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Results 301 - 350 of 494
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Jobic Y - - 1997
Postinfarction communication between a left ventricular aneurysm and the right atrium is a rare acquired disease. We report a case of a 72-year-old man who recently had dyspnea on minimal exertion and was found to have left ventricle-to-right atrial shunt by two-dimensional transthoracic echocardiography. This diagnosis was confirmed with transesophageal ...
Bhagwat A R - - 1997
Dissimilar atrial rhythms are generally defined by the coexistence of atrial fibrillation in one atrium and a more regular rhythm in the other atrium, and are reported with left atrial enlargement and/or digitalis toxicity. We report a unique case of dissimilar atrial rhythms controlling two different parts of the same ...
Ball J B - - 1997
Cardiac tamponade is a cardiological emergency requiring prompt treatment in order to avoid a fatal outcome. It can complicate a number of medical conditions and it is important, therefore, that all practitioners are aware of its presentation, diagnosis and management. These are outlined. We suggest that, with certain specific and ...
Svedjeholm R - - 1997
Primary idiopathic chylopericardium is a rare entity with obscure etiology. In recent years, a few reports have been published where the lymphatic leak and fistula were identified by combined lymphangiography and computed tomography or intraoperative thoracic ductogram. Here we report a case occurring in a previously healthy 51 year old ...
Armoundas A A - - 1997
Electrical alternans represents a variation in the morphology of electrocardiographic complexes on an every-other-beat basis in an ABABAB... pattern. Apparent electrical alternans associated with pericardial effusion results from rotation of the heart in the pericardial sac, and not true alternation in electrical conduction patterns. In contrast, true electrical alternans results ...
Suri R K - - 1997
A case of parachute mitral valve (PMV) associated with multiple muscular ventricular septal defects (VSDs) is reported in a 16-year-old girl who presented with dyspnea and a cardiac murmur. In addition, there were deformities of the right ear lobe and kyphoscoliosis of the thoracolumbar spine since birth. A preoperative diagnosis ...
Bellanger D - - 1996
Delayed cardiac tamponade is a rare phenomenon with two primary causes: delayed hemorrhage after an acute injury or delayed pericarditis with effusion. We present a case of cardiac tamponade 4 weeks after injury, with findings compatible with delayed hemorrhage and pericarditis. Our case emphasizes the need for follow-up of patients ...
Van Praagh S - - 1996
Juxtaposition of the morphologically left atrial appendage (JLAA) was analyzed for the first time primarily morphologically, rather than primarily positionally. In a series of 18 postmortem cases, JLAA with solitus atria occurred in 16 (89%) cases, and JLAA with inversus atria was found in 2 (11%) cases. JLAA with solitus ...
Spencer H W - - 1996
Ectopia Cordis is a rare congenital abnormality affecting the heart which is present either totally or partially outside the thorax. Because of associated cardiac defects, survival beyond birth is uncommon. One such case in whom death occurred on the 23rd post-operative day from heart failure is described and the management ...
Vissers R J - - 1996
We report two cases of iatrogenic intravenous magnesium overdose. Both patients presented to the emergency department in alcohol withdrawal, and during the course of their therapy were ordered to receive 2 g of magnesium sulfate intravenously. The patients were erroneously given 20 g of magnesium sulfate, causing cardiac arrest in ...
Singh S D - - 1996
BACKGROUND: Cardiac myxoma with familial involvement is a rare manifestation of an uncommon tumor, which nevertheless has been reported with increasing frequency in the past two decades. As a feature of the hereditary Carney syndrome, cardiac myxoma occurs at a much younger age, often has multicentric origins, and tends to ...
Gold J P - - 1996
Giant congenital intrapericardial aneurysms of the left atrial appendage and body are unusual cardiac anomalies. Only 48 cases have been previously reported in the literature, with the vast majority presenting in otherwise healthy young patients. These can present clinically with persistent arrhythmias and progress to stroke if not diagnosed and ...
Maye J - - 1996
Cardiac tamponade is a life-threatening emergency. Immediate recognition and surgical intervention is essential to preserve myocardial function and maintain cardiac output. The following is a case report of a penetrating mine injury to the heart with a resulting pericardial tamponade. The positive outcome and the facilities in which the resuscitation ...
Oztürk O Y - - 1995
Cor triatriatum is a rare cardiac malformation presenting with symptoms and signs of pulmonary venous obstruction. Although diagnosis of this defect has been facilitated by diagnostic procedures such as echocardiography and angiocardiography, it could be missed preoperatively. The authors report a case of cor triatriatum that is unique in having ...
Oudiz R - - 1995
This case reports coccidiomycosis presenting as pericarditis with tamponade rapidly progressing to effusive-constrictive pericarditis and death over 72 hours. Coccidiomycosis pericarditis is a rapidly progressing disease requiring early and complete pericardiectomy to avoid the hemodynamics of constriction. We illustrate the use of echocardiography in this case and demonstrate the histopathology. ...
Cecil M P - - 1995
Although extensive information regarding right ventricular uptake of thallium and a variety of bullseye artifacts exist, previous reports have not recognized a bullseye artifact due to right ventricular uptake of thallium. This case report again emphasizes the need for careful inspection of tomographic images while interpreting the bullseye. It is ...
Misago N - - 1995
A 35-year-old woman was followed up by a physician for one and a half years as a case of transient ischemic attach (TIA) due to thrombosis. She had a few erythematous papules on the dorsal side of her right forearm and on the right side of her neck. From the ...
Sugiyama S - - 1995
We collected data from 30 autopsied cases, in which the heart weight were 800 g or more (maximum 1,300 g), at the Osaka Medical Examiner's office, for past 10 years. Among these cases, the cause of death was cardiac failure in 17 cases (56.7%), followed by pulmonary diseases (3 cases, ...
Villena V - - 1995
Chylous ascites and chylothorax have rarely been reported as a consequence of severe right heart failure. To our knowledge, this is the first case report of both disorders occurring as a result of ischaemic cardiomyopathy. The autopsy findings and possible mechanisms of production are discussed.
Birchard S J - - 1995
Chylothorax is a rare but complex disorder in domestic animals. Etiologies include neoplasia, fungal infections, heartworm infestation, cardiac disease, thrombosis of the cranial vena cava, and congenital anomaly of the thoracic duct. Most cases of chylothorax in dogs and cats are idiopathic. Positive contrast lymphangiography on dogs and cats with ...
Alvarez-Sala R - - 1995
Churg-Strauss syndrome is a systemic vasculitis. Its most frequent complications are heart diseases and asthma. Usually, cardiological manifestations are pericarditis, cardiac failure and myocardial infarction. Endobronchial granulomas identified by bronchoscopy are unusual. We present the case of a man with congestive cardiomyopathy and endobronchial granulomas macroscopically visible at bronchoscopy. After ...
Navarro P H - - 1995
We report the second case of atrial myxoma associated with livedoid macules representing an embolic phenomenon. This case of atrial myxoma was of the sporadic type with no associated syndrome (such as the LAMB or NAME syndrome or Carney complex). A skin biopsy specimen from fading livedoid macules on the ...
Teramoto N - - 1995
Right-sided cardiac malignant fibrous histiocytoma (MFH) is extremely rare, and to the authors' knowledge only three cases have been reported. In this study, a case of MFH in the right ventricle, the septum, and the pulmonary valves and artery in a 47 year old male is described. The tumor showed ...
Cohle S D - - 1995
We report six cases of intentionally inflicted cardiac laceration. The victims ranged in age from 9 weeks to 2 1/2 years. Five victims were girls and in five cases the right atrium was lacerated. The left ventricle was lacerated in the other case. In the three cases with a confession, ...
Kaplan L M - - 1995
Large pleural effusions are typically associated with dyspnea and potential respiratory compromise. Experimental evidence suggests that with large effusions, increased intrapleural pressure may be transmitted to the pericardial space, resulting in impaired cardiac filling and reduced stroke volume. We report two cases in which large pleural collections were complicated by ...
Chopra A - - 1995
A case report of a 38-year-old male who ingested 20 gm of caffeine is presented. The patient exhibited clinical and laboratory evidence of caffeine toxicity. Cardiac monitoring revealed a chaotic rhythm with variable supraventricular and ventricular dysrhythmias without hemodynamic compromise. Procainamide was used effectively to convert this complex dysrhythmia. The ...
Hornick P - - 1995
A case is reported of a 71-year-old woman who developed cardiac tamponade as a result of a pyopericardium. The causative organism was Nocardia asteroides. This is the first reported case in the United Kingdom and only the 9th to be reported in the world. Despite prior radiological and echocardiographic investigations, ...
Delmas-Marsalet B - - 1995
Secondary non-Hodgkin's lymphoma of the heart (SNHLH) are more frequent than primitive non-Hodgkin's lymphoma and represent the third most common malignant tumour of the heart in autopsy studies. Cardiac involvement usually occurs as a late manifestation in patients with disseminated disease. Initial cardiac lymphoma, defined as cardiac involvement at initial ...
Kosinski D J - - 1994
A high cardiac output state, with or without congestive heart failure, has recently been recognized in patients with multiple myeloma. This case report deals with a 62-year-old man with multiple myeloma refractory to treatment, a high cardiac output state, and life-threatening pulmonary edema. In addition, a brief review of the ...
Mann G B - - 1994
Malignant pericardial effusions are frequently symptomatic and usually recur after aspiration. Surgical options include pericardiectomy and transthoracic or subxiphoid pericardial window formation and, more recently, thoracoscopic pericardial window formation. The authors report their first four cases of laparoscopic creation of pericardial windows. The treatment has been effective and minimally traumatic.
Chiu T F - - 1994
Adult respiratory distress syndrome (ARDS) after tricyclic antidepressant (TCA) overdose has been reported, but has not received as much attention in the literature as hemodynamic instability, cardiac arrhythmias or seizures. This report concerns a 33-year-old female who ingested a large amount of imipramine in an attempted suicide. She developed deep ...
Reddy V - - 1994
Case histories of 65 patients with cardiac malposition were reviewed to assess abdominal taxis and hemidiaphragm posture. We present their roentgenographic findings to support the hypothesis that the cardiac mass determines the caudad displacement and lower position of the related hemidiaphragm. The popular hypothesis that the liver lifts the corresponding ...
Orchard C H - - 1994
Acidosis is a well recognised consequence of myocardial ischaemia. In this brief article we have reviewed the consequences of acidosis that might be arrhythmogenic. These include early afterdepolarisations and triggered activity, delayed afterdepolarisations, pulsus alternans, and reentry. In each case we have described the evidence that acidosis can provoke such ...
Seghizzi P - - 1994
Cobalt is regarded as being responsible for a form of myocardiopathy whose pathogenesis and clinical description must still find a specific place in the range of congestive myocardiopathies. In spite of this, epidemiological studies are not sufficient to prove the role of cobalt in inducing myocardiopathy in hard metal workers. ...
Aphinives P - - 1994
A case of successfully prolonged ECMO for post-operative cardiac support was reported on and a review of literatures with regard to the various aspects of this condition was presented. We hope that prolonged ECMO will become a valuable tool in the armamentarium of the surgeon treating postcardiotomy circulatory failure.
Pessotto R - - 1994
Although myxomas are the most common cardiac neoplasms in the adult population, they are very rare in pediatric patients. Tricuspid valve myxomas are even more exceptional at all ages, with only 16 cases being reported in the literature. We describe the case of a 10-year-old boy with a myxoma of ...
Obasohan A O - - 1994
The possible legal implications of the failure of a mechanical prosthetic cardiac valve have been reviewed within the framework of the Nigerian legal system. This is the sequel to a clinical case we had recently, of primary mechanical failure of a cardiac prosthesis which led to the death of a ...
Price D M - - 1994
This article reports in detail an ethics case consultation involving a decision to forgo life-sustaining treatment for a middle-aged man following a "massive" cerebral bleed resulting in profound brain damage, but not unconsciousness. An unusual feature of this case is that, despite normal intelligence, caring family relationships and a history ...
Spottswood S E - - 1994
A previously healthy young child presented with a large pericardial effusion and cardiac tamponade. The chest radiography was key to the recognition of the pericardial effusion. Cytologic examination of the pericardial fluid ultimately established the diagnosis of acute monoblastic leukemia in the absence of associated clinical or laboratory findings. The ...
Bradbury G - - 1994
The pathogenesis of both Legg-Calvé-Perthes disease (LCPD) and avascular necrosis (AVN) remains controversial. Evidence suggests, however, that both conditions are produced by vascular compromise in the femoral head. A patient with a previous history of LCPD at age eight subsequently developed AVN at age 46 after having a cardiac transplant ...
Guenthard J - - 1994
A case of balanced translocation t (10; 11) (q 24; q 23) is presented. This female newborn showed no other malformation than hypoplastic left heart syndrome. According to several cases of 11q- and hypoplastic left heart in the literature and to this observation the authors postulate genes for left heart ...
Straumanis J P - - 1993
Atrial standstill is a rare disorder usually seen in adults with extreme myocardial disease. Etiologies described in the literature have included muscular dystrophy, familial amyloidosis, and rarely myocarditis. These etiologies usually lead to permanent atrial standstill and require ventricular pacing. We present a case of an 11-year-old black female who ...
Moseley M J - - 1993
Here is a challenging ethical case study about a women who when faced with multiple complications wondered if she could go on. Without specific information on her wishes, an ethical situation ensued when she became unresponsive with combined cardiac, renal, respiratory, and infective complications from cardiac bypass surgery and chronic ...
Armstrong D S - - 1993
Respiratory syncitial virus (RSV) is a common cause of upper and lower respiratory tract infection in infants. An association between RSV bronchiolitis and cardiac arrhythmias has been described but is rare. A further case of an infant with supraventricular tachycardia in association with culture-positive respiratory syncitial virus bronchiolitis is reported. ...
Power R - - 1993
Two hundred and eleven Irish GP's responded to a questionnaire survey of their experiences of prehospital resuscitation. Seventy per cent had attempted CPR in a prehospital setting and a success rate of 21% was reported. A defibrillator had been used in the prehospital setting by 10% of the respondents with ...
Roper T A - - 1993
Four fatal cases of diltiazem overdose are described and compared with previously published cases. Clinical sequelae include all grades of heart block, hypotension and ultimately death. Management includes gastric lavage and oral administration of activated charcoal at presentation. Further symptomatic treatment with inotropic agents and temporary cardiac pacing may be ...
Moriuchi T - - 1993
Life span, causes of death, weight of heart, liver, brain, and main pathological changes of internal organs were analysed on 329 autopsy cases of muscular dystrophies. These included 249 cases of Duchenne muscular dystrophy (DMD), 3 Becker muscular dystrophies (BMD), 14 limb-girdle muscular dystrophies (LGMD), 3 fascioscapulohumeral muscular dystrophies (FSH), ...
Calès P - - 1993
The case is reported of a 70 year old man who presented with severe anaemia because of chronic gastrointestinal blood loss. This loss was ascribed to vascular ectasia resembling the gastric antral vascular ectasia syndrome but extended to include the antrum, the duodenum, the jejunum, and, possibly, the cardiac area. ...
Compton S J - - 1993
Life-threatening infections with Trichinella spiralis are rare in countries that have adopted laws requiring cooking of raw garbage fed to pigs. Thus such infections may pose a diagnostic dilemma for clinicians unfamiliar with their presentation. We report a case of imported trichinosis in a Mexican national who developed respiratory failure, ...
Ohri S K - - 1993
Cardiac rupture as a complication of primary cardiac tumors has rarely been reported in the literature. The diagnosis is difficult to establish preoperatively, but echocardiography may provide the best assessment of cardiac damage. We found a loculated pericardial effusion on two-dimensional echocardiography, a finding that has been documented in two ...
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