Case reports issue - The year after

Michael Aschermann

Cor Vasa 2015, 57(5):e329 | DOI: 10.1016/j.crvasa.2015.09.004  

Summary of the ESC/EACTS 2014 Guidelines on myocardial revascularization. Prepared by the Czech Society of Cardiology

Petr Kala, Michael Želízko, Jan Pirk

Cor Vasa 2015, 57(5):e381-e402 | DOI: 10.1016/j.crvasa.2015.05.012  

Stent graft implantation in spontaneously recanalized LIMA graft after redo coronary bypass operation

Tamas Maros, Tamas Szerafin, Arpad Peterffy, Ildiko Racz, Zsolt Koszegi

Cor Vasa 2015, 57(5):e330-e333 | DOI: 10.1016/j.crvasa.2015.05.015  

The authors present the case of a male patient who sustained posterobasal myocardial infarction and one year later for three vessel disease a coronary bypass operation with three anastomoses (including LIMA-LAD and vein grafts) was performed. After 13 years repeat coronary angiography showed patent LIMA graft besides occluded vein grafts and native coronary vessels. Since attempt for recanalization of a venous graft was unsuccessful subsequent redo bypass surgery was performed substituting the occluded grafts with a sequential vein. On the fourth postoperative day chest pain and ST changes on the ECG developed and the acute re-catheterization showed...

Coronary artery perforation: How to treat it?

Davide Piraino, Gregory Dendramis, Dario Buccheri, Claudia Paleologo, Giulia Teresi, Antonino Rotolo, Giuseppe Andolina, Pasquale Assennato

Cor Vasa 2015, 57(5):e334-e340 | DOI: 10.1016/j.crvasa.2015.05.011  

Coronary artery perforation fortunately represents a rare complication of coronary catheterization but, if not properly and promptly treated, it is burdened by a high mortality rate. Rates of coronary perforation may be potentially higher when atherectomy devices are used or very complex calcified lesion are treated. Cardiac tamponade constitutes the most severe clinical consequence.We report a case of an intra-stent coronary perforation at the end of revascularization of a non ST elevation myocardial infarction (NSTEMI), followed by an immediate impairment of hemodynamic compensation due to significant pericardial effusion and subsequent cardiac...

Complex electrophysiology intervention in a patient with an inferior vena cava filter

Jiří Jež, Zdeněk Stárek, František Lehar, Jiří Wolf, Miroslav Novák

Cor Vasa 2015, 57(5):e341-e346 | DOI: 10.1016/j.crvasa.2015.05.005  

Catheter ablation is currently a routine clinical method for the treatment of heart rhythm disorders. The presence of a filter in the lumen of the inferior vena cava represents a mechanical obstruction that may complicate or contraindicate the procedure. Still, there is not enough information available on this topic and there is no research data on the catheter ablation of complex left atrial arrhythmias with a transseptal puncture in the presence of an inferior vena cava filter. Our case report represents a successful complex electrophysiology intervention in both the left and right atria with femoral venous access in a patient with an inferior vena...

Electrical storm due to myocarditis in post-infarct patient: When two diseases meet

Elena M. Gupalo, Marina V. Kostyukevich, Natalia A. Mironova, Nikolay B. Shlevkov, Vyacheslav G. Kiktev, Sergey A. Bakalov, Tatiana V. Sharf, Evgeniy E. Efremov, Petr V. Chumachenko, Elena D. Kotina, Evgeniy N. Ostroumov, Dmitriy V. Shumakov, Sergey P. Golitsyn

Cor Vasa 2015, 57(5):e347-e353 | DOI: 10.1016/j.crvasa.2015.05.006  

This case presents an episode of electrical storm (ES) in post-myocardial infarction patient results from myocarditis. ES was interrupted by aneurysmectomy and additional isolation of VT origins by radiofrequency catheter ablation. The histological evaluation of aneurysm material proved acute myocarditis. The key findings indicating acute inflammation in myocardium was an increased level of peripheral inflammatory biomarker IL6 and autoantibodies to beta1-adrenergic receptor (β1-AAbs). Gated SPECT with phase images analysis turned out to be appropriate imaging strategy in visualizing potentially reversible causes of ventricular arrhythmias such...

Persistence of left superior vena cava and focal right atrial tachycardia: Challenges and interventional treatment

Eraldo Occhetta, Gabriele Dell'Era, Anna Degiovanni, Chiara Sartori

Cor Vasa 2015, 57(5):e354-e358 | DOI: 10.1016/j.crvasa.2015.05.008  

We describe the case of a patient with persistence of left superior vena cava and right atrial tachycardia originating between right superior vena cava and crista terminalis. We present the initial suspect of anatomical anomaly, the diagnosis and the interventional treatment of the arrhythmia. Potential challenges and the role of anomalous thoracic veins in promoting rhythm disturbances are also discussed.

New modalities of surgical treatment for postinfarction left ventricular free wall rupture: A case report and literature review

Miroslav Koňařík, Martin Pokorný, Jan Pirk, Ivan Netuka, Ondrej Szárszoi, Jiří Malý

Cor Vasa 2015, 57(5):e359-e361 | DOI: 10.1016/j.crvasa.2015.02.004  

Left ventricular free wall rupture (LVFWR) is the third leading and most feared complication of myocardial infarction. The course of rupture varies from a catastrophic blow-out type to a subacute oozing type. The widespread availability and use of echocardiography have increased the number of cases diagnosed before death and the number of surgical cases attempted. Despite this, experience with this entity is still quite small and LVFWR remains the second most common cause of death after myocardial infarction with estimated mortality of about 20%. Survival of the critically ill patients depends on the early diagnosis, hemodynamic stabilization of the...

Calcified aortic homograft and sutureless valves

Júlia Čanádyová, Aleš Mokráček

Cor Vasa 2015, 57(5):e362-e365 | DOI: 10.1016/j.crvasa.2015.02.001  

The use of sutureless valves in the case of a heavily calcified aortic homograft allows for relatively quick and safe replacement. Due to the nitinol frame, which is selfanchored in the aortic valve annulus and in the sinotubular junction (STJ), no complete annular decalcification or fixation with stitches is required. In conditions of significant calcification this may represent a technical problem.

Treatment of symptomatic popliteal artery aneurysms with venous bypass by the AESA (asymmetric end-to-end spatulated anastomosis) technique

Georgios A. Pitoulias, Konstantinos P. Donas, Theodosios Bisdas, Konstantinos Stavroulakis, Dimitrios C. Christopoulos

Cor Vasa 2015, 57(5):e366-e370 | DOI: 10.1016/j.crvasa.2015.05.004  

We report 6 cases of critical limb ischemia in 4 patients due to symptomatic popliteal artery aneurysm and we present the AESA (asymmetric end-to-end spatulated anastomosis) technique for use in autologous vein bypasses in crural vessels. This is a modified technique of conventional end-to-end spatulated anastomosis, which results in an asymmetric configuration of the anastomotic lateral walls. Using this modified technique the anastomosis' area is greater and the opposite lateral anastomotic sites are always at different inclined levels. Therefore, in cases of intimal hyperplasia formation this asymmetric configuration may avoid the marked stenosis...

Primary pulmonary valve sarcoma involving pulmonary artery and right ventricular outflow tract

Tomáš Toporcer, Marián Martinček, Lucia Mistríková, František Sabol

Cor Vasa 2015, 57(5):e371-e376 | DOI: 10.1016/j.crvasa.2015.02.006  

The group of pulmonary valve and pulmonary artery primary tumors is the most frequently represented by schwannomas, myxomas, papillary fibroelastomas, primary choriocarcinomas and sarcomas. These tumors are very rare. The most common clinical manifestation of pulmonary artery tumor is dyspnea, followed by chest pain, cough, and haemoptysis. A case of 44-year-old male with history of progressive dyspnea, fever, cough, and weight loss is presented. Imaging methods showed large saddle embolus in the right ventricle outflow tract, pulmonary valve and pulmonary artery trunk. He was admitted to a hospital for anticoagulation therapy. Since there was no clinical...

Left main bronchus compression by massive thoracic aorta aneurysm as a cause of dyspnea

Milan Sova, Filip Čtvrtlík, Irena Kuca, Vítězslav Kolek

Cor Vasa 2015, 57(5):e377-e380 | DOI: 10.1016/j.crvasa.2014.12.001  

In the past, thoracic aorta aneurysms were common findings, especially in the older population. With the development of imaging methods and surgical treatment, the diagnosis can now be made earlier, revealing the condition at an earlier stage. However, even today we see patients, mainly the elderly, with huge thoracic aorta aneurysms. Because of ambiguous radiological findings, this condition can be initially misdiagnosed as mediastinal tumors. In this case report is presented a case of such thoracic aorta aneurysm which caused dyspnea by left main bronchus compression. The purpose of this report is to highlight thoracic aortic aneurysms as a potential...

Přínos trimetazidinu v léčbě muže středního věku bez možnosti další revaskularizace a starší ženy s anginózními potížemi při normálním koronarografickém nálezu

Doc. MUDr. Vilém Danzig, Ph.D., FESC

Cor Vasa 2015, 57(5):585-588  

Prof. MUDr. Petr Widimský, DrSc., FESC, FACC, patří mezi čtyři Čechy, kteří jsou nejcitovanějšími vědci světa

Prof. MUDr. Pavel Gregor, DrSc.

Cor Vasa 2015, 57(5):584  

Zápis ze schůze výboru ČKS konané 24. května 2015 v salonku hotelu Holiday Inn v Brně

M. Táborský, T. Bracková

Cor Vasa 2015, 57(5):591  

Erratum k: "Doporučené postupy Evropské kardiologické společnosti pro diagnostiku a léčbu akutní plicní embolie, verze 2014. Stručný přehled vypracovaný Českou kardiologickou společností" [Cor et Vasa 57 (2015) 434-454]

Richard Rokyta, Martin Hutyra, Pavel Jansa

Cor Vasa 2015, 57(5):579-580  

Karel Lukáš, Aleš Žák a kolektiv: Chorobné znaky a příznaky, diferenciální diagnostika

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2015, 57(5):589  

Miloš Táborský, et al.: Novinky v kardiologii 2015

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2015, 57(5):590  

Program Kardiovize 2030 - práce sestry v preventivním projektu

Alena Zajíčková, Hana Pernicová Krištofová, Hana Bauerová, Pavlína Prosecká, Nicola Kiácová, Jana Jarešová, Ondřej Sochor

Cor Vasa 2015, 57(5):592  

Jiří Endrys - devadesát let

Doc. MUDr. Josef Šťásek, Ph.D.

Cor Vasa 2015, 57(5):582-583  

Pan docent Jiří Endrys slaví významné výročí

Prof. MUDr. Michael Aschermann, DrSc., FESC, FACC

Cor Vasa 2015, 57(5):583  

Editorial Board

Editorial board

Cor Vasa 2015, 57(5):i | DOI: 10.1016/S0010-8650(15)00095-8