Pub Date : 2023-12-18DOI: 10.9734/ca/2023/v12i4384
F. Kaddari, H. Rouam, Y. Eshaq, M. Eljamili, M. Elhattaoui
Arrhythmogenic right ventricular dysplasia (ARVD) is a cardiomyopathy characterized pathologically by fibrofatty tissue replacement of the myocyte of the right ventricle (RV) and clinically by life-threatening ventricular arrhythmias in young people. It is a major cause of sudden death. We present the case of a 60-year-old man with cardiovascular risk factors, was admitted for unstable ventricular tachycardia (VT) treated immediately with synchronized cardioversion. After the stabilization of the patient, Electrocardiogram demonstrated an epsilon wave in precordial leads and diffuse T-wave inversions. Transthoracic echocardiography revealed a dilated, hypokinetic right ventricle with moderately reduced function and a focal area of dyskinesia. The diagnosis of arrhythmogenic right ventricular dysplasia (ARVD) was made and an implantable cardioverter defibrillator (ICD) was indicated for secondary prevention. This case report will present the clinical presentation, diagnosis and management of this rare disease.
致心律失常性右心室发育不良（ARVD）是一种心肌病，病理特征是右心室（RV）肌细胞被纤维脂肪组织替代，临床表现为年轻人出现危及生命的室性心律失常。它是导致猝死的主要原因。我们介绍了一例 60 岁男性患者的病例，他患有心血管危险因素，因不稳定室速（VT）入院，立即接受了同步心律转复治疗。患者病情稳定后，心电图显示心前区导联出现ε波和弥漫性 T 波倒置。经胸超声心动图显示右心室扩张、运动减弱，功能中度减退，并有一个运动障碍灶。诊断结果为致心律失常性右心室发育不良（ARVD），并建议使用植入式心律转复除颤器（ICD）进行二级预防。本病例报告将介绍这种罕见疾病的临床表现、诊断和治疗。
{"title":"Arrhythmogenic Right Ventricular Dysplasia Presenting with Sustained Ventricular Tachycardia: A Case Report","authors":"F. Kaddari, H. Rouam, Y. Eshaq, M. Eljamili, M. Elhattaoui","doi":"10.9734/ca/2023/v12i4384","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4384","url":null,"abstract":"Arrhythmogenic right ventricular dysplasia (ARVD) is a cardiomyopathy characterized pathologically by fibrofatty tissue replacement of the myocyte of the right ventricle (RV) and clinically by life-threatening ventricular arrhythmias in young people. It is a major cause of sudden death. We present the case of a 60-year-old man with cardiovascular risk factors, was admitted for unstable ventricular tachycardia (VT) treated immediately with synchronized cardioversion. After the stabilization of the patient, Electrocardiogram demonstrated an epsilon wave in precordial leads and diffuse T-wave inversions. Transthoracic echocardiography revealed a dilated, hypokinetic right ventricle with moderately reduced function and a focal area of dyskinesia. The diagnosis of arrhythmogenic right ventricular dysplasia (ARVD) was made and an implantable cardioverter defibrillator (ICD) was indicated for secondary prevention. This case report will present the clinical presentation, diagnosis and management of this rare disease.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138963693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-16DOI: 10.9734/ca/2023/v12i4383
E. Duras, E. Çilsal, Hacer Kamalı, Murat Sahin, A. Guzeltas
Pulmonary atresia (PA) with ventricular septal defect (VSD) is a rare congenital heart disease. Blood flow to pulmonary arteries is provided by patent ductus arteriosus or major aorto-pulmonary collateral arteries (MAPCAs). Palliative interventions are required to maintain the blood supply to the pulmonary arteries in order to achieve for the complete surgical repair. In this case report, we present a patient who underwent pulmonary valve perforation and right ventricular outflow tract (RVOT) stenting as an alternative to a systemic-pulmonary artery shunt (SPS). Subsequently, surgical repair was performed ten months later.
{"title":"Bridge to Surgery with Pulmonary Valve Perforation and Right Ventricular Outflow Tract Stenting in an Infant with PA-VSD","authors":"E. Duras, E. Çilsal, Hacer Kamalı, Murat Sahin, A. Guzeltas","doi":"10.9734/ca/2023/v12i4383","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4383","url":null,"abstract":"Pulmonary atresia (PA) with ventricular septal defect (VSD) is a rare congenital heart disease. Blood flow to pulmonary arteries is provided by patent ductus arteriosus or major aorto-pulmonary collateral arteries (MAPCAs). Palliative interventions are required to maintain the blood supply to the pulmonary arteries in order to achieve for the complete surgical repair. In this case report, we present a patient who underwent pulmonary valve perforation and right ventricular outflow tract (RVOT) stenting as an alternative to a systemic-pulmonary artery shunt (SPS). Subsequently, surgical repair was performed ten months later.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"44 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138967022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-16DOI: 10.9734/ca/2023/v12i4382
B. Abdalani, M. Njie, P. M. Mulendelé, A. Zouad, M. Haboub, G. M. Benouna, A. Drighil, R. Habbal
Direct oral anticoagulants are used in the management and prophylaxis of venous thromboembolism (VTE) and other thrombotic diseases including non-valvular atrial fibrillation. The most serious complication of DOAC agents is bleeding, dominated by gastrointestinal hemorrhages, even if the bleeding risk is much rarer compared to VKA therapy. DOACs are sometimes linked to hepatotoxicity which can sometimes lead to severe hepatocellular insufficiency and also to non-hemorrhagic gastrointestinal disorders. We present a rare clinical entity of a spontaneous subcapsular hematoma of the liver in patient diagnosed with thrombosis of the right internal jugular vein treated with rivaroxaban, undergoing chemotherapy and hormonotherapy after surgery for breast cancer. The diagnosis was confirmed by imagery (abdominal CT scan) after clinical manifestation of an onset pain at the right hypochondrium of the abdomen. Conservative treatment was used in the patient with close follow up after hospital discharge.
{"title":"Non-traumatic Subcapsular Hematoma of the Liver in a Patient under Rivaroxaban: A Rare Clinical Occurrence","authors":"B. Abdalani, M. Njie, P. M. Mulendelé, A. Zouad, M. Haboub, G. M. Benouna, A. Drighil, R. Habbal","doi":"10.9734/ca/2023/v12i4382","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4382","url":null,"abstract":"Direct oral anticoagulants are used in the management and prophylaxis of venous thromboembolism (VTE) and other thrombotic diseases including non-valvular atrial fibrillation. The most serious complication of DOAC agents is bleeding, dominated by gastrointestinal hemorrhages, even if the bleeding risk is much rarer compared to VKA therapy. DOACs are sometimes linked to hepatotoxicity which can sometimes lead to severe hepatocellular insufficiency and also to non-hemorrhagic gastrointestinal disorders. We present a rare clinical entity of a spontaneous subcapsular hematoma of the liver in patient diagnosed with thrombosis of the right internal jugular vein treated with rivaroxaban, undergoing chemotherapy and hormonotherapy after surgery for breast cancer. The diagnosis was confirmed by imagery (abdominal CT scan) after clinical manifestation of an onset pain at the right hypochondrium of the abdomen. Conservative treatment was used in the patient with close follow up after hospital discharge.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"40 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138967077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-14DOI: 10.9734/ca/2023/v12i4381
Sofia Bezza, Assala Cherki, Mohammed Eljamilia, S. Karimi, M. Elhattaoui
Background: Cardiac myxomas, the most common primary heart neoplasms, primarily originate in the left atrium and carry the potential for serious complications, including mitral valve obstruction and embolic events. Here, we report a rare case of a left atrial myxoma leading to complete atrioventricular block. Objectives: through this case we aim to highlight the variety and complexity of cardiac myxomas Observation: A 60-year-old male, with no history of diabetes or hypertension, presented with exertional dyspnea (NYHA class III), lipothymia, and a diastolic murmur in the mitral area. Extensive evaluation revealed a third-degree atrioventricular block. Urgent surgery successfully removed the myxoma, and a permanent pacemaker was implanted postoperatively. The patient had an uneventful recovery and improved during follow-up. Discussion: Cardiac myxomas are rare, accounting for approximately 0.2% of all neoplasms. Clinical presentations vary, with many patients remaining asymptomatic until complications occur. Echocardiography is essential for detection, while electrocardiographic abnormalities may provide diagnostic insights. Surgical removal is the standard treatment, emphasizing the importance of timely intervention. Conclusion: Cardiac myxomas present a diverse clinical spectrum, highlighting the need for timely detection and intervention. Surgical removal remains crucial to prevent complications and secure favorable patient outcomes.
背景：心脏肌瘤是最常见的原发性心脏肿瘤，主要起源于左心房，有可能引发严重并发症，包括二尖瓣阻塞和栓塞事件。在此，我们报告了一例左心房肌瘤导致完全性房室传导阻滞的罕见病例。目的：通过本病例，我们希望强调心脏肌瘤的多样性和复杂性：一名 60 岁男性，无糖尿病或高血压病史，因劳累性呼吸困难（NYHA III 级）、脂溢性胸痛和二尖瓣区舒张期杂音就诊。广泛的评估显示，患者存在三度房室传导阻滞。紧急手术成功切除了肌瘤，术后植入了永久起搏器。患者恢复顺利，随访期间病情有所好转。讨论：心脏肌瘤非常罕见，约占所有肿瘤的 0.2%。临床表现各不相同，许多患者在出现并发症之前没有任何症状。超声心动图是检测的关键，而心电图异常可提供诊断依据。手术切除是标准治疗方法，因此强调及时干预的重要性。结论心脏肌瘤的临床表现多种多样，因此需要及时发现和干预。手术切除对于预防并发症和确保患者的良好预后仍然至关重要。
{"title":"An Exceptional Cardiac Myxoma Case Defying Convention","authors":"Sofia Bezza, Assala Cherki, Mohammed Eljamilia, S. Karimi, M. Elhattaoui","doi":"10.9734/ca/2023/v12i4381","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4381","url":null,"abstract":"Background: Cardiac myxomas, the most common primary heart neoplasms, primarily originate in the left atrium and carry the potential for serious complications, including mitral valve obstruction and embolic events. Here, we report a rare case of a left atrial myxoma leading to complete atrioventricular block. \u0000Objectives: through this case we aim to highlight the variety and complexity of cardiac myxomas \u0000Observation: A 60-year-old male, with no history of diabetes or hypertension, presented with exertional dyspnea (NYHA class III), lipothymia, and a diastolic murmur in the mitral area. Extensive evaluation revealed a third-degree atrioventricular block. Urgent surgery successfully removed the myxoma, and a permanent pacemaker was implanted postoperatively. The patient had an uneventful recovery and improved during follow-up. \u0000Discussion: Cardiac myxomas are rare, accounting for approximately 0.2% of all neoplasms. Clinical presentations vary, with many patients remaining asymptomatic until complications occur. Echocardiography is essential for detection, while electrocardiographic abnormalities may provide diagnostic insights. Surgical removal is the standard treatment, emphasizing the importance of timely intervention. \u0000Conclusion: Cardiac myxomas present a diverse clinical spectrum, highlighting the need for timely detection and intervention. Surgical removal remains crucial to prevent complications and secure favorable patient outcomes.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139002631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-14DOI: 10.9734/ca/2023/v12i4380
Sofia Bezza, Halima El Jazouli, Fadwa Haffane, M. Eljamili, S. Karimi, M. Hattaoui
Infective endocarditis (IE) is a severe complication in patients with congenital heart disease. However, CHD-associated mortality has decreased to 10% because of improvements in the diagnosis of infective endocarditis, antibiotic therapy, cardiac surgery, and interventional procedures. Herein, we aimed to illustrate a case of right-sided infective endocarditis associated with an unknown ventricular septal defect, complicated by septic pulmonary emboli as a rare form of delayed presentation of congenital heart disease. The significant occurrence of infective endocarditis prompts the need for additional investigations into the current utilization, necessity, and effectiveness of antibiotic prophylaxis in patients with congenital heart disease (CHD).
{"title":"Late Manifestation of Congenital Heart Disease: Right-side Infective Endocarditis and the Mystery of the Unseen Ventricular Septal Defect: Case Report","authors":"Sofia Bezza, Halima El Jazouli, Fadwa Haffane, M. Eljamili, S. Karimi, M. Hattaoui","doi":"10.9734/ca/2023/v12i4380","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4380","url":null,"abstract":"Infective endocarditis (IE) is a severe complication in patients with congenital heart disease. However, CHD-associated mortality has decreased to 10% because of improvements in the diagnosis of infective endocarditis, antibiotic therapy, cardiac surgery, and interventional procedures. Herein, we aimed to illustrate a case of right-sided infective endocarditis associated with an unknown ventricular septal defect, complicated by septic pulmonary emboli as a rare form of delayed presentation of congenital heart disease. \u0000The significant occurrence of infective endocarditis prompts the need for additional investigations into the current utilization, necessity, and effectiveness of antibiotic prophylaxis in patients with congenital heart disease (CHD).","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"404 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138974127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-25DOI: 10.9734/ca/2023/v12i4379
K. Munde, S. Jalkote, J. Niari
Pulmonary stenosis (PS) associated with a huge ostium secundum Atrial septal defect (ASD) is relatively uncommon. In such condition, a significant left-to-right shunt across ASD is prevented by significant obstruction at pulmonary valve level and hence it protects the pulmonary bed until adulthood. Transcatheter intervention is the treatment of choice when they occur separately but when they occur together, ideal treatment option is not clear. As per literature, percutaneous transcatheter pulmonary valvuloplasty was performed first, followed by transcatheter closure of the secundum atrial septal defect. We report a case of combined ASD (Atrial septal defect) with moderate PS (Pulmonary stenosis), where we performed percutaneous BPV. (Balloon Pulmonary Valvuloplasty) with Inoue balloon first followed by transcatheter ASD device closure in the same setting.
{"title":"Killing Two Birds in One Stone-Percutaneous Treatment of a Large ASD and Pulmonary Stenosis in the Same Setting in an Adult Patient-a Case Report.","authors":"K. Munde, S. Jalkote, J. Niari","doi":"10.9734/ca/2023/v12i4379","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4379","url":null,"abstract":"Pulmonary stenosis (PS) associated with a huge ostium secundum Atrial septal defect (ASD) is relatively uncommon. In such condition, a significant left-to-right shunt across ASD is prevented by significant obstruction at pulmonary valve level and hence it protects the pulmonary bed until adulthood. Transcatheter intervention is the treatment of choice when they occur separately but when they occur together, ideal treatment option is not clear. As per literature, percutaneous transcatheter pulmonary valvuloplasty was performed first, followed by transcatheter closure of the secundum atrial septal defect. We report a case of combined ASD (Atrial septal defect) with moderate PS (Pulmonary stenosis), where we performed percutaneous BPV. (Balloon Pulmonary Valvuloplasty) with Inoue balloon first followed by transcatheter ASD device closure in the same setting.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139236285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-18DOI: 10.9734/ca/2023/v12i4378
M. Njie, Y. Toukami, P. M. Mulendelé, H. Charif, Haboub, S. Arous, G. M. Benouna, A. Drighil, R. Habbal
Cardiac papillary fibroelastoma is histologically a benign endocardial neoplasm. Though CPF has long been reported as the second most common primary cardiac neoplasm, it has since been pulled ahead of cardiac myxomas, largely due to evolving cardiac imaging modalities. We present a case of CPF originating from an unusual localization; the junction of the posterior mitral valve and endocardium of the left ventricle measuring 15 x 20mm, which was detected by a routine pre-evaluation transthoracic echocardiography before chemotherapy and treated by surgical mass excision in an asymptomatic female patient diagnosed with a Lieberkühn type adenocarcinoma of the rectum with a locoregional extension.
心脏乳头状纤维瘤在组织学上属于心内膜良性肿瘤。虽然 CPF 长期以来一直被报道为第二大最常见的原发性心脏肿瘤，但后来它的发病率已经超过了心脏肌瘤，这主要归功于心脏成像模式的不断发展。我们介绍了一例 CPF 病例，该病例起源于一个不寻常的部位：二尖瓣后缘与左心室心内膜的交界处，大小为 15 x 20 毫米，化疗前通过常规预评估经胸超声心动图检查发现了该病灶，并通过手术进行了肿块切除。
{"title":"Cardiac Papillary Fibroelastoma, an Unusual Localization in an Asymptomatic Patient with Lieberkühn Type Adenocarcinoma of the Rectum: A Case Report","authors":"M. Njie, Y. Toukami, P. M. Mulendelé, H. Charif, Haboub, S. Arous, G. M. Benouna, A. Drighil, R. Habbal","doi":"10.9734/ca/2023/v12i4378","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4378","url":null,"abstract":"Cardiac papillary fibroelastoma is histologically a benign endocardial neoplasm. Though CPF has long been reported as the second most common primary cardiac neoplasm, it has since been pulled ahead of cardiac myxomas, largely due to evolving cardiac imaging modalities. We present a case of CPF originating from an unusual localization; the junction of the posterior mitral valve and endocardium of the left ventricle measuring 15 x 20mm, which was detected by a routine pre-evaluation transthoracic echocardiography before chemotherapy and treated by surgical mass excision in an asymptomatic female patient diagnosed with a Lieberkühn type adenocarcinoma of the rectum with a locoregional extension.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"21 2-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139262286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-14DOI: 10.9734/ca/2023/v12i4377
M. Naaim, M. Ztati, M. Eljamili, S. EL Karimi, M. EL Hattaoui
The autonomic nervous system (ANS) is responsible for regulating heart rate and blood pressure and maintaining homeostasis during physiological stresses. Nervous dysautonomias are often observed in patients presenting cardiovascular symptoms. Despite that, other important but less known conditions can be encountered. We report the case of a 19-year-old young man who presented for blindness occurring in the cold and improving with exercise. Investigations revealed neurovegetative dysautonomia with significant vagal hyperactivity associated with central B-sympathetic hyperactivity. Our patient received treatment based on hygienic and dietary measures with a combination of an anti-hypotensive drug such as Etilefrine. 2 months later, a re-evaluation showed a clear improvement, confirmed during the control neurovegetative exploration but also during the ophthalmological examination.
{"title":"The Effect of Exercise on Cold-Induced Neurovegetative Dysautonomia Blindness","authors":"M. Naaim, M. Ztati, M. Eljamili, S. EL Karimi, M. EL Hattaoui","doi":"10.9734/ca/2023/v12i4377","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4377","url":null,"abstract":"The autonomic nervous system (ANS) is responsible for regulating heart rate and blood pressure and maintaining homeostasis during physiological stresses. Nervous dysautonomias are often observed in patients presenting cardiovascular symptoms. Despite that, other important but less known conditions can be encountered. We report the case of a 19-year-old young man who presented for blindness occurring in the cold and improving with exercise. Investigations revealed neurovegetative dysautonomia with significant vagal hyperactivity associated with central B-sympathetic hyperactivity. Our patient received treatment based on hygienic and dietary measures with a combination of an anti-hypotensive drug such as Etilefrine. 2 months later, a re-evaluation showed a clear improvement, confirmed during the control neurovegetative exploration but also during the ophthalmological examination.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"53 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134902329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-08DOI: 10.9734/ca/2023/v12i4376
Shaikh A. Khalil A. Khalikh, Kalyan S. Munde
Myocarditis can be caused by a variety of infectious and non-infectious illnesses [1]. Although viral infection remains the most commonly identified cause of myocarditis, the role of parvovirus B19 (B19V) from the Erythrovirus genus in the pathogenesis of myocarditis has been identified as a potentially important contributor to myocarditis because of the high prevalence of Parvovirus B 19 (B19V) DNA in hearts of patients with myocarditis [2]. Co-infections of cardiotropic viruses are rarely reported and the mechanisms of viral interactions remain unknown [3]. In this report, we present a case of acute myocarditis in a young male, precipitated by a co-infection of Parvovirus B19 and COVID-19, characterized by fulminant progression and the development of multiple arrhythmias.
{"title":"Two Swords in the Storm: Parvovirus B19 and COVID-19 Clash in a Myocardial Mayhem of Arrhythmias","authors":"Shaikh A. Khalil A. Khalikh, Kalyan S. Munde","doi":"10.9734/ca/2023/v12i4376","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4376","url":null,"abstract":"Myocarditis can be caused by a variety of infectious and non-infectious illnesses [1]. Although viral infection remains the most commonly identified cause of myocarditis, the role of parvovirus B19 (B19V) from the Erythrovirus genus in the pathogenesis of myocarditis has been identified as a potentially important contributor to myocarditis because of the high prevalence of Parvovirus B 19 (B19V) DNA in hearts of patients with myocarditis [2]. Co-infections of cardiotropic viruses are rarely reported and the mechanisms of viral interactions remain unknown [3]. In this report, we present a case of acute myocarditis in a young male, precipitated by a co-infection of Parvovirus B19 and COVID-19, characterized by fulminant progression and the development of multiple arrhythmias.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135390519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.9734/ca/2023/v12i4375
Salman Shaikh, Kalyan S. Munde, Anagh T. S.
Mechanical heart valves are the preferred choice for younger individuals when the native valves cannot undergo repair, primarily due to their exceptional durability. It is crucial to meticulously manage the international normalized ratio (INR) within the range of 2.5 to 3.5 to ensure optimal valve function and minimise the risk of thromboembolic complications. Our case report serves to demonstrate the effectiveness of percutaneous balloon dilatation through transcatheter methods as an innovative and promising approach to release a stuck valve, representing a noteworthy addition to the spectrum of treatment options.
{"title":"Percutaneous Intervention for a Stuck Mechanical Prosthetic Valve at Mitral Position as a Bailout Procedure in a High Surgical Risk Candidate","authors":"Salman Shaikh, Kalyan S. Munde, Anagh T. S.","doi":"10.9734/ca/2023/v12i4375","DOIUrl":"https://doi.org/10.9734/ca/2023/v12i4375","url":null,"abstract":"Mechanical heart valves are the preferred choice for younger individuals when the native valves cannot undergo repair, primarily due to their exceptional durability. It is crucial to meticulously manage the international normalized ratio (INR) within the range of 2.5 to 3.5 to ensure optimal valve function and minimise the risk of thromboembolic complications. Our case report serves to demonstrate the effectiveness of percutaneous balloon dilatation through transcatheter methods as an innovative and promising approach to release a stuck valve, representing a noteworthy addition to the spectrum of treatment options.","PeriodicalId":431606,"journal":{"name":"Cardiology and Angiology: An International Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135870057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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