[Diagnostic image (175). A man with fast and irregular palpitations. Atrial fibrillation and Wolff-Parkinson-White syndrome]

A 51-year-old man with palpitations had fast, broad and irregular QRS complexes on his ECG, due to atrial fibrillation and Wolff-Parkinson-White syndrome

Acute myocardial infarction due to an acute type A aortic dissection involving the left main coronary artery

We report a case of anterior myocardial infarction due to a Stanford type A aortic dissection involving the left main trunk of the coronary artery. Acute myocardial infarction due to extension of an acute Stanford type A aortic dissection is an infrequent but devastating situation. In our case a spontaneous aortocoronary dissection involving the Valsalva sinus and the ascending aorta with a history of hypertension is the most plausible cause. Emergent aortic replacement and revascularisation was performed. (Neth Heart J 2007;15:263-4.17923883

[Percutaneous closure of a perimembraneous ventricular septal defect: the first 4 patients in The Netherlands],[Percutaneous closure of a perimembraneous ventricular septal defect: the first 4 patients in The Netherlands]

Item does not contain fulltextIn four female patients, aged 30, 10, 8 and 2 years and 9 months (the latter with Down's syndrome), all with a perimembranous ventricular septal defect (VSD), percutaneous closure of the VSD was carried out using an Amplatzer endoprosthesis. These were the first 4 patients to undergo this procedure in The Netherlands. In 3 of the patients the procedure was without complications and complete occlusion of the defects was achieved. The last patient developed a left anterior hemiblock after implantation of the device and one week later an intermittent second degree atrioventricular block was detected, for which a pacemaker was implanted. A few days later the atrioventricular conduction time returned to normal. There was complete occlusion of the defect. Percutaneous closure of a perimembranous VSD using an Amplatzer prosthesis is a promising technique with good short-term results. In a selected group of patients this new technique can replace surgical treatment

Transesophageal echocardiography in the management of anaphylactic shock [letter]

Item does not contain fulltex

Complete remission of coronary vasculitis in Churg-Strauss Syndrome by prednisone and cyclophosphamide

Item does not contain fulltextThe heart is involved in up to 50% of all patients with Churg-Strauss syndrome, but vasculitis of the coronary arteries has only been rarely documented. We present a young patient with severe coronary aneurysms and stenotic lesions due to a Churg-Strauss vasculitis. Prompt therapy with prednisone and cyclophosphamide resulted in the complete resolution of all lesions

Cleavage of the Arcuate Ligament for Unstable Angina Pectoris Symptoms

: Introduction: One reason for recurrent angina after coronary artery bypass graft (CABG) surgery is failure of the bypass graft. Report: In this report a case of angina pectoris after CABG using the right gastroepiploic artery (GEA) as an inflow artery is described. The symptoms were due to compression of the celiac trunk by the median arcuate ligament. After division of the ligament, the patient was immediately relieved of his symptoms. Conclusion: For unexplained recurrent angina symptoms after CABG using the GEA, median arcuate ligament syndrome should be considered. Keywords: CABG, Celiac trunk, Median arcuate ligamen

Ascending aorta perforation with cardiac tamponade 19 days after transcatheter aortic valve implantation

Contains fulltext : 171682.pdf (publisher's version ) (Open Access

Novel X-ray image noise reduction technology reduces patient radiation dose while maintaining image quality in coronary angiography

Contains fulltext : 152546.pdf (publisher's version ) (Open Access)AIMS: The consequences of high radiation dose for patient and staff demand constant improvements in X-ray dose reduction technology. This study assessed non-inferiority of image quality and quantified patient dose reduction in interventional cardiology for an anatomy-specific optimised cine acquisition chain combined with advanced real-time image noise reduction algorithms referred to as 'study cine', compared with conventional angiography. METHODS: Fifty patients underwent two coronary angiographic acquisitions: one with advanced image processing and optimised exposure system settings to enable dose reduction (study cine) and one with standard image processing and exposure settings (reference cine). The image sets of 39 patients (18 females, 21 males) were rated by six experienced independent reviewers, blinded to the patient and image characteristics. The image pairs were randomly presented. Overall 85 % of the study cine images were rated as better or equal quality compared with the reference cine (95 % CI 0.81-0.90). The median dose area product per frame decreased from 55 to 26 mGy.cm(2)/frame (53 % reduction, p < 0.001). CONCLUSION: This study demonstrates that the novel X-ray imaging technology provides non-inferior image quality compared with conventional angiographic systems for interventional cardiology with a 53 % patient dose reduction

De aberrante linker coronaire arterie uit de a. pulmonalis

Item does not contain fulltex