IHJ Cardiovascular Case Reports (CVCR)最新文献

A Patent Foramen Ovale (PFO) with paradoxical right to left shunt is a well-known culprit for conditions like cryptogenic stroke, migraine and de-compression sickness. Till date, there is scanty data on the relationship between right to left PFO shunt and vertigo. Our case highlights the importance of high level of suspicion for coexistence of paradoxically shunting PFO in patients with unexplained dizziness and paroxysmal vertigo.

A patient presented with acute respiratory failure and shock due to severe prosthetic mitral valve stenosis. A valve-in-valve transcatheter mitral valve replacement procedure was performed via the transeptal approach due to his high-risk presentation with good results.

A fistula between the left ventricular outflow tract and left atrium is a very rare phenomenon. In this case report, we will introduce a Marfan patient who underwent an aortic root repair, leading to a complication of a left ventricular outflow tract to left atrium fistula.

The Society of Cardiovascular Angiography and Intervention (SCAI) classified cardiogenic shock (CS) into five stages ranging from A-E. There remains significant ambiguity regarding the assessment and management of SCAI Stage B. Given its nebulous nature that can rapidly escalate, prompt interventions are needed. Here, we describe the trajectory of cases that presented with SCAI Stage B CS.

Pericardial effusions are associated with various etiology, with treatment varying from careful monitoring to pericardiocentesis, particularly in those symptomatic or reaching cardiac tamponade. Pericardial effusion in pregnancy poses a different challenge as treatment decisions can influence both mother and fetus. We reported a case of large hydropericardium with impending cardiac tamponade successfully treated with an emergency cesarian section without urgent pericardiocentesis.

Implantable loop recorders (ILR) are relatively novel tools for the diagnosis and clinical management of patients with cryptogenic strokes, syncope and cardiac arrhythmias. The ILR implantation is considered a minimally invasive and low-risk procedure, however rare complications can occur, including device migration. We present the case of a 60-year-old woman who underwent implantation of the new generation ILR BioMonitor III (Biotronik) as part of recurrent syncope workup. The procedure was unremarkable, without acute complications, except for a sharp and persistent chest pain during and after. While at implantation we could activate the device from standard position, we were not able to connect to the device at control after 1 week despite normal functioning of remote monitoring. Chest X-ray and chest computed tomography at one week confirmed device migration into the left postero-inferior part of the pleural cavity. The device was retrieved during thoracoscopy without further complications.

Hyperthyroidism can lead to thyrotoxic periodic paralysis (TPP), an infrequent yet fatal complication. It leads to a drop in the levels of serum potassium which in turn causes episodes of muscle weakness. This condition is exceptionally associated with respiratory insufficiency and arrhythmias, making it fatal. We present a rare case of a young male presenting with quadriparesis and ventricular tachycardia. A thorough laboratory work confirmed diagnosis of thyrotoxicosis and hypokalemia. This case further strengthens that recognition of TPP well before time is critical for early initiation of treatment.

A 32-year-old man presented with recurrent ventricular tachycardia and peripheral eosinophilia. Echocardiogram showed features suggestive of infiltrative cardiomyopathy. A hybrid PET/MR demonstrated the characteristic features of myocarditis, the absence of extra-cardiac FDG uptake, and an endomyocardial biopsy showed the features of eosinophilic myocarditis.

Multiple left ventricular aneurysms (LVAs) are distinctly rare and have varied etiology. Manifestations of these entities are similar to the commonest LVA of ischemic origin. Our case is a young male with multiple LVAs with histological evidence of chronic granulomatous disease, and cardiac imaging suggestive of sarcoidosis, responded well to immunosuppressive therapy.