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Abid Leila - - 2012
This case report represents the difficulties in diagnosing brucellosis, which is an enigma with unusual cardiovascular complications. A 32-year-old Caucasian man with acute chest pain was examined at Sfax Hedi Chaker's Hospital. He had a night fever, although his cardiac examination was normal. Further laboratory analyses showed an elevated C-reactive ...
Rokutanda Taku - - 2012
An 87-year-old man with heart failure was admitted to our hospital. A transthoracic echocardiography showed diffuse mild left ventricular (LV) hypokinesis and LV noncompaction at the apex. A three-dimensional transthoracic echocardiography confirmed a trabecular meshwork. After treatment for heart failure, LV end-systolic dimension decreased and trabeculae seemed to converge and ...
Mark Eckhard - - 2012
A 41-year-old man suffered hypothermic cardiac arrest after water immersion and was transported to our university hospital by ambulance helicopter for rewarming on cardiopulmonary bypass. He resumed spontaneous cardiac activity 6 h 52 min after cardiac arrest and recovered completely.
Kimura Yuichi - - 2012
A 54-year-old man was referred to a local hospital, located about 90 km from our hospital, with cardiogenic shock due to left main coronary artery infarction (LMCA-MI). Percutaneous coronary intervention (PCI) was performed under intra-aortic balloon pumping (IABP) support, but resulted in insufficient reperfusion and his condition worsened. The helicopter ...
Soma Katsura - - 2012
Mitral and aortic valve regurgitation is commonly found in osteogenesis imperfecta (OI) patients, however, little is known about the myocardial involvement in this disorder. An 82-year-old man with OI developed heart failure and was admitted to our hospital. Echocardiogram revealed severe mitral regurgitation without left ventricular (LV) dilatation, but with ...
Yodogawa Kenji - - 2012
A 56-year-old man was admitted because of palpitations and dyspnea. A 12-lead electrocardiogram showed irregular wide QRS complex tachycardia with a slur at the initial portion of the QRS complex. He had preexisting long-standing persistent atrial fibrillation, but early excitation syndrome had never been noted. Chest X-ray showed heart enlargement ...
Tsuda Hiromasa - - 2012
A 76-year-old man with essential hypertension abruptly presented with slight left-sided leg weakness, despite normal strength in the other extremities. Left-sided Babinski's reflex was detected. There were no other neurologic abnormalities. Cranial magnetic resonance imaging demonstrated a small infarction in the lower lateral medulla oblongata on the left side. Cranial ...
Kaimoto Satoshi - - 2012
Intramyocardial calcification is a very rare condition. We report a case of a 72-year-old man with apical hypertrophic cardiomyopathy, who was initially suspected of having a thrombus in the left ventricular apex on echocardiography, but was finally diagnosed as having apical intramyocardial calcification on multidetector computed tomography. The mechanism of ...
Kujime Shingo - - 2012
This report describes an obese 39-year-old man who experienced ST-segment elevation myocardial infarction with total thrombotic occlusion of the right coronary artery. Culprit vessel flow was improved by aspiration. Data suggested that myocardial infarction had resulted from paradoxical embolus via a patent foramen ovale triggered by the Mueller maneuver, which ...
Eapen Danny J - - 2012
Herein, we report a case of progressive coronary vasospasm in a 70-year-old man who had a long-standing history of metastatic gastrointestinal carcinoid tumor. Despite octreotide, nitrate, and calcium channel-blocker therapy, the patient's urinary 5-hydroxy-indole acetic acid level increased, coinciding with an increased frequency of flushing episodes with chest discomfort. In ...
Cetin Levent - - 2012
Arteriovenous fistulae have a substantial impact on systemic hemodynamics, but their effect on cardiopulmonary bypass is not well understood. The left-to-right shunting of blood through an arteriovenous fistula can create flow problems during cardiopulmonary bypass. We present the case of a 59-year-old man with end-stage renal disease who underwent coronary ...
Cevik Cihan - - 2012
Isolated ventricular myocardial noncompaction is a cardiomyopathy that is being diagnosed more frequently in patients of all ages because of increased awareness and improvements in imaging methods. It is an extremely rare cause of heart failure in nonagenarians. We describe the case of a man who presented with heart failure ...
Demirozu Zumrut T - - 2012
We describe the case of a 35-year-old man with severe, dilated idiopathic cardiomyopathy who was placed on the waiting list for cardiac transplantation. While awaiting transplantation, his heart failure decompensated to such a degree that left ventricular assist device support was necessary. He did well on device support until a ...
Bernelli Chiara - - 2012
Coronary ostial stenosis is a rare but potentially fatal sequela of aortic surgery. The clinical presentation can include acute coronary syndromes, ventricular arrhythmias, congestive heart failure, or sudden death. Herein, we present what we believe is the first reported case of asymptomatic iatrogenic left main coronary ostial stenosis. The patient ...
Langford Alex A Cardiology Department, Musgrove Park Hospital, Somerset, UK. - - 2012
A previously fit and well 40-year-old man presented to the emergency department with palpitations after suffering an 11 000 volt electrical shock from overhead power cables through a mobile crane which he was operating. His ECG demonstrated the presence of new atrial fibrillation at a rate of 80 beats per ...
Tamburino Corrado - - 2011
Aims: The pivotal ATLANTA first-in-man study showed the promising safety and efficacy profile of the novel Catania™ stent in a population with ~20% American College of Cardiology/American Heart Association (ACC/AHA) type C coronary lesions. The ATLANTA 2 registry was designed to evaluate the 12-month safety and efficacy of the Catania ...
Ku Bon D - - 2011
A 65-year old man developed sudden dysarthria, dysphagia, right-sided weakness, and sensory loss. The neurologic examination revealed left-sided tongue deviation caused by right glossoplegia. A magnetic resonance imaging scan revealed an elongated acute infarction from the left ventromedial portion of the lower pons extending to the dorsal pontine tegmentum area. ...
Takigawa Masateru - - 2011
A 56-year-old man with atrial fibrillation and complete left bundle branch block (CLBBB) developed heart failure refractory to the initial medical treatment. Both the CLBBB and cardiac dysfunction completely recovered only with an advanced medical regimen for rate control and heart failure. This report describes a case with reversible CLBBB ...
Lee Hyoun Soo - - 2011
Unroofed coronary sinus (CS) is a rare congenital cardiac anomaly described by a communication between the CS and the left atrium due to the partial or complete absence of the CS roof. Echocardiography is the most widely used imaging modality for suspected unroofed CS, but it is limited in its ...
Groarke John - - 2011
The case of a 49-year-old man who developed an ST segment elevation myocardial infarction because of very late stent thrombosis occurring in the immediate aftermath of a "storm" of recurrent inappropriate implantable cardioverter defibrillator (ICD) shocks caused by a fracture of a Medtronic Sprint Fidelis (Medtronic Inc., Minneapolis, MN) right ...
Deguchi Ichiro - - 2011
A 63-year-old man presented with aphasia. A computed tomographic scan of the head revealed hemorrhagic infarction in the left temporal lobe. Magnetic resonance venography (MRV) revealed no flow from the straight sinus and left transverse sinus to the sigmoid sinus, indicating cerebral venous sinus thrombosis (CVST). Because of rapidly deteriorating ...
Chen Stuart - - 2011
A 52-year-old man with asymptomatic pulmonary sarcoidosis was referred for fatigue and lightheadedness culminating in syncope. He underwent right heart catheterization with endomyocardial biopsy that did not show evidence of sarcoidosis or other infiltrative disease. Subsequent cardiac N-13 NH3 and F-18 FDG PET revealed perfusion-metabolism mismatched defects, defined as areas ...
Kim Jun - - 2011
Catheter ablation is performed in selected patients with a symptomatic premature ventricular complex (PVC) or PVC-induced cardiomyopathy. Ablation of PVC from the His region has a high risk of inducing a complete atrioventricular block. Here we report successful catheter ablation of a parahisian PVC in a 63-year-old man.
Zhang Xiao-Yong - - 2011
In this article, we describe a double-chambered left ventricle (LV) in a 37-year-old man. Its accessory chamber attached to the inferior and posterior wall of LV, and had normal systolic contraction without any regional wall motion abnormality. A double-chambered LV was suspected on echocardiography and confirmed by cardiac computed tomography ...
Lee James C - - 2012
We present a patient with an unusual combination of surgical findings, complicated by both a medical condition and the treatment there of. PRESENTATION OF CASE: A 52 year-old man with Wegener's granulomatosis presented with groin pain and sepsis while on immunosuppressive therapy. Large retroperitoneal abscesses were found on CT scanning, ...
Kilcullen Niamh M - - 2011
A 34 year old man underwent a transesophageal echocardiogram (TEE) prior to implantation of a biventricular ICD and DC cardioversion, to exclude left atrium and left atrial appendage thrombus. He had a history of repaired tetralogy of Fallot as a child, Stickler syndrome, atrial flutter and was status post recent ...
Leitgeb Norbert - - 2011
In view of reported fatalities there are still controversial discussions on whether electronic stun law enforcement weapons can cause cardiac fibrillation. Experimental data are contradictory. Simplified theoretical estimations led to a negligible low risk of 8.10(-7). With a detailed numerical-anatomical model of an adult man (NORMAN) cardiac exposure to Taser ...
Aykan Ahmet C - - 2011
BACKGROUND: Myocardial contusion is a rare complication of blunt chest trauma. Transient conduction and rhythm problems, right ventricular dysfunction, or pulmonary embolism may occur after chest trauma, but these complications almost always occur early in the post-operative period. OBJECTIVES: The objective is to describe a case illustrating that trauma may ...
Yoshida Toshihito - - 2011
A 57-year-old man who had been receiving chemotherapy for multiple myeloma complained of chest pain and was diagnosed with coronary artery disease. Coronary artery bypass grafting without cardiopulmonary bypass was performed smoothly, and extubation was done in the operating room. The next evening, cluster of ventricular tachycardia and fibrillation triggered ...
Koeckert Michael S - - 2011
Abstract  Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is commonly used as a means of support for acute cardiopulmonary failure. In the setting of severe left ventricular (LV) dysfunction, VA-ECMO may be complicated by LV distension, which can lead to pulmonary edema and compromise myocardial recovery. Traditional decompression methods carry significant risk. ...
Hachinohe Daisuke - - 2011
A 51-year-old man was admitted due to an acute anterior ST-segment elevation myocardial infarction. After thrombolytic therapy using recombinant tissue plasminogen activator, stent implantation was performed from the proximal left anterior descending artery (LAD) to the mid LAD using a bare-metal stent (BMS). Since then, the patient suffered five repeated ...
Walpot J J Department of Cardiology, Admiraal de Ruyter Ziekenhuis, Vlissingen, The Netherlands. - - 2011
Symptomatic left atrial compression is a rare clinical condition presenting with heart failure, syncope or shock. A Med-line search with the term "left atrial compression" showed only 271 hits. Only 17 cases, of which 11 with hiatus hernia, of left atrial compression due to structures of the gastrointestinal tract were ...
Lutwak Nancy - - 2011
BACKGROUND: Paroxysmal supraventricular tachycardia is a common dysrhythmia that occurs at all ages. Its management is determined by presenting symptoms and previous history of the patient. Patients present with a continuum of symptoms ranging from palpitations to syncope. The incidence of supraventricular tachycardia increases with age. OBJECTIVES: To discuss the ...
Ukena Christian - - 2011
Pacemakers devaluate the accuracy of the electrocardiogram (ECG) for the diagnosis of myocardial ischaemia. We present the case of a 53-year-old man with ischaemic cardiomyopathy and acute chest pain. Besides biventricular pacing, new ST-segment elevations were present leading to the diagnosis of myocardial infarction. However, no ECG criteria for the ...
Riccioni G - - 2011
Isolated left ventricular noncompaction (ILVNC) is a congenital abnormality in the structure of ventricular tissue due to amorphogenetic defect during embryogenesis. This rare entity can be easily diagnosed by the characteristic appearance of prominent trabeculations and deep inter-trabecular spaces. Clinical manifestations of this disease include benign and malignant ventricular arrhythmia, ...
Kim Na Young - - 2011
Cardiac injury is a common but occasionally serious complication of blunt chest trauma. A ventricular septal rupture (VSR) is a rare complication and is variable in its presentation, temporal course and severity. Here, we report a rare case of 75-year-old man who developed delayed VSR following blunt chest trauma.
Chinen Shino - - 2011
Atrial tachycardia (AT) is recognized as a risk factor of sudden death (SD) in patients with transposition of the great arteries (TGA) after atrial switch operation. A 20-year-old man with TGA who had undergone a Senning operation experienced a near-miss SD event 1 day after appearance of AT. He was ...
Sasaki Takeshi T Medicine/Cardiology Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA. - - 2012
A 56-year-old man with nonischemic cardiomyopathy underwent orthotopic cardiac transplantation after endocardial and epicardial radiofrequency catheter ablation for pleomorphic ventricular tachycardia. The myocardial substrate and epicardial fat were comprehensively analyzed with three-dimensional electroanatomic maps, late gadolinium enhanced ex-vivo cardiac magnetic resonance, and histological examination. The association of scar, viable myocardium, ...
Pizzi María Nazarena - - 2011
A low early (1.35) and delayed (1.22) I-123 metaiodobenzylguanidine heart/mediastinum ratio (normal reference value: 1.60) in planar anterior images as a result of right ventricular attenuation was observed in a 33-year-old man with corrected tetralogy of Fallot. At age 2, he had surgical enlargement of the pulmonary infundibulum and repair ...
Tamura Takahiro - - 2011
This case report concerns a 59-year-old man with acute myocardial infarction associated with a giant organized thrombus occupying the right sinus of Valsalva that developed into chest pain and bradycardia. Magnetic resonance imaging showed low intensity in both T1-weighted and T2-weighted images, indicating that the mass was a thrombus. A ...
Correale Michele - - 2011
We report a case of 46 year-old man, admitted to our Department for a possible massive pulmonary embolism. Instead, diagnosis of Tetralogy of Fallot was established by echocardiography and cardiac catetherization.
Hedström Erik - - 2011
Neutrophils and reactive oxygen species (ROS) are suggested to be involved in irreversible myocardial reperfusion injury and stunning. We investigated the relations between circulating biochemical markers and myocardium at risk (MaR), myocardial infarct (MI) size, salvage, and recovery of function in man. In patients undergoing PCI serial blood samples were ...
Kim Hee Jin - - 2011
Background: Thyrotoxicosis influences cardiovascular hemodynamics and can induce coronary vasospasm. Patients with thyrotoxicosis-induced acute myocardial infarction (AMI) are unusual and almost all reported cases have been associated with Graves' disease. Patients with painless thyroiditis show a thyrotoxic phase during the early stages. Here we describe a very rare case of ...
Ricci Fabrizio - - 2011
A 37-year-old man is admitted to the hospital for retrosternal chest pain lasting more than 30 min and nonspecific ECG findings. Serial assays of cardiac biomarkers reveal an isolated elevation of creatine kinase-MB and negative troponin levels. A coronary angiography shows normal vessels in the presence of a Thrombolysis in Myocardial ...
Liang Michael - - 2011
A 52-year-old man was referred to the cardiology outpatient service with exertional angina and shortness of breath due to hypertrophic obstructive cardiomyopathy. He underwent transcoronary ethanol septal ablation (TESA) with successful procedural outcome. The patient returned to hospital with a 3-week history of intermittent fever and a positive blood culture ...
Lee Yi-Tzu - - 2011
We report a case of nasal myiasis caused by Sarcophaga spp., noted during hospitalization. A 74-year-old man was admitted with non-ST-elevation myocardial infarction. The patient underwent coronary arterial bypass surgery and was then mechanically ventilated by means of a nasotracheal tube for the next 8 days. After extubation, a total ...
Sunagawa Gengo - - 2011
Emergent left ventricular assist system (LVAS) removal due to device complication is associated with high morbidity and mortality. This report describes a case of a 51-year-old man with dilated cardiomyopathy who successfully underwent emergent LVAS removal after a device-related complication. Although the patient's left ventricular function was still compromised, LVAS ...
Mastroroberto Pasquale - - 2011
  Blunt chest trauma from rapid automobile airbag deployment causing coronary artery occlusion and myocardial infarction is a rare but potentially fatal condition. We present the case of a 37-year-old man who developed extensive anterior and inferior myocardial infarction because of occlusion of both left anterior and right coronary arteries ...
Vermeulen Tom - - 2011
We report the case of a 51-year-old man of central African origin. Medical evaluation revealed severe heart failure. Echocardiography disclosed poor left ventricular function. The apex of the left ventricle showed complete obliteration and retraction. Magnetic resonance imaging revealed subendocardial hyperenhancement of the apex of the left and right ventricle, ...
Ensor Christopher R - - 2011
Fulminant septic shock associated with Capnocytophagia canimorsus bacteremia developed in a 54-year-old asplenic man, a heart transplantation candidate who was supported with a HeartMate II left ventricular assist system, after he experienced a dog bite. He improved after administration of broad-spectrum antibiotics, which were narrowed to ampicillin/sulbactam for a prolonged ...
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