represen...
Source: Cor et Vasa - July 5, 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 5, 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 5, 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 5, 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 5, 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 infarction (PMI) developed, with la...
Source: Cor et Vasa - July 5, 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 was...
Source: Cor et Vasa - July 5, 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 5, 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 5, 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 5, 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 aortic valves and extreme obesity ...
Source: Cor et Vasa - July 5, 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 5, 2018 Category: Cardiology Source Type: research
