Acute Urinary Retention Following Percutaneous Interventions in Individuals with Congenital Heart Disease
- Wed, 3/30/11 - 10:03pm
- 0 Comments
- 2485 reads
ABSTRACT: Though frequently reported following surgical procedures, urinary retention after cardiac catheterization is rare and has not previously been documented in the literature. We reported 4 cases of acute retention over a 1-year period encountered in patients with congenital heart disease undergoing interventional percutaneous procedures. We also review the literature.
Inverted Takotsubo Cardiomyopathy
- Wed, 3/30/11 - 9:48pm
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- 2844 reads
ABSTRACT: Takotsubo cardiomyopathy is a transient acute left ventricular dysfunction characterized by left ventricular apical akinesis and ballooning without obstructive coronary disease described predominantly in post-menopausal women in the setting of acute emotional or physical stress. Recent reports have described isolated transient basal akinesis (inverted takotsubo cardiomyopathy) in mostly female patients with acute neurologic disorders or pheochromocytoma. We describe a rare case of a 78-year-old male with inverted takotsubo cardiomyopathy in the setting of acute abdominal pain attributed to biliary colic.
Concurrent Transcatheter Therapy of Valvar Aortic Stenosis and Patent Ductus Arteriosus
- Wed, 3/30/11 - 9:08pm
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- 1822 reads
ABSTRACT: A 1.5-year-old child underwent transcatheter closure of patent ductus arteriosus (PDA) and balloon aortic valvuloplasty concurrently with excellent immediate and follow-up results. Technical details of concurrent treatment of both PDA and aortic stenosis by transcatheter methodology and a review of utility of transcatheter techniques in managing two or more cardiac defects simultaneously in the catheterization laboratory are presented.
Coronary Vasospasm in a Postpartum Woman
- Fri, 1/28/11 - 9:13pm
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- 2216 reads
ABSTRACT: Acute myocardial infarction during pregnancy or the postpartum period is rare. We report a case of a 40-year-old postpartum woman who developed ST-elevation myocardial infarction due to severe diffuse coronary vasospasm. To our knowledge, this is the first case of angiographically evidenced coronary vasospasm in a postpartum woman, in the absence of vasoconstrictive medications.
Intra-Aortic Balloon Pump Prior to Noncardiac Surgery: A Forgotten Remedy?
- Fri, 1/28/11 - 8:56pm
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- 3909 reads
ABSTRACT: High-risk cardiac patients, especially those with severe coronary artery disease, are prone to ischemic, arrhythmic and heart failure complications during urgent or emergent noncardiac surgery. The American and European guidelines endorse selective revascularization by either coronary artery bypass grafting or percutaneous coronary intervention in symptomatic ischemic patients prior to major elective surgery. However, conventional revascularization may not be suitable for certain patients requiring emergent or urgent surgery.
Sudden Cardiac Death Due to Large Coronary Aneurysm Successfully Treated with a Covered Stent and ChromaFlo Guidance
- Fri, 1/28/11 - 8:09pm
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- 2403 reads
ABSTRACT: We present the case of a gentleman who presented to our hospital with recurrent episodes of sudden cardiac death treated initially with cardioversion. Immediate coronary angiography revealed a 7 mm aneurysm in the proximal left coronary artery. Using intravascular ultrasound and ChromaFlo™ technology, the aneurysm was successfully treated with a polytetrafluoroethylene-covered stent and the patient had no further episodes of sudden cardiac death.
Acute Stent Thrombosis Associated with Heparin-Induced Thrombocytopenia and Abciximab-Induced Profound Thrombocytopenia
- Fri, 1/28/11 - 2:03pm
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- 4350 reads
ABSTRACT: Heparin-induced thrombocytopenia (HIT) is a well-known complication after exposure to heparin products. Profound thrombocytopenia has also been reported with the use of abciximab, a glycoprotein IIb/IIIa receptor antagonist, which is used during percutaneous coronary intervention. Acute stent thrombosis is a rare but serious complication of HIT. We report an unusual case of acute stent thrombosis with concomitant heparin- and abciximab-induced profound thrombocytopenia and discuss the subsequent treatment strategies. Prompt identification and management of this disorder is critically important to avoid devastating complications.
Association of Atretic Left Internal Mammary Graft with Internal Mammary to Pulmonary Vasculature Fistula: A Case Series
- Mon, 1/3/11 - 3:57pm
- 0 Comments
- 2607 reads
ABSTRACT: Left internal mammary artery (LIMA) graft to pulmonary vasculature (PV) fistula is a rare complication of coronary artery bypass surgery (CABG), with only a handful of cases being reported. The fistula in these cases connects to a distal branch of the pulmonary artery.
A Case of Left Main Systolic Compression Caused by a Dilated Pulmonary Artery in a Patient with Congenital Pulmonic Stenosis
- Mon, 1/3/11 - 1:53pm
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- 2292 reads
ABSTRACT: Dynamic compression of the left main coronary artery during systole is extremely rare. We report a case of a 29-year old female who presented with shortness of breath and chest pain with exertion. She had a history of congenital pulmonic stenosis and had a pulmonary valve resection at age 2. She subsequently developed chronic pulmonic insufficiency.
An Unusual Cause of Right Ventricular Myocardial Infarction
- Mon, 1/3/11 - 1:36pm
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- 3217 reads
ABSTRACT: A unique case of right ventricular myocardial infarction complicating an acute inferior-posterior myocardial infarction in a patient with a single left coronary artery is described. The clinical, electrocardiographic, and hemodynamic features of right ventricular myocardial infarction and the angiographic patterns of anomalous single coronary arteries are reviewed.
