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Joukhadar Rene - - 2009
A 52-year-old woman presented with recurrent episodes of chest pain, shortness of breath, palpitations, and fatigue for three months. Her past medical history was significant for chronic anemia. Physical examination revealed a pansystolic murmur radiating to the left axilla. Her admission workup showed microcytic anemia. Her serum creatinine and iron ...
Pu Zhao-Xia - - 2009
We report a very rare case of giant left atrial thrombus (size: 7.2 x 4.5 mm(2)) associated with radiofrequency catheter ablation for atrial tachycardia in a 72-year-old man. After 4 weeks of anticoagulation with warfarin, a repeat echocardiogram demonstrated partial resolution of the thrombus (size: 4.5 x 2.6 mm(2)) without ...
Murthy Avinash - - 2009
A 58-year-old male presented with severe substernal chest pain along with bilateral lower extremity pain. He was tachycardic, tachypneic, and hypoxic with tender right calf. Electrocardiogram showed ST elevation in anterior-lateral leads. Emergency coronary angiography revealed widely patent proximal left anterior descending (LAD) artery and total distal occlusion with an ...
Stoel Martin G - - 2009
During percutaneous coronary intervention for acute myocardial infarction, distal embolization of thrombus and plaque material often occurs, despite the use of thrombectomy and aspiration catheters. Large embolized thrombi can cause occlusion of distal coronary vessels for which angioplasty most often leads to no more than poor results. We describe the ...
Chamsi-Pasha Mohammed A R - - 2009
Primary cardiac tumors are rare at all ages, and especially so in childhood, where the most prevalent type of benign cardiac masses are rhabdomyomas followed by fibromas, both of which have a predilection for ventricular septum. We report an unusual case of a tumor involving the ventricular septum in an ...
Pan Dipanjan - - 2009
In this work, we report novel fibrin targeted "soft-type" manganese-based contrast agents for MRI with the potential to noninvasively image intravascular thrombus which could warrant aggressive medical intervention to preclude subsequent myocardial infarction or stroke.
Acikel Sadik - - 2011
Coronary embolism is an uncommon cause of acute coronary syndromes and there is no standard recommended therapeutic algorithm for this rare entity. Herein, we present a 69-years old female patient diagnosed with non-ST elevation myocardial infarction due to coronary embolism secondary to paroxysmal atrial fibrillation. Considering the clinical characteristics of ...
Adams J C - - 2009
Hypereosinophilic syndrome (HES) is a rare condition characterised by idiopathic eosinophilia with organ system involvement. The condition is far more common in males, with a typical onset in the third to sixth decade. Cardiac damage may result in the formation of a characteristic apical thrombus readily visualised on two-dimensional echocardiography. ...
Robert Jens - - 2009
Cardiac myxomas originating from the left ventricular free wall are extremely rare. A 32-year-old Swiss male was found to have a 5 x 3 x 3 cm myxoma originating from the left ventricular free wall using transthoracic echocardiography. The tumour was successfully treated by surgical excision but the mitral valve ...
Ikonomidis Ignatios - - 2009
We report the case of a patient with ischaemic cardiomyopathy who was admitted to our hospital for an echocardiographic follow-up a few days after the implantation of a biventricular pacemaker/defibrillator. Transthoracic echocardiographic examination revealed an immobile echogenic mass attached to the left atrial side of the fossa ovalis which was ...
Zhao Han-Jun - - 2009
BACKGROUND: A growing volume of data suggests that simple manual thrombus aspiration followed by direct stenting improves myocardial reperfusion and clinical outcome compared with conventional primary PCI, but there is still limited data comparing the in vivo performance among different devices. This study aimed to compare the efficacy and operability ...
Khoobiar Sargis - - 2010
Patent foramen ovale (PFO) is reported in up to 50% of patients with cryptogenic stroke. However, the role of PFO in acute myocardial infarction is less reported. In this case report, the relationship between PFO, myocardial infarction, and an interatrial paradoxical thromboembolism (aka thrombus-in-transit) was diagnosed with the use of ...
Nagashima Mitsugi - - 2009
A 1-year-old girl with severe left ventricular dysfunction presented with large floating thrombi in the left ventricle. Surgical thrombectomy was urgently required. During cannulation, transesophageal echocardiogram detected that the thrombus had vanished from the left ventricle. Whole body angiogram under very low-flow cardiopulmonary bypass successfully obtained the exact site of ...
Chen Michael A - - 2009
A 58-year-old man admitted to the hospital with an acute stroke was found to have a left atrial mass attached to the interatrial septum via a stalk. Although initially thought to be a myxoma, the mass was pathologically proved to be a thrombus. Clues pointing to thrombus as the etiology ...
Matsuyama Takashi - - 2009
The authors report a case of a migrating left atrial thrombus identified under direct visualization using transthoracic echocardiography in an elderly patient with atrial fibrillation. The left atrial-ventricular-aortic course of the thrombus was observed in real time, and prompt diagnosis and treatment of an acute cardioembolic cerebral infarction were performed. ...
Acikel Sadik - - 2009
Hemangiomas are rare benign tumors of the heart. Clinical presentation is highly variable according to the location, size, and extension of the tumor. Hemangiomas have been described in all cardiac chambers, but most occur on the right side of the heart and in the left atrium. Although diagnosis is typically ...
Kurisu Satoshi - - 2011
Among 95 patients with tako-tsubo cardiomyopathy, left ventricular (LV) apical thrombus was documented in 5 (5.3%) patients. The thrombus was mural in 2 (40%), and protruding in 3 (60%) patients. In 4 patients, LV apical thrombus disappeared after anticoagulant therapy. In one patient with protruding thrombus, brain infarction occurred. LV ...
Sonker Uday - - 2009
Left atrial myxomas are benign, slow-growing primary cardiac tumors. They present with gradual onset of one or more of a triad of obstructive, embolic, or constitutional symptoms. Transesophageal echocardiography aids in the detailed preoperative and intraoperative evaluation of the myxoma for surgical strategy planning. We describe a previously unreported case ...
Karamitsos Theodoros D - - 2011
Melanoma has a great propensity for cardiac involvement but most cases are diagnosed post-mortem. We present the case of a 67-year-old man with history of malignant melanoma who presented with increasing dyspnea, fatigue and peripheral edema. A large myocardial metastasis was identified on transthoracic echocardiography, and further characterized with cardiovascular ...
Abid L - - 2011
A 45 day old new-born with arrhythmia-induced cardiomyopathy complicated by thrombus formation is presented. Drug treatment produced immediate symptomatic relief and subsequent reversion to normal cardiac function. The thrombus disappeared a few days later.
Santangeli Pasquale - - 2010
A 51-year-old man was admitted for burning dysesthesias over the soles. Neurologic examination showed a pansensory loss over both feet associated with weakness of toes dorsiflexion. Motor conduction study of the sural nerve showed a significant reduction of nerve conduction velocity (21.4 m/s) suggesting a demyelinating neuropathy. In the following ...
Tanoue Kazuyuki - - 2009
Free-floating left atrial ball thrombus is rare. We describe a case of a 48-year-old man who had free-floating left atrial ball thrombus that was not accompanied by mitral stenosis and that was treated aggressively with anticoagulants. Echocardiography revealed dramatic disappearance of the thrombus.
Gabhane Sushma Kashinath - - 2009
Primary cardiac tumors are rare. Of these the majorities are benign and about 75% are atrial myxomas. One of the rarest tumors affecting the heart is a cardiac paraganglioma. We report an unusual case of a left ventricular paraganglioma discovered during autopsy in a 22-year female patient, a case of ...
Vicari Ralph M - - 2009
Left atrial myxomas remain the most common benign primary cardiac tumors, and these cardiac growths can masquerade as mitral stenosis, infective endocarditis and collagen vascular disease. Atrial myxomas are found in approximately 14-20% of the population and can lead to embolization, intercardiac obstructions, conduction disturbances and lethal valve obstructions. An ...
Jegier Bogdan - - 2009
In a 62-year old woman with arterial hypertension, a left atrial myxoma and a concomitant atrial septal defect, diagnosed intraoperatively, were recognized. The atrial septal defect was not observed pre-operatively by transthoracic and transoesophageal echocardiography with color Doppler. The myxoma was pedunculated and situated on the inferior part of the ...
Cianciulli Tomás F - - 2009
Primary antiphospholipid syndrome (APS) is a well-defined entity characterized by spontaneous and recurrent abortion, thrombocytopenia and recurrent vascular thromboses (arterial and venous). Left ventricular thrombus mimicking primary cardiac tumor with recurrent systemic embolism has not been previously reported. In this report we describe a 39 year-old man admitted to hospital ...
Alvarez Jose Rubio - - 2009
This report describes a 41-year-old man who had atypical angina resulting from coronary steal by left atrial myxoma. The tumor was completely excised and the patient was symptoms free after operation.
Dencker Magnus - - 2009
Metastatic presentation of leiomyosarcoma in the heart is very rare. We present transthoracic echocardiography and combined PET/CT images of a case with a large right ventricular metastasis of leiomyosarcoma. The patient was placed on cytostatic drugs for palliative purposes, but passed away one month later because of an untreatable ventricular ...
Yuan Shi-Min - - 2009
Tricuspid valve myxoma is extremely rare. An asymptomatic young patient discovered by chance an echogenic mass on the tricuspid valve by echocardiography, which was proved to be a myxoma. He underwent a successful myxoma resection via port-access approach. He had an uneventful postoperative course. Port-access approach is an alternative to ...
Thompson Jess L - - 2009
: Delivery of a collapsable aortic valve prosthesis via the left ventricular (LV) apex has proven problematic clinically. We describe our experience with a novel technique for a laparoscopic transdiaphragmatic approach to the LV outflow tract (LVOT). : Laparoscopic transabdominal access to the left ventricle was achieved in four live ...
Aggarwal Amitesh - - 2009
Endomyocardial fibrosis is a progressive disease of unknown origin affecting children and young adults. It involves inflow portion of right and/or left ventricle and apex. It may be associated with thrombus. Literature regarding right ventricular endomyocardial fibrosis with thrombus is scarce. Here we report a rare case of right ventricular ...
Leblond Anne-Laure AL Centre for Research in Vascular Biology (CRVB), Biosciences Institute, University College Cork, Cork, - - 2009
Despite advances in the management of myocardial infarction, congestive heart failure following myocardial infarction continues to be a major worldwide medical problem. Mononuclear cells from bone marrow are currently being studied as potential candidates for cell-based therapy to repair and regenerate damaged myocardium, with mixed results. The success of this ...
Vlaar Pieter J - - 2008
OBJECTIVES: To investigate the feasibility and safety of manual thrombus aspiration in patients undergoing percutaneous coronary intervention (PCI) for non-ST-elevation myocardial infarction (NSTEMI). BACKGROUND: Myocardial necrosis in patients with acute coronary syndromes may be a sign of microvascular obstruction, owing to spontaneous or PCI-induced embolization of atherothrombotic material. Manual thrombus ...
Ozdo─čru Ibrahim - - 2008
Myxoma is the most common primary tumor of the heart. Although cardiac myxomas are histologically benign, they may be a source of emboli and cause intracardiac obstruction resulting in acute myocardial infarction. A 38-year-old male patient was admitted with a clinical presentation of acute coronary syndrome and angina of six-month ...
Gegouskov Vassil - - 2008
BACKGROUND: Fibroelastoma is a rare cardiac tumor that was originally described typically from autopsy findings. Thanks to improved imaging modalities, such tumors are today relatively easy to detect and therefore are actively searched for in patients with unclear embolic events. We present the cases of 2 patients recently treated in ...
Tofigh Arash Mohammadi - - 2008
We reviewed the incidence and outcome of all cases of upper and lower limb embolism surgically treated in our vascular unit, from January 2001 to June 2006, to assess the role of transthoracic and transesophageal echocardiography in defining the source of the embolus. Transthoracic echocardiography was carried out postoperatively, and ...
Wake Ryotaro - - 2008
A 49-year-old Japanese man presented with orthopnea and edema in both legs. He was diagnosed with congestive heart failure with triple-vessel coronary artery disease. Low antithrombin and left ventricular systolic dysfunction were possible causes of his hypercoagulable state. Echocardiography revealed thrombi in the left ventricle and left trium, poor left ...
Fazio Giovanni - - 2008
BACKGROUND: Noncompaction of left ventricular myocardium is a rare congenital cardiomyopathy resulting from an incomplete myocardial morphogenesis that leads to the persistence of the embryonic myocardium. This condition is characterized by a thin compacted epicardial and an extremely thickened endocardial layer with prominent trabeculations and deep intertrabecular recesses. It is ...
Takaya Tomofumi - - 2009
A 53-year-old man, who had been treated for penile origin diffuse large B cell type non-Hodgkin lymphoma (NHL), suffered from right femoral pain and dyspnea. Positron emission tomography (PET) revealed abnormal accumulation in his right femur and cardiac segments. Transthoracic echocardiography revealed massive localized pericardial effusion with the collapse of ...
Kramer Miranda C A - - 2008
BACKGROUND: Routine thrombus aspiration is frequently used during primary percutaneous coronary intervention in patients with ST-elevation myocardial infarction to prevent distal embolization. Recently, evidence of clinical benefit was published. In 50% of the ST-elevation myocardial infarction patients with an onset of symptoms <12 hours before, thrombi were shown to be ...
Antoniades Loizos - - 2009
Primary cardiac lymphoma is defined as a non-Hodgkin's lymphoma mainly located in the heart and/or the pericardium. It is rare and affects elderly men. Common manifestations are pericardial effusion and heart failure. Diagnosis is usually late and prognosis is poor. We report a case of a patient with a large ...
Abdullah Harris Ngow - - 2008
Atrial myxoma is rarely seen in practice. We report a 67-year-old female who presented with acute cardiac insufficiency and pulmonary edema. Cardiac murmur was not detected on precordial examination. Urgent echocardiography, however, revealed atrial myxoma causing mitral valve obstruction. We point out that a normal cardiac examination does not exclude ...
Shaikh Ayaz Hussain - - 2008
A female, 32 years of age, presented with complaint of easy fatigability and exertional dyspnoea for the last one year. She had no previous history of cardiac disease. On clinical examination, there was a diastolic murmur at apex. Transthoracic echocardiography and subsequently a transesophageal echocardiogram was performed, which showed biatrial ...
Kurisu Kazuhiro - - 2008
Patients with a left atrial thrombus are considered at high risk of thromboembolism. Surgical treatment is generally recommended. We experienced a case of a patient with a history of cerebral embolism related to chronic atrial fibrillation in whom, unexpectedly, no thrombi were found at thrombectomy. Although echocardiography is a useful ...
Barbetakis Nikolaos - - 2008
The occurrence of synchronous but unrelated cardiac and soft tissue tumours is extremely rare. Here we describe the case of a 62-year-old man who had a left ventricular myxoma and an unrelated synchronous malignant fibrous histiocytoma. The patient first underwent successful resection of the soft tissue tumour and in the ...
de Gregorio Cesare - - 2008
BACKGROUND: Though a severe left ventricular systolic dysfunction has been described in most patients with Takotsubo-like (or Apical Ballooning) syndrome, the occurrence of intra-cavitary thrombus formation seems to be such an exceptional finding. However, no large studies but single case descriptions of this complication are available over the last decade ...
Silva-Orrego Pedro - - 2008
OBJECTIVES: To verify whether direct stenting (DS) after thrombus removal during primary angioplasty (PPCI) in patients with ST-elevation acute myocardial infarction (STEMI) can improve myocardial reperfusion and prevent distal embolization compared to conventional stent implantation. BACKGROUND: Both mechanical removal and DS reduce thrombus dislodgment and improve microcirculatory reperfusion during PPCI. ...
Okwuosa Tochi M - - 2008
Metastatic cancers to the heart are uncommon but occur up to 20 to 40 times more frequently than primary tumors of the heart. Cardiac metastases from lung cancer are rarely diagnosed ante mortem and usually cause no symptoms or signs. In this case report cardiac metastasis from a primary adenosquamous ...
Nasir Serdar - - 2008
The accidental placement of a back-wall stitch is a mistake easily made by microsurgeons during an end-to-side (ETS) anastomosis, which is technically more difficult compared with an end-to-end (ETE) anastomosis. The thrombogenic effects of a back-wall stitch may aggravate the already existing turbulence and therefore thrombus-prone ETS anastomosis. We investigated ...
Cincin A Altug - - 2008
Idiopathic hypereosinophilic syndrome is an uncommon leukoproliferative systemic disorder characterized by the overproduction of eosinophils and poor prognosis. A major source of morbidity and mortality of this syndrome is the associated cardiac involvement represented by endocardial thickening and mural thrombi. We report a 64-year-old woman with persistent symptoms of heart ...
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