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Bashir M M University Hospitals Birmingham NHS Foundation Trust, - - 2014
We present the case of a 27-year-old man who underwent percutaneous atrial septal defect (ASD) repair using the Amplatzer(®) (St Jude Medical, St Paul, MN, US) septal occluder (ASO). Six weeks later, he presented with heart failure and was found to have an aorto-right atrial fistulation. He required urgent surgical ...
Meel Bhavesh B Department of Cardiology, Heart And General Hospital, Jaipur, - - 2014
A 55-year-old male presented with progressive dyspnea, swelling of legs and abdominal distension for past one week. Routine investigation showed presence of large pericardial effusion. Pericardiocentesis tapped a yellow colored sterile fluid with predominant polymorphs. However sequence of events following pericardiocentesis were unusual as patient developed stroke. MRI brain and ...
Uyar Ihsan Sami IS Cardiovascular Surgery Department, Sifa University, Izmir, - - 2014
A rare case of myocardial infarction secondary to multiple coronary artery fistulae is described. Coronary angiography showed the fistulae originating from the distal septal branch of the left anterior descending artery and distal branches of the right coronary and circumflex arteries, and drained into the left ventricle. A myocardial perfusion ...
Yuksel Murat M Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey ; Dicle Üniversitesi, Kalp Hastanesi 1.Kat, Kardiyoloji Kliniği, Sur, 21280 Diyarbakir, - - 2014
Coronary cameral fistulas are abnormal communications between a coronary artery and a heart chamber or a great vessel which are reported in less than 0.1% of patients undergoing diagnostic coronary angiography. All three major coronary arteries are even less frequently involved in fistula formation as it is the case in ...
Oylumlu Mustafa M Department of Cardiology, School of Medicine, Dicle University, Diyarbakir, - - 2014
Coronary-cameral fistula is a scarce clinical entity, which is defined as an anomalous communication between any epicardial coronary artery and cardiac chambers or large vessels. We aimed to present a case of multiple coronary-cameral fistulas causing myocardial ischemia.
Said Salah Am SA Salah AM Said, Department of Cardiology, Hospital Group Twente, 7555 DL Hengelo, The - - 2013
Acquired coronary artery fistulas (CCFs) are infrequently detected during conventional coronary angiography. To delineate the characteristics of congenital (first part) and acquired (second part) CCFs in adults, a PubMed search was conducted for papers dealing with congenital or acquired CCFs. None of the publications describing patients with coronary-vascular fistulas were ...
Delgado Anne - - 2013
The authors present a rare case of hypertrophic cardiomyopathy associated with left ventricular noncompaction cardiomyopathy and coronary artery-left ventricular fistulae in a 42-year-old woman presenting with non-ST-elevation myocardial infarction. Coronary angiography, transthoracic echocardiography and cardiac magnetic resonance revealed the structural abnormalities of the left ventricle and the coronary tree.
Shim Chi Young - - 2013
A 68-year-old man presented with multiple embolic strokes and sepsis 50 days after catheter ablation of atrial fibrillation. Cardiac computed tomography scan demonstrated an atrioesophageal fistula at the left atrial posterior wall and hypermobile materials with hypoattenuating lesions in the left atrium. On the 12th hospital day, he presented with ...
Khoueiry Georges - - 2013
We report an extremely rare case of thebesian vein microfistulae to both ventricles. A 65-year-old woman, with no major cardiovascular risk factors, presented with multiple episodes of chest pain. The resting electrocardiogram showed T-wave inversion in leads V1 -V4 . A Dipyridamole myocardial perfusion imaging revealed large and severe inferior ...
Yılmaz Kerem Cem - - 2013
Coronary arteriography performed in a 42-year-old male patient showed communications from the left anterior descending artery to the right ventricle one month after a myocardial infarction. The area of communication did not correspond to the site of the infarction as established by electrocardiogram and previous angiography. Exactly how the fistula ...
Tiwari Kaushal K KK The Salam Center for Cardiac Surgery, A Project of Emergency, Khartoum, - - 2013
We describe a rare case of aorta-to-right ventricular fistula in a 20-year-old man who presented with signs and symptoms of congestive heart failure. He was successfully treated by closing the fistula with a Dacron patch from the aortic side. At follow-up, he was asymptomatic with no left-to-right shunt.
Yildiz Bekir Serhat - - 2013
A coronary artery fistula consists of a communication between a coronary artery and a cardiac chamber, a great artery or the vena cava. It is the most common congenital anomaly that can affect coronary perfusion. However, coronary fistulas to one of the cardiac chambers and coexisting apical myocardial hypertophy are ...
Narasimhan Seshasayee - - 2013
This is a case report of a 61-year-old female presenting with ongoing chest pain in the setting of an NSTEMI with lateral ST-T changes. On attempting to open the left circumflex (LCX), it resulted in a proximal LCX dissection. The patient remained stable with no further chest pain. She was ...
Garala Kanai - - 2013
A 56-year-old man underwent radiofrequency ablation for atrial fibrillation. Four weeks later he presented with sepsis and neurological symptoms. Urine analysis demonstrated the presence of blood and protein. A CT scan showed pockets of air in the left atrium. An MRI brain scan revealed multiple cerebral abscesses. The patient developed ...
Rymer Jennifer A JA Duke University Medical Center, Hospital North 7402, DUMC Box 3126, Durham, NC 27710, - - 2013
A 54-year-old African American male with no medical history presented to an urgent care clinic with signs and symptoms of new-onset congestive heart failure. There was an initial concern for congestive heart failure secondary to an ischemic etiology as an echocardiogram revealed a depressed ejection fraction. However, a left heart ...
Hartman Alan R - - 2012
Left atrial-esophageal fistula is a highly lethal complication of ablative therapy for atrial fibrillation. Because of its unusual rate of occurrence, there has not been a uniform approach to either the diagnosis or corrective therapy. We offer 1 such surgical option based on presumptive and early diagnosis-left atrial repair with ...
Jung Younghee - - 2012
Coronary artery fistula is a rare congenital anomaly. Most patients with this anomaly are asymptomatic, but some may develop heart failure, myocardial ischemia or arrhythmias. We report a case of a patient who presented with myocardial ischemia secondary to persistent Thebesian veins. Coronary angiography demonstrated a marked capillary blush draining ...
Kanjwal Khalil - - 2011
We discuss the diagnosis and the management of a 78 year old woman who devoloped acute ischemic mitral regurgitation as a result of ruptured anterior chordal structures of the mitral valve. The patient in addition had a patent formen ovale.
Chahla Elie J - - 2011
Hypogonadism in males is associated with increased atherosclerotic disease. Physiologically, testosterone appears to have both positive and negative effects on the cardiovascular system. Testosterone decreases angina and may improve the cardiac healing response after myocardial infarction. Testosterone enhances function in males with heart failure (HF). Testosterone causes water retention and ...
Möhlenkamp Stefan - - 2011
This study sought to determine whether the evaluation of the combined presence of coronary artery calcium (CAC) and high-sensitivity C-reactive protein (hsCRP) improves discrimination and stratification of hard coronary events and all-cause mortality in the general population. Coronary atherosclerosis is a chronic inflammatory disease. Both hsCRP as a measure of ...
Russo Cesare - - 2011
The purpose of this study was to assess the independent effect of increased body size on left ventricular (LV) diastolic function. Obese and overweight persons are at increased risk of heart failure. Left ventricular diastolic dysfunction is an asymptomatic condition associated with future heart failure. It is unclear whether obesity ...
von Klot Stephanie - - 2011
The current study investigates the association of estimated personal exposure to traffic-related air pollution and acute myocardial infarction (AMI). Cases of AMI were interviewed in the Augsburg KORA Myocardial Infarction Registry from February 1999 through December 2003, and 960 AMI survivors were included in the analyses. The time-varying component of ...
Uhm Jae-Sun - - 2011
Background:  The objective of this study was to determine the prevalence of electrocardiographic (ECG) findings suggestive of sudden cardiac death risk in apparently healthy young Korean men. Methods:  We administered questionnaires that elicited personal and family histories and performed ECGs on 10,867 male subjects (mean age, 20.9 years). The subjects ...
Prakken Niek H J - - 2011
Objective Echocardiographic cut-off values are often used for cardiac MRI in athletic persons. This study investigates the difference between echocardiographic and cardiac MRI measurements of ventricular and atrial dimensions and ventricular wall thickness, and its effect on volume and wall mass prediction in athletic subjects compared with non-athletic controls. Methods ...
Idikio Halliday A - - 2011
Myocardial infarction and adverse postinfarct remodeling in older persons lead to poor outcome and need greater understanding of the contributions of age-related factors on abnormal cardiac function and management. In this perspective, how normal aging processes could contribute to the events of post-myocardial infarction and remodeling is reviewed. Post-myocardial infarction ...
Twerenbold R - - 2011
Cardiac troponin I and T (cTn) are structural proteins unique to the heart. Detection of cTn in peripheral blood indicates cardiomyocyte necrosis. As acute myocardial infarction (AMI) is the most important cause of cardiomyocyte necrosis, cTns have become an integral part in the diagnosis of AMI. In this indication, cTns ...
Borjesson Mats - - 2011
The risk of sudden cardiac death may be increased up to 2.8 times in competitive athletes compared with nonathletes. The majority of sudden cardiac death cases are caused by an underlying abnormality that potentially may be identified on cardiovascular screening, depending on the specific abnormality and the content of the ...
Bolland Mark J - - 2011
To investigate the effects of personal calcium supplement use on cardiovascular risk in the Women's Health Initiative Calcium/Vitamin D Supplementation Study (WHI CaD Study), using the WHI dataset, and to update the recent meta-analysis of calcium supplements and cardiovascular risk. Reanalysis of WHI CaD Study limited access dataset and incorporation ...
ten Brinke Ellen A - - 2010
Restrictive mitral annuloplasty (RMA) is increasingly applied to treat functional mitral regurgitation in heart failure patients. Previous studies indicated beneficial clinical effects with low recurrence rates. However, the underlying pathophysiology is complex and outcome in terms of left ventricular function is not well known. We investigated chronic effects of RMA ...
Moe Min Min - - 2010
Acute heart failure in previously healthy young patients is a diagnostic challenge. We describe a case of severe acute heart failure in a 38 year-old patient complicated by acute renal failure and incidental abdominal mass. Kardiol Pol 2010; 68, 12: 1374-1375.
Jänisch S - - 2010
despite the improved quality of diagnostic technology, myocardial infarction still belongs to the diseases that are most frequently overlooked. Especially asymptomatic patients or patients with atypical symptoms are more common to be misdiagnosed. Failure to correctly diagnose is the leading cause of malpractice claims. It was the aim of this ...
Rosenhek Raphael - - 2010
The optimal timing of surgery is fundamental in the management of valvular mitral regurgitation. The main indications for surgery include symptom onset, impairment of left ventricular function, and left ventricular enlargement. Whether surgery should be performed in asymptomatic patients with preserved ventricular function is a subject of debate that highlights ...
Yadav Hemang H International Centre for Circulatory Health, Imperial College National Health Service Trust, St. Mary's Hospital and National Heart and Lung Institute, London, UK. - - 2010
Despite their potential as a sensitive measure of ventricular performance, tissue Doppler velocities vary with normal aging. This is inconvenient for nonspecialists to interpret and makes it difficult to use as an entry criterion for clinical studies. The age-adjusted tissue Doppler Z-scores might avoid these disadvantages and be more discriminant ...
Ajayi Olufemi E - - 2010
Blacks have both a higher hypertension prevalence and accelerated cardiac end organ damage. Because blacks also have a higher prevalence of valvular heart disease, which occurs at a younger age than for whites, we further examined the contribution of valvular regurgitation to the severity of hypertensive heart disease in Nigerians. ...
Fattouch Khalil - - 2010
BACKGROUND: The aim of the study was to evaluate the clinical and echocardiographic outcomes, at rest and under exercise testing, of patients with moderate ischemic mitral regurgitation (IMR) undergoing isolated coronary artery bypass graft surgery (CABG). METHODS: Between February 2003 and March 2008, 180 patients with moderate IMR who had ...
Song Bong Gun - - 2010
Chronic severe mitral regurgitation is associated with poor clinical outcome because chronic volume overload leads to hemodynamic changes and left ventricular and left atrial remodeling. Few data are available regarding left atrial volume index regression (LAVIR) and left ventricular mass index regression (LVMIR) after valve surgery for mitral regurgitation. We ...
Kilic Arman - - 2010
Functional mitral regurgitation or functional tricuspid regurgitation most commonly result from maladaptive remodeling due to ischemic heart disease or idiopathic dilatative cardiomyopathy. We report a case of significant functional mitral regurgitation and functional tricuspid regurgitation arising from isolated annular dilatation secondary to atrial fibrillation and associated atrial remodeling. The patient ...
Topilsky Yan - - 2010
BACKGROUND: Respiratory dependence of tricuspid regurgitation (TR), a long-held concept suggested by murmur variation, remains unproven and of unclear mechanisms. METHODS AND RESULTS: In 41 patients with mild or greater TR (median age, 67 years), we performed triple Doppler echocardiographic quantification (TR severity, right ventricular, and right atrial quantification) with ...
Ennis Daniel B - - 2010
remodeling of the mitral annulus contributes to progression of mitral regurgitation (MR). In patients with moderate-to-severe MR, short-term treatment with β-blockers has been shown to increase left ventricular (LV) end-diastolic and end-systolic volume, and this could deleteriously increase mitral valve annular dimensions. The objective of this study was to quantify ...
Messas Emmanuel - - 2010
one of the key targets in treating mitral regurgitation (MR) is reducing the otherwise progressive left ventricular (LV) remodeling that exacerbates MR and conveys adverse prognosis. We have previously demonstrated that severing 2 second-order chordae to the anterior mitral leaflet relieves tethering and ischemic MR acutely. The purpose of this ...
Shudo Yasuhiro - - 2010
The purpose of this study was to evaluate the direct effects of restrictive mitral annuloplasty on mitral valve geometry. We studied 23 patients (mean age: 63 ± 5 years) with functional mitral regurgitation (moderate to severe) and advanced cardiomyopathy (ejection fraction: 25 ± 8%) with ischemic (n = 15) or ...
Branzi Giovanna - - 2010
We analyzed the inodilator properties of levosimendan in patients with chronic heart failure and severe functional mitral regurgitation. We studied 20 patients under optimal treatment and in stable clinical condition (New York Heart Association 3.19 + or - 0.66; 70 + or - 7 years). Levosimendan was infused as a ...
Fumoto Hideyuki - - 2010
The aim of this study was to evaluate the feasibility and efficacy of the injection of a nonabsorbable substance into the base of the left ventricle (LV) to treat functional mitral regurgitation (MR). Tyramine-based hyaluronan hydrogel was injected into the base of the LV of the beating heart in a ...
Karaahmet Tansu - - 2010
Functional mitral regurgitation (FMR) is relatively common in heart failure and it is associated with adverse prognosis. The severity of FMR is usually assessed by echocardiography. Tissue Doppler echocardiography is used to acquire signals to determine the myocardial systolic functional parameters, including systolic ejection velocity and the systolic isovolumic acceleration ...
Gillinov A Marc - - 2010
BACKGROUND: The American College of Cardiology/American Heart Association practice guidelines recommending surgery for asymptomatic patients with severe mitral regurgitation caused by degenerative disease remain controversial. This study examined whether delaying surgery until symptoms occur causes adverse cardiac changes and jeopardizes outcome. METHODS: From January 1985 to January 2008, 4,586 patients ...
Myerson Saul G SG The University of Oxford Centre for Clinical Magnetic Resonance Research, Department of Cardiovascular Medicine, John Radcliffe Hospital, Headley Way, Oxford, UK. - - 2010
Quantifying mitral regurgitation with cardiovascular magnetic resonance (CMR) involves indirect calculation, which increases the potential for error. We examined a direct quantification method using velocity mapping across the mitral valve, which may be less susceptible to error, and also examined the effect of heart rate variability on both techniques. Fifty-five ...
Santana Orlando - - 2010
Mitral regurgitation after a myocardial infarction is common. It can occur acutely or chronically, and its presence portends a poor prognosis. The focus of this article will be on chronic ischemic mitral regurgitation. We will discuss the current concepts of its pathophysiology, the benefits of revascularization, along with the surgical, ...
Funk Michael - - 2010
Giant left atria (GLA) is a condition where the left atrial diameter exceeds 65 mm. It is closely related to rheumatic mitral valve regurgitation or mixed mitral disease with predominant regurgitation and tends not to occur in patients with mitral regurgitation due to other causes. The majority of patients are ...
Engström Annemarie E - - 2010
BACKGROUND: Cardiogenic shock (CS) remains the most serious complication of acute ST-elevation myocardial infarction (STEMI). Mitral regurgitation (MR) is a frequent complication of STEMI and a well-known predictor of mortality in STEMI without CS. The purpose of this study was to determine the prognostic significance of MR in STEMI patients ...
Okayama Satoshi - - 2011
Contrast-enhanced cardiac magnetic resonance imaging (MRI) can depict papillary muscle (PM) necrosis or fibrosis by late enhancement (LE) of PM, but its clinical significance in old myocardial infarction (OMI) has been little understood. Myocardial LE and PM-LE were detected with contrast imaging in 60 patients with OMI caused by a ...
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