journal
https://read.qxmd.com/read/37231901/ruptured-sinus-of-valsalva-aneurysm-diagnosed-on-coronary-computed-tomography-angiography-in-a-patient-with-trisomy-13-syndrome
#1
JOURNAL ARTICLE
Shiva Barforoshi, Chandana Sheker, Ajayram V Ullal, Venkat Manubolu, Matthew J Budoff, Sion K Roy
Trisomy 13 is a rare chromosomal disorder in which all or a percentage (mosaicism) of cells contain an extra 13th chromosome. Sinus of Valsalva aneurysms are rare, with an incidence of 0.1% to 3.5% of all congenital heart defects. This article reports the case of a patient with trisomy 13 with a new systolic murmur found to have a ruptured sinus of Valsalva aneurysm diagnosed on coronary computed tomography angiography. This is the first case to report sinus of Valsalva aneurysm rupture secondary to Streptococcus viridans endocarditis in a patient with trisomy 13 syndrome and highlights the importance of coronary computed tomography angiography in noninvasive imaging and surgical planning...
May 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37209088/postpartum-detection-of-diastolic-dysfunction-and-nondipping-blood-pressure-profile-in-women-with-preeclampsia
#2
JOURNAL ARTICLE
Marwa Sayed, Mariam Rashed, Ahmed M Abbas, Amr Youssef, Mohamed Abdel Ghany
BACKGROUND: Left ventricular diastolic dysfunction and nocturnal "nondipping" of blood pressure detected via ambulatory blood pressure monitoring are predictors of increased cardiovascular morbidity. METHODS: A prospective cohort study including normotensive women with a history of preeclampsia in their current pregnancy was conducted. All cases were subjected to 24-hour ambulatory blood pressure monitoring and 2-dimensional transthoracic echocardiography 3 months after delivery...
May 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37209087/nonischemic-dilated-cardiomyopathy-with-quadricuspid-aortic-valve
#3
JOURNAL ARTICLE
Mariam Khabsa, Ahmad Harb, Farah Zahra
No abstract text is available yet for this article.
May 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37199028/meta-analysis-of-the-association-between-atrial-fibrillation-hypertension-sleep-disordered-breathing-and-wake-up-stroke
#4
JOURNAL ARTICLE
Jin Zhou, Jing Xu, Aijuan Cheng, Yimiti Kadier, Xiaoli Liang, Maimaitijiang Mutailipu, Shan Sun
BACKGROUND: The occurrence of atrial fibrillation, circadian fluctuation in blood pressure, and oxygen desaturation at night is likely associated with the pathophysiology of wake-up stroke. Whether patients who experience wake-up strokes are candidates for thrombolysis treatment is a serious dilemma. The aim is to investigate the association between risk factors and wake-up stroke and to determine variations that are associated with the pathophysiology of wake-up stroke. METHODS: Five major electronic databases were searched using a fitted search strategy to identify relevant studies...
May 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37196250/closed-mitral-valvotomy-celebrating-100-years-of-surgical-history
#5
JOURNAL ARTICLE
Uberto Bortolotti, Igor Vendramin, Aldo Domenico Milano, Ugolino Livi
The year 2023 marks the 100th anniversary of the first successful valvotomy for mitral valve stenosis by Elliott C. Cutler in 1923. Closed-chest mitral valve commissurotomy developed further before being replaced by an open procedure after the advent of the heart-lung machine. Currently, because of the almost complete disappearance of rheumatic disease in the Western World, mitral commissurotomies are infrequently performed in those countries, although the procedure-either closed or open-is still performed in developing countries and select patients...
May 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37170637/effects-of-pooled-platelet-concentrate-after-coronary-artery-bypass-graft-surgery-in-patients-with-dual-antiplatelet-therapy
#6
JOURNAL ARTICLE
Kaan Kaya, Ufuk Mungan
BACKGROUND: Dual antiplatelet therapy (DAPT) has become standard first-line treatment of acute coronary syndrome; however, it increases the risk of bleeding complications. The aim of this study was to investigate the benefits of pooled platelet concentrate (PPC) in reducing postoperative bleeding in patients undergoing off-pump coronary artery bypass graft (CABG) after a DAPT loading dose. METHODS: One hundred nine patients who underwent emergent CABG within the first 24 hours after receiving a DAPT loading dose were included in the study and divided into 2 groups: patients who were (group 1, n = 63) and were not (group 2, n = 46) given PPC during the surgery...
May 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37155947/successful-reuse-of-a-donor-heart
#7
JOURNAL ARTICLE
Gabriel Esmailian, Qiudong Chen, Danny Ramzy, Jon A Kobashigawa, Joanna Chikwe, Fardad Esmailian
At a time when transplantable organs are in a shortage, few cases have noted the reuse of donor hearts in a second recipient in an effort to expand the donor network. Here, we present a case in which an O Rh-positive donor heart was first transplanted into a B Rh-positive recipient and later successfully retransplanted into a second O Rh-positive recipient 10 days after the initial transplant at the same medical center. On postoperative day 1, the first recipient, a 21-year-old man with nonischemic cardiomyopathy, sustained a devastating cerebrovascular accident with progression to brain death...
May 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37130328/establishment-and-verification-of-a-nomogram-for-predicting-the-probability-of-new-onset-atrial-fibrillation-after-dual-chamber-pacemaker-implantation
#8
JOURNAL ARTICLE
Ying Yang, Jiangting Lu, Cui Xiong, Zhida Shen, Chao Shen, Jinshan Tong, Jiangfen Jiang, Guosheng Fu, Fen Xu
BACKGROUND: This study aims to establish and validate a nomogram as a predictive model in patients with new-onset atrial fibrillation (AF) after dual-chamber cardiac implantable electronic device (pacemaker) implantation. METHODS: A total of 1120 Chinese patients with new-onset AF after pacemaker implantation were included in this retrospective study. Patients had AF of at least 180/minute lasting 5 minutes or longer, detected by atrial lead and recorded at least 3 months after implantation...
March 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37060553/incidentally-discovered-right-atrial-mass-a-rare-and-unexpected-etiology
#9
JOURNAL ARTICLE
Daniel Sykora, Hari P Chaliki, Kristopher W Cummings, Kristen Sell-Dottin, Melissa L Stanton, Luis R Scott
Primary cardiac sarcoma is a rare type of intracardiac mass. This report describes a patient with atrial flutter who had a new right atrial mass incidentally discovered on transesophageal echocardiography. A thrombus was suspected based on radiographic appearance, but there was minimal change with anticoagulation. The mass was resected and found to be an undifferentiated pleomorphic cardiac sarcoma, an uncommon sub-type within the already rare category of primary cardiac neoplasms. This report highlights the importance of considering primary malignancy and thoroughly correlating radiographic and clinical evidence during the diagnostic workup of patients with intracardiac masses...
March 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37044058/fulminant-eosinophilic-myocarditis-without-peripheral-eosinophilia
#10
JOURNAL ARTICLE
Ja-Yeon Lee, Sun Hwa Lee, Won Ho Kim
Eosinophilic myocarditis is a rare form of myocarditis characterized by eosinophilic infiltration and usually associated with peripheral hypereosinophilia. The clinical spectrum of eosinophilic myocarditis ranges widely, from mildly symptomatic to fulminant disease. When patients have fulminant eosinophilic myocarditis, high-dose corticosteroids can lead to dramatic improvement and peripheral eosinophil counts are used as an indicator of response to treatment. However, in some patients, peripheral eosinophilia is absent at initial presentation; reaching a diagnosis and determining treatment response can be challenging in this situation...
March 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37043755/can-breaking-heroin-addiction-lead-to-a-broken-heart-a-case-of-reverse-takotsubo-cardiomyopathy-in-a-patient-with-heroin-withdrawal
#11
JOURNAL ARTICLE
Hunter Launer, Daniel Nelson, Alarica Dietzen, Atul Singla
Reverse takotsubo cardiomyopathy is triggered by emotional or physical stress and has a presentation similar to that of acute coronary syndrome. A 39-year-old woman with a history of heroin use disorder presented with intractable nausea, vomiting, and diarrhea. She was diagnosed with heroin withdrawal and started on buprenorphine-naloxone. On day 2 of her hospitalization, she developed chest heaviness and had an elevated troponin I level of 3.2 ng/mL (reference range, 0.015-0.045 ng/mL); electrocardiography showed new T-wave inversions in the anterior and inferior leads...
March 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37023794/coronary-stent-off-wire-dislodgement-case-report-of-a-rare-complication
#12
JOURNAL ARTICLE
Meng-Ying Lu, Kuang-Te Wang
Although several techniques have been reported for managing an on-wire dislodged stent in the coronary artery, very few reports have focused on the much rarer complication of an off-wire dislodged stent. In a 73-year-old man who experienced an off-wire dislodged coronary stent, the proximal elongated segment was lodged in the left main coronary artery, and the distal segment was floating in the aorta like a wind sock. After a failed attempt at retrieval using a gooseneck microsnare, the dislodged stent was successfully removed using a 3-loop vascular snare via the left radial artery...
March 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37011366/the-evolution-of-durable-implantable-axial-flow-rotary-blood-pumps
#13
REVIEW
P Alex Smith, Yaxin Wang, O H Frazier
Left ventricular assist devices (LVADs) are increasingly used to treat patients with end-stage heart failure. Implantable LVADs were initially developed in the 1960s and 1970s. Because of technological constraints, early LVADs had limited durability (eg, membrane or valve failure) and poor biocompatibility (eg, driveline infections and high rates of hemolysis caused by high shear rates). As the technology has improved over the past 50 years, contemporary rotary LVADs have become smaller, more durable, and less likely to result in infection...
March 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37011365/management-of-guidewire-entrapment-and-fracture-during-percutaneous-coronary-intervention-when-all-bailout-techniques-fail
#14
JOURNAL ARTICLE
Tushar Sharma, Brad Pfeffer, Christopher C Kwon, Abdulla A Damluji
A 55-year-old man presented with chest pain and was diagnosed with non-ST-segment elevation myocardial infarction. Coronary angiography revealed a 95% eccentric lesion in the mid-right coronary artery. After 3 intracoronary stents were placed, the guidewire became entrapped in 1 of the stents; multiple attempts at retrieval were unsuccessful. Ultimately, the guidewire fractured, and a coronary artery bypass graft surgery was performed to remove the guidewire fragments. This report reviews the procedural steps for wire retrieval that are critical for operators to avoid coronary artery bypass surgery...
March 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37011364/two-endovascular-stent-graft-repairs-needed-for-an-extrathoracic-aortic-graft-distant-complications-after-an-original-open-repair-for-a-gunshot-wound-to-the-chest
#15
JOURNAL ARTICLE
Kate Kiely, Frank Arko
Although the management of traumatic injuries to the thoracic aorta has shifted toward endovascular management, the historical standard of care is open reconstruction. Choosing to reoperate when faced with a complication from a prior open repair can be challenging; endovascular management can be a reasonable option in this situation. This report describes a 54-year-old man with a remote history of open surgery for a traumatic injury to the descending thoracic aorta who underwent endovascular aortic stent graft placement for coverage of extrathoracic graft extension with pseudoaneurysm formation and distal embolization...
March 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37011363/can-asthma-cause-pericardial-effusion-insights-into-an-intriguing-association
#16
JOURNAL ARTICLE
Betul Banu Karasu, Berna Akin
BACKGROUND: Pericardial effusion (PE) is a commonly encountered condition in clinical practice, but its etiology can be difficult to identify, with many cases remaining classified as idiopathic. This study aimed to investigate whether an association exists between asthma and idiopathic PE (IPE). METHODS: Patients who had been diagnosed with PE in the authors' outpatient cardiology clinics between March 2015 and November 2018 were retrospectively analyzed. The study population was divided into 2 groups-non-IPE (NIPE) and IPE-based on whether a cause had been identified...
March 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/37001142/pathogenic-bcs1l-mutation-resulting-in-hypertrophic-cardiomyopathy-a-unique-presentation-of-nuclear-mitochondrial-disease
#17
JOURNAL ARTICLE
Cameron Incognito, Jeffrey Hedley, Kristine T Posadas, Xiangling Wang, Milind Desai
A 21-year-old man with sensorineural hearing loss and glaucoma presented with severely limited exercise capacity since childhood. He was found to have biventricular concentric hypertrophy with greatest wall thickening at the posterior and lateral walls of the left ventricle apex (1.7 cm) and the free wall of the right ventricle (1.1 cm). There was no inducible left ventricular outflow tract obstruction. Metabolic testing revealed marked lactic aciduria (1,650.1 μmol/mmol creatinine) and plasma lactate (3...
March 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/36996382/can-significant-coronary-artery-disease-coexist-with-transient-takotsubo-cardiomyopathy-and-how-does-spasm-interrelate
#18
JOURNAL ARTICLE
Paolo Angelini, Carlo Uribe, Philip A Salem
An 86-year-old woman being treated for metastatic breast cancer developed severe chest pain at rest during a follow-up visit at a hospital's outpatient oncology clinic. An electrocardiogram showed severe ST-segment elevation. The patient was given sublingual nitroglycerin and was transferred to the emergency department. Diagnostic coronary angiography revealed moderate coronary artery disease with calcific stenoses and transient spastic occlusion of the left anterior descending coronary artery. For this patient, sublingual nitroglycerin aborted the spastic event and apparent transient takotsubo cardiomyopathy...
March 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/36996381/managing-false-lumen-patency-in-chronic-thoracic-aortic-dissecting-aneurysms-with-coil-embolization
#19
JOURNAL ARTICLE
Yash Pradeep Vaidya, Naveed Abdul Rahman, Manu Kannan Arul, Anthony Feghali, Palma M Shaw, Michael James Costanza
Thoracic endovascular aortic repair has become the preferred modality of treatment of complicated type B aortic dissections. However, persistent pressurization of the false lumen can lead to negative aortic remodeling with aneurysmal dilation. Described herein is the coil embolization technique that can be used to manage this complication and a review of the literature on the recent development of management options.
March 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/36988947/large-left-ventricular-pseudoaneurysm-presenting-as-an-embolic-stroke-after-a-silent-myocardial-infarction
#20
JOURNAL ARTICLE
Cameron Incognito, Joshua Parker, Michael Arustamyan, Milad Matta, Kristine Posadas, Ran Lee
A 72-year-old woman with no history of coronary artery disease presented with an acute left middle cerebral artery stroke and was found to have a large left ventricular pseudoaneurysm measuring 8.7 × 7.6 cm and 2 large left ventricular thrombi, the source of her systemic embolization. Despite initial medical management, she developed refractory New York Heart Association functional class III heart failure, uncontrolled atrial fibrillation, and further enlargement of her pseudoaneurysm to 5.5 × 10...
March 1, 2023: Texas Heart Institute Journal
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