Recurrent Prosthetic Thrombosis: About a Case
Blanca Alcon Duran
Article Type: Case Report | First Published: June 25, 2018
Bioprosthetic valve thrombosis (BPVT) is considered to be a rather unusual complication among this type of prosthesis. However, several recent data show the importance of a careful diagnosis and the adequate discrimination with respect to other possible complications, which may be the cause of an underestimation of its incidence. We present the case of a woman with biological prosthesis thrombosis after a mechanical prosthesis thrombosis....
Acute Mechanical Valve Thrombosis in the Setting of Unusual Aetiology
Zain Sharif, Cian O' Carroll-Lolait, David Moore and Bryan Loo
Article Type: Case Report | First Published: June 04, 2018
A 65-year-old caucasian man with a history of aortic valve replacement with a St. Jude bi-leaflet mechanical prosthesis in 1984, mitral valve replacement in 2004 with Edwards Starr Ball and Cage prosthesis, atrial fibrillation and ulcerative colitis presented to our emergency department with central chest pain radiating to his jaw with associated diaphoresis and nausea. Symptom onset was an hour pre-admission....
Medically Managed Iatrogenic Aortic Dissection: A Safer Option for a Dangerous Condition?
Evan D Levine, Arber Kodra, Rachel M Bond, Fadi Khoury, Dan Inder S Sraow and Georges Y Nseir
Article Type: Case Report | First Published: June 04, 2018
Iatrogenic aortic dissection is a rare complication of both diagnostic and interventional coronary angiography. In the few case studies that have been reported in current medical literature, surgical management was generally opted for; however, with poor overall outcomes. Given these unfavorable outcomes, a different treatment strategy should be considered. We report a case of iatrogenic aortic dissection successfully treated with intensive medical therapy and utilization of a multi-modality ser...
Diagnosis and Endovascular Management of Segmental Heel Ischemia
Miguel Montero-Baker, Bernadino Castelo Branco Rocha, David G Armstrong, Kay R Goshima, John Miller and Joseph L Mills Sr
Article Type: Original Article | First Published: June 04, 2018
Diabetic foot ulcers are common, costly, frequently recurrent and chronic. Once infected they all too often are the precursors of major limb amputation. Increased pressure decreased angiogenic response, neuropathy, trauma and deformity all contribute in varying degrees to the pathogenesis of these ulcers. Patients with limited mobility are at higher risk of developing an even more morbid subtype of diabetic foot complication: The heel ulcer....
What if the Ventricle was Innocent for Once? The Infrequent Case of a Guilty Atrium
Angelica Abbate, Giulia Teresi, Davide Piraino, Giuseppe Andolina and Pasquale Assennato
Article Type: Letter To Editor | First Published: June 04, 2018
An 82-year-old man with chronic atrial fibrillation was admitted to our department for progressive dyspnea, III NYHA class. Almost 10 years ago, he underwent replacing of mitral valve with a mechanical prosthesis CarboMedics size 31 (Sorin Group - Milan, Italy) due to severe mitral valve insufficiency and plastic of tricuspid valve due to moderate - severe insufficiency....
Cardiovascular Risk in Patients with Chronic Kidney Disease is Associated with Decrease of HDL Levels
Cicera Jacqueline da Conceicao Silva, Rafaely Pereira de Alencar, Leticia Miranda Tenorio, Nathanielly Lima da Silva, Amanda Feitosa de Barros, Chiara Rachel Maciel Marinho and Raphael de Souza Pinto
Article Type: Research Article | First Published: June 04, 2018
Cardiovascular diseases are the leading causes of death in patients undergoing hemodialysis. Despite new treatments and advances in dialysis processes, patients with chronic kidney disease (CKD) have 10 to 20 times higher mortality rate from cardiovascular disease compared to geral population....
Three-Year Follow-Up of a Single-Center Series of Patients with Device-Aided Left Atrial Appendage Closure and Strict Echocardiographic Control
Jose Ramon Lopez-Minguez, Juan Manuel Nogales-Asensio, Victoria Millan-Nunez, Patricia Marquez-Marquez, Bruno Blenga-Limpo, Carmen Garcia Corrales, Diego Felix Arroyo-Monino, Concepcion Lopez-Fernandez, Eugenia Fuentes-Canamero, Reyes Gonzalez-Fernandez and Antonio Merchan-Herrera
Article Type: Research Article | First Published: June 01, 2018
Non-valvular atrial fibrillation (NVAF) is a significant health problem, particularly in the older population. Since the introduction of novel oral anticoagulants (novel OAC), greater numbers of patients at risk of stroke who previously were not candidates for oral anticoagulation (OAC) with warfarin or acenocumarol due to the risk of bleeding are now being treated. Until then, up to 30%-40% of patients who needed OAC treatment were not treated due to fear of bleeding on the part of the patient ...
Cardiovascular Risk Assessment of Dyslipidemic Middle-Aged Adults without Overt Cardiovascular Disease over the Period of 2009-2016 in Lithuania
Sandra Kutkiene, Zaneta Petrulioniene, Aleksandras Laucevicius, Pranas Serpytis, Justina Staigyte, Akvile Saulyte, Emilija Petrulionyte, Urte Gargalskaite, Egle Skiauteryte, Gabija Matuzeviciene, Milda Kovaite, Egidija Rinkuniene and Vilma Dzenkeviciute
Article Type: Research Article | First Published: May 23, 2018
Cardiovascular mortality in Lithuania is extremely high and abnormal lipid levels are very common among Lithuanian adults. Dyslipidemia is one of the main independent risk factors for cardiovascular diseases (CVD) leading to high absolute CVD risk. The aim of this study was to assess CVD risk in dyslipidemic middle-aged subjects....
Less Phosphorus, More Problems: Hypophosphatemia Induced Polymorphic Ventricular Tachycardia in a Young Male
Robin Jacob, Ritesh S. Patel and Francisco Fuentes
Article Type: Case Report | First Published: May 12, 2018
It is well known that electrolyte derangements such as hypokalemia, hypomagnesaemia, and hypocalcaemia can potentially cause dangerous arrhythmias in hospitalized patients. This can be a common concern for acute care physicians, as the occurrence of arrhythmias predisposes patients to higher morbidity, mortality, and longer length of stay. Phosphorus, however, has been less studied....
Emergent Repair of Cardiac Rupture and Successful AF Ablation Procedure
Sahin Iscan, Bortecin Eygi and Koksal Donmez
Article Type: Case Report | First Published: May 10, 2018
Today, ablation techniques for atrial fibrillation (AF) are successfully increasing but catheter ablation may have important complication risks. We report the case of a 56-year-old woman with chronic AF who had left atrial rupture during catheter ablation. Echocardiography showed pericardial effusion during procedure and she was operated immediately. Left atrial rupture repaired with sternotomy. After stabilizing the hemodynamic and metabolic parameters, intraoperative bipolar ablation was perfo...