Cardiac re-synchronization therapy in a patient with isolated ventricular non-compaction: a case report.

Isolated ventricular non-compaction (IVNC) is a rare, congenital, unclassified cardiomyopathy characterized by prominent trabecular meshwork and deep recesses. Major clinical manifestations of IVNC are heart failure, atrial and ventricular arrhythmias, and thrombo-embolic events. We describe a case of a 69-year-old woman in whom the diagnosis of IVNC was discovered late, whereas former echocardiographic examinations were considered normal. She was known for systolic left ventricular dysfunction for 3 years and then became symptomatic (NYHA III). In the past, she suffered from multiple episodes of deep vein thrombosis and pulmonary embolism. Electrocardiogram revealed a wide QRS complex, and transthoracic echocardiography showed typical apical thickening of the left and right ventricular myocardial wall with two distinct layers. The ratio of non-compacted to compacted myocardium was >2:1. Cardiac MRI confirmed the echocardiographic images. Cerebral MRI revealed multiple ischaemic sequellae. In view of the persistent refractory, heart failure in medical treatment of patients with classical criteria for cardiac re-synchronization therapy, as well as the ventricular arrhythmias, a biventricular automatic intracardiac defibrillator (biventricular ICD) was implanted. The 2-year follow-up period was characterized by improvement of NYHA functional class from III to I and increasing in left ventricular function. We hereby present a case of IVNC with favourable outcome after biventricular ICD implantation. Cardiac re-synchronization therapy could be considered in the management of this pathology

The Neutron Halo in Heavy Nuclei Calculated with the Gogny Force

The proton and neutron density distributions, one- and two-neutron separation energies and radii of nuclei for which neutron halos are experimentally observed, are calculated using the self-consistent Hartree-Fock-Bogoliubov method with the effective interaction of Gogny. Halo factors are evaluated assuming hydrogen-like antiproton wave functions. The factors agree well with experimental data. They are close to those obtained with Skyrme forces and with the relativistic mean field approach.Comment: 13 pages in Latex and 17 figures in ep

Structure of even-even nuclei using a mapped collective Hamiltonian and the D1S Gogny interaction

A systematic study of low energy nuclear structure at normal deformation is carried out using the Hartree-Fock-Bogoliubov theory extended by the Generator Coordinate Method and mapped onto a 5-dimensional collective quadrupole Hamiltonian. Results obtained with the Gogny D1S interaction are presented from dripline to dripline for even-even nuclei with proton numbers Z=10 to Z=110 and neutron numbers N less than 200. The properties calculated for the ground states are their charge radii, 2-particle separation energies, correlation energies, and the intrinsic quadrupole shape parameters. For the excited spectroscopy, the observables calculated are the excitation energies and quadrupole as well as monopole transition matrix elements. We examine in this work the yrast levels up to J=6, the lowest excited 0^+ states, and the two next yrare 2^+ states. The theory is applicable to more than 90% of the nuclei which have tabulated measurements. The data set of the calculated properties of 1712 even-even nuclei, including spectroscopic properties for 1693 of them, are provided in CEA website and EPAPS repository with this article \cite{epaps}.Comment: 51 pages with 26 Figures and 4 internal tables; this version is accepted by Physical Review

Open Problems in α\alpha Particle Condensation

$\alpha$ particle condensation is a novel state in nuclear systems. We briefly review the present status on the study of $\alpha$ particle condensation and address the open problems in this research field: $\alpha$ particle condensation in heavier systems other than the Hoyle state, linear chain and $\alpha$ particle rings, Hoyle-analogue states with extra neutrons, $\alpha$ particle condensation related to astrophysics, etc.Comment: 12 pages. To be published in J. of Phys. G special issue on Open Problems in Nuclear Structure (OPeNST

Magnetic Moment of the Fragmentation Aligned 61Fe(9/2)+ Isomer

We report on the g factor measurement of the isomer in $^{61}Fe$ ($E^{*}=861 keV$). The isomer was produced and spin-aligned via a projectile-fragmentation reaction at intermediate energy, the Time Dependent Perturbed Angular Distribution (TDPAD) method being used for the measurement of the g factor. For the first time, due to significant improvements of the experimental technique, an appreciable residual alignment of the isomer has been observed, allowing a precise determination of its g factor: $g=-0.229(2)$. Comparison of the experimental g factor with shell-model and mean field calculations confirms the $9/2^+$ spin and parity assignments and suggests the onset of deformation due to the intrusion of Nilsson orbitals emerging from the $\nu g_{9/2}$.Comment: 4 figures. Submitted to Phys. Rev. Let

Case Report: Coronary-Pulmonary Fistula Closure by Percutaneous Approach: Learning From Mistakes.

Coronary-pulmonary artery fistulas (CPAF) are congenital vascular anomalies detected incidentally in most cases. When a significant left-right shunt exists, surgical, or percutaneous treatment is indicated. We describe a challenging case of CPAF closure, by percutaneous approach, in a patient symptomatic for dyspnea and evidence of a significant left-right shunt. A first attempt to close the fistula was performed implanting a vascular plug but it quickly embolized. The plug was successfully retrieved. In a second attempt, we deployed several coils before implanting the vascular plug with total closure of the fistula. The combination of plugs and coils is associated with a higher success rate of closure