Case reports in current medical literature

Michael Aschermann

Cor Vasa 2014, 56(5):e377-e378 | DOI: 10.1016/j.crvasa.2014.09.001  

Percutaneous coronary angioplasty of a bifurcation lesion in the Y saphenous vein graft

Leoš Pleva, Tomáš Jonszta, Pavel Kukla

Cor Vasa 2014, 56(5):e382-e387 | DOI: 10.1016/j.crvasa.2013.07.008  

Background: The use of Y-shaped aorto-coronary saphenous vein grafts is most commonly driven by efforts to replace the poor quality (length) of the vein grafts or to minimise manipulation of the atheromatous ascending aorta (Jarvis [1]). We found only a few case reports describing PCI of bifurcation lesions in vein grafts in the available scientific literature (Karalis [2], Prosser and Bailey [3], Chan et al. [4]).Method: We present two case reports of patients with bifurcation lesions in Y saphenous vein grafts. In case No. 1, implantation of a dedicated bifurcation stent Tryton (4.0/3.5 × 18 mm) and DES PromusElement(4.0 × 20 mm) was used to...

Iatrogenic coronary-right ventricular fistula complicated by coronary thrombosis

Benedetta Ruggieri, Marco Zimarino, Raffaele De Caterina

Cor Vasa 2014, 56(5):e379-e381 | DOI: 10.1016/j.crvasa.2014.03.005  

Coronary perforation is a rare but potentially lethal complication during percutaneous coronary intervention (PCI) and its treatment is challenging when occurring inside or beyond unexpanded stents, where covered stent delivery is difficult. The perforation is a communication that occurs between the coronary lumen and more frequently the pericardial space, much more rarely the right or left ventricle [1]. An immediate recognition of the exact location and of the course of the extravasation is of utmost relevance for a correct management [2]. We here describe a case where excessive maneuvering may have caused a further complication - coronary thrombosis...

Prasugrel loading dose in diabetic patients with acute STEMI - Always sufficiently effective? Observation in two cases and review of current knowledge

Matej Samoš, Marián Fedor, František Kovář, Lukáš Duraj, Jana Fedorová, Peter Galajda, Ján Staško, Tomáš Bolek, Peter Kubisz, Marián Mokáň

Cor Vasa 2014, 56(5):e388-e395 | DOI: 10.1016/j.crvasa.2013.12.003  

The activation and subsequent platelet aggregation plays a key role in the formation of arterial thrombosis and therefore is the key therapeutic target in the treatment of acute coronary syndromes. Dual antiplatelet therapy containing aspirin and P2Y12 ADP receptor antagonist forms currently the basis in acute ST-elevation myocardial infarction (STEMI) pharmacological treatment. Nevertheless, there is a wide variability in pharmacodynamic response to administration of clopidogrel, the most frequently used P2Y12 ADP receptor antagonist. High platelet reactivity after clopidogrel administration is associated with increased risk of stent thrombosis and...

Atypical form of arrhythmogenic cardiomyopathy

Petr Novotný, Roman Panovský, Věra Feitová, Pavla Balcárková, Ilga Grochová, Vladimír Kincl

Cor Vasa 2014, 56(5):e396-e402 | DOI: 10.1016/j.crvasa.2014.06.009  

A case of a family suffering from arrhythmogenic cardiomyopathy affecting dominantly the left ventricle of the heart was diagnosed in our hospital. A forty-six-year-old man was admitted to the emergency room because of a collapse with both respiratory and circulatory arrest during a sport activity. Fibrillation of the ventricles was initially registered upon electrocardiography, and there had been several sudden deaths at a young age in the patient's family. There was no significant stenosis of his coronary arteries and because of the electrocardiographic and echocardiographic findings, cardiac magnetic resonance was indicated. The cardiac magnetic...

Uncommon type of tako-tsubo cardiomyopathy - Case report and current view

A. Qadeer Negahban, Jan Máchal, Roman Panovský, Věra Feitová

Cor Vasa 2014, 56(5):e403-e410 | DOI: 10.1016/j.crvasa.2013.09.004  

Tako-tsubo cardiomyopathy is a heart disease that imitates acute myocardial infarction. Classical findings include apical and mid segment hypokinesia. However, it may have different appearance than was originally described.In our case report we describe a case of a woman with tako-tsubo cardiomyopathy (TTC), who was admitted to hospital after a stressful event because of chest pain, with normal coronary angiogram and mild elevation of Troponin-I level.Electrocardiogram corresponded with non-Q myocardial infarction of inferior wall.Following left ventriculography, echocardiography and magnetic resonance, impaired contractility of the basal...

Intracardiac echocardiography-guided alcohol septal ablation

Jakub Honěk, Josef Veselka

Cor Vasa 2014, 56(5):e411-e412 | DOI: 10.1016/j.crvasa.2013.08.003  

Native aortic valve thrombus as a source of embolisation into the coronary artery

Kamil Novobílský, Vladimír Kaučák, Jiří Bárta, Radim Kryza, Jana Dvořáčková

Cor Vasa 2014, 56(5):e413-e416 | DOI: 10.1016/j.crvasa.2013.09.005  

Authors present the case of 66-year-old patient after repeated systemic embolisations (lower extremity, axillary artery), admitted for inferior myocardial infarction. Coronary angiography demonstrated peripheral subtotal occlusion of posterior descending artery (PDA) of embolic origin. Transoesophageal echocardiography (TOE) revealed mobile mass on aortic valve, which was subsequently extirpated surgically. Histological examination described thrombus. Case report depicts the native aortic valve thrombus as a rare source of systemic or coronary embolisation. It simultaneously supports the indication of TOE at systemic embolisations of unknown source,...

Moderate rheumatic mitral stenosis complicated by massive thrombus formation

Jana Čepelová, Jan Škvařil, Josef Bešík, Tomáš Marek, Eva Krčová, Jan Pirk, Martin Malý

Cor Vasa 2014, 56(5):e417-e419 | DOI: 10.1016/j.crvasa.2013.10.006  

Advanced rheumatic mitral stenosis with enlarged left atrium and atrial fibrillation can predispose to the formation of thrombi over time, if anticoagulation treatment is ineffective. We present the case of a 66-year-old woman with atrial fibrillation and syncope. Moderate rheumatic mitral stenosis was diagnosed by echocardiography and two huge thrombi were incidentally revealed within the enlarged left atrium. CT scan of the brain did not demonstrate cerebral ischemia. The patient underwent early mitral valve replacement surgery and extirpation of the thrombotic masses. A pacemaker was implanted because of symptomatic bradyarrhythmia.

Acute mitral insufficiency as a consequence of long-distance run

Blanka Hauptmannová, Jiří Votruba, Petr Neužil, Štěpán Černý, Miroslava Benešová, František Kölbel

Cor Vasa 2014, 56(5):e420-e423 | DOI: 10.1016/j.crvasa.2014.06.010  

The acute mitral insufficiency is a life-threatening condition that may be caused by heavy physical strain, especially during the simultaneous occurrence of the myxomatous degeneration of the mitral valve. The mortality of the untreated illness is 75% during the first 24 h after the occurrence; the perioperative mortality is also high.The case study describes the story of a 57-year-old male, an active sportsman (long-distance runner), whose health condition was duly examined in an institute of sport medicine in Germany, and the results were reportedly always normal. Immediately after finishing a marathon run here, in Prague, he began to complain...

Ventricular fibrillation associated with aortic stenosis and coronary cascade

Ľubomír Rusňák, Martin Fiala, Igor Nykl, Jaroslav Januška, Marian Branny

Cor Vasa 2014, 56(5):e424-e426 | DOI: 10.1016/j.crvasa.2014.02.007  

We report a case of a patient with severe aortic stenosis in the setting of bicuspid valve and coronary cascade, who was successfully resuscitated from ventricular fibrillation occurring during physical exertion. Both conditions may cause steal effect leading to myocardial ischemia and ensuing ventricular tachyarrhythmia. Following replacement of the aortic valve by mechanical valve prosthesis, the patients declined implantation of cardioverter-defibrillator rendering doubts about possible independent association between ventricular fibrillation and coronary cascade.

Potentially misleading manifestation of a ventricular pre-excitation

Jiřina Hurychová, Luděk Haman

Cor Vasa 2014, 56(5):e427-e432 | DOI: 10.1016/j.crvasa.2014.03.002  

We present the case report of a 56-year-old man with an unusual manifestation of an accessory pathway. Failure to detect, or incorrect diagnosis, of this anomaly could have put the patient at high risk of sudden cardiac death. The accessory pathway described in this case report was located at the left posteroseptal area and presented initially with a broad QRS complex tachycardia. Despite being pre-excited atrial fibrillation, it could have been misinterpreted as ventricular tachycardia. Once the rhythm had changed to sinus, a Q-wave in the inferior ECG leads became apparent. This finding could have been misdiagnosed as an old myocardial infarction...

Brucella infective endocarditis

Hayri Alici, Suleyman Ercan, Vedat Davutoglu

Cor Vasa 2014, 56(5):e433-e435 | DOI: 10.1016/j.crvasa.2013.11.001  

Brucellosis is worldwide a zoonotic infective disease especially seen in developing countries. Frequently it is transmitted to humans through the consumption of products derived from unpasteurized milk and through direct contact with infected animal tissue. Although the disease leads to many complications, cardiovascular involvement that is seen in less than 2% of cases usually manifests itself in clinical practice as endocarditis. Endocarditis is diagnosed lately in the course of the disease with mostly aorta valve involvement and leads to serious morbidity and mortality. Here we present a case report and literature review on brucella endocarditis...

Successful treatment of fulminant myocarditis with biventricular mechanical circulatory support: A two-year follow-up

Jiří Malý, Zora Dorazilová, Miloš Kubánek, Ivan Netuka, Martin Pokorný, Josef Bešík, Jan Burkert, Ondrej Szárszoi

Cor Vasa 2014, 56(5):e436-e440 | DOI: 10.1016/j.crvasa.2014.02.003  

Fulminant myocarditis (FM) is an inflammation of the myocardium characterized by progressive acute heart failure leading to cardiogenic shock that develops over several hours. In this article, we present a case of a female patient with acute fulminant lymphocytic myocarditis who was successfully treated with biventricular MCS.

Spontaneous primary pseudo-aneurysm of brachial artery on an adult patient mis-diagnosed for 8 years: Case report

Fadi A. Hadidi, Azmy M. Hadidy, Moaath M. Al Smady, Osama Samara, Nosaiba T. Al Ryalat, Rasha Al Khattab, Lina Hadidi

Cor Vasa 2014, 56(5):e441-e444 | DOI: 10.1016/j.crvasa.2014.04.007  

Brachial artery PSA is extremely rare with only few cases reported in the literature and all of them are secondary to a known etiology. This is the first report of a an adult patient who was free of any medical treatment with primary spontaneous brachial artery pseudoaneurysm which was mis-diagnosed for 8 years and treated surgically without any complications.

Seeing double: Transient third nerve palsy after cardiac catheterization

Saroj Neupane, Kathleen Dass, Sri Lakshmi S. Kollepara

Cor Vasa 2014, 56(5):e445-e447 | DOI: 10.1016/j.crvasa.2013.07.009  

A wide variety of neurologic complications have been described after cardiac catheterization, with cerebrovascular accidents and neuro-ophthalmologic manifestations being the most common. Here we report a case of transient third nerve palsy following diagnostic cardiac catheterization. A 59-year-old male presented to the hospital with complaints of diplopia at all gazes after a diagnostic left heart catheterization. Physical examination revealed limitation on adduction, supra- and infraduction in the right eye, and right hypertropia on all gazes suggestive of third nerve palsy. He had normal visual acuity with correction, a normal retinal exam, and...

Možnosti zvýšení adherence k léčbě u pacientů s kardiovaskulárním rizikem

Cor Vasa 2014, 56(5):577-578 | DOI: 10.33678/cor.2014.050  

Současný pohled na léčbu pacientů s metabolickým syndromem

Zuzana Zafarová

Cor Vasa 2014, 56(5):579-580 | DOI: 10.33678/cor.2014.051  

Dabigatran-etaxilát: Nově schválená indikace léčby a prevence rekurence hluboké žilní trombózy a plicní embolie

Zuzana Zafarová

Cor Vasa 2014, 56(5):582-585 | DOI: 10.33678/cor.2014.052  

Vytvoření asociací pro klíčové subspecializace v rámci České kardiologické společnosti

Prof. MUDr. Petr Widimský, DrSc., FESC, FACC

Cor Vasa 2014, 56(5):568-569  

Zlatá medaile Evropské kardiologické společnosti pro profesora Petra Widimského (1)

Prof. MUDr. Pavel Gregor, DrSc.

Cor Vasa 2014, 56(5):570  

Zlatá medaile Evropské kardiologické společnosti pro profesora Petra Widimského (2)

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

Cor Vasa 2014, 56(5):571  

Hana Rosolová a kol.: Preventivní kardiologie v kostce

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2014, 56(5):574  

Radim Brdička (pořadatel): Genetika v klinické praxi I

Prof. MUDr. Jan Petrášek, DrSc.

Cor Vasa 2014, 56(5):575  

Nové trendy v kardiostimulaci

Mgr. Kamila Holdová

Cor Vasa 2014, 56(5):587-591  

Zápis ze schůze výboru Pracovní skupiny kardiologických sester a spřízněných profesí (PS KSSP) konané v rámci XXII. výročního sjezdu ČKS 5. 5. 2014 v Brně

Mgr. Jakub Doležel

Cor Vasa 2014, 56(5):591  

XXII. výroční sjezd České kardiologické společnosti, o. s., 4.-7. května 2014, Brno.

Mgr. Ludmila Klemsová, Mgr. Jakub Doležel

Cor Vasa 2014, 56(5):592  

Životní jubileum prof. MUDr. Michaela Aschermanna, DrSc., FESC, FACC

Petr Widimský

Cor Vasa 2014, 56(5):572  

Významné jubileum prof. MUDr. Michaela Aschermanna, DrSc., FESC, FACC (* 21. 11. 1944)

Josef Veselka

Cor Vasa 2014, 56(5):573  

Editorial Board

Editorial board

Cor Vasa 2014, 56(5):i | DOI: 10.1016/S0010-8650(14)00081-2