A failed case of percutaneous septal closure of fenestrated atrial septal defect

A patient presenting with a history of palpitation and exertional dyspnea was initially diagnosed with two separate secundum-type atrial septal defects by transesophageal echocardiography. Subsequent transesophageal echocardiography, after failure of closure with two separate closure devices, showed another defect and an ongoing left to right shunt. During surgery, more defects were observed. The defects were successfully repaired using pericardial patch without incident. (Cardiol J 2011; 18, 1: 92-93

Leczenie zatoru typu "jeździec" tętnicy płucnej za pomocą streptokinazy u 83-letniego chorego - opis przypadku

Saddle pulmonary embolism (PE) is an embolus at the level of the bifurcation of the pulmonary trunk that extends into both main pulmonary arteries. Because of the unstable, large clot burden in the pulmonary artery and the risk of sudden haemodynamic collapse and sudden death, identifying a saddle embolus is extremely important. In this report, we describe successful treatment with streptokinase of a saddle PE in an elderly patient. Kardiol Pol 2011; 69, 1: 56-5

Przerzut raka przełyku do mięśnia sercowego powikłany migotaniem komór: znaczenie echokardiografii

Myocardial metastasis from oesophageal cancer is very rare, and is usually detected as part of widespread metastases in the terminal stage. It is rare to detect a solitary metastasis. We present a case of solitary myocardial metastasis from distal oesophagus complicated by ventricular fibrillation.Myocardial metastasis from oesophageal cancer is very rare, and is usually detected as part of widespread metastases in the terminal stage. It is rare to detect a solitary metastasis. We present a case of solitary myocardial metastasis from distal oesophagus complicated by ventricular fibrillation

Complete aortic prosthetic valve dehiscence after modified Bentall-De Bono procedure

A 56-year-old male patient was admitted to our clinic due to persistent fever despite the use of antibiotics for 2 weeks, chest pain, and presyncope. His medical history revealed that the patient underwent modified Bentall-De Bono procedure 2 months ago due to ascending aortic aneurysm and severe aortic insufficiency. Transthoracic apical 5 chamber view showed that mobile vegetation prolapsed into the left ventricular outflow tract during ventricular diastole and that mechanical prosthetic valve was superior to the aortic annulus. Transesophageal echocardiography revealed normal aortic mechanical prosthetic valve function; however, the valve was positioned more superior to the annular plane and a dense vegetation was observed. Moreover, a complete dehiscence of the prosthetic valve was attached to aortic annulus with a single stitch in an area between noncoronary sinus and left coronary sinus. Dense thrombus formation was observed in the perivalvular region. Many cases with prosthetic valve endocarditis and partial dehiscence as its complication have been reported in the literature. However, to the best of our knowledge, there is no reported case of complete dehiscence secondary to infective endocarditis following complete ascending aortic graft and prosthetic aortic valve replacement (modified Bentall-De Bono procedure)

Contrast−induced monoplegia following coronary angioplasty with iopromide

Seizures, alterations in mental and cerebral functions, and ophthalmoplegia are known side effects of contrast agents. Here we report a case of self-limiting monoplegia in a patient after the administration of intracoronary iopromide after coronary angiography which emphasises that, although benign, contrast-induced monoplegia is a neurological disease which requires careful evaluation and accurate management.Seizures, alterations in mental and cerebral functions, and ophthalmoplegia are known side effects of contrast agents. Here we report a case of self-limiting monoplegia in a patient after the administration of intracoronary iopromide after coronary angiography which emphasises that, although benign, contrast-induced monoplegia is a neurological disease which requires careful evaluation and accurate management

Cardiac autonomic dysfunctions are recovered with vitamin D replacement in apparently healthy individuals with vitamin D deficiency

WOS: 000477293600001PubMed ID: 31339201Background Vitamin D (VitD) has important prohormone functions in a wide range of clinical processes. Although it is known that individuals with VitD deficiency have cardiac autonomic dysfunction, there are no convincing data regarding the effect of VitD replacement. We aimed to evaluate the impact of VitD replacement on cardiac autonomic dysfunction. Methods Fifty-two apparently healthy subjects with VitD deficiency and 50 healthy control subjects were enrolled. Prior to VitD replacement, 24-hr Holter recordings were obtained, and HRV parameters were recorded. VitD levels were measured 2 months later after replacement, and control 24-hr Holter recordings were analyzed. Results The mean age of the patients was 36.04 +/- 7.6 years, and 53.9% were female. SDNN (68.58 +/- 13.53 vs. 121.02 +/- 27.45 ms, p = .001), SDANN (95.96 +/- 22.26 vs. 166.48 +/- 32.97 ms, p = .001), RMSSD (23 vs. 59 ms, p < .001), and PNN50 (6.5% vs. 36%, p < .001) were significantly lower in patients with VitD deficiency compared with the control group. HRV parameters were improved after VitD replacement [SDNN (68.58 +/- 13.53 to 119.87 +/- 28.28 ms, p < .001), SDANN (95.96 +/- 22.26 to 164.44 +/- 33.90 ms, p < .001), RMSSD (23 to 58 ms, p < .001), and PNN50 (6.5 to 33%, p < .001)]. Conclusion The present study suggested that VitD deficiency was significantly correlated with impaired cardiac autonomic functions assessed by parameters of HRV, and cardiac autonomic dysfunction improved after VitD replacement in otherwise apparently healthy individuals