Leiomyosarcoma of the Inferior Vena Cava Extending to the Right Atrium and Ventricle.

Primary tumors originating from the inferior vena cava (IVC), namely leiomyosarcoma, present significant challenges due to their poor prognostic features, including extensive extension and a substantial tumor burden. In this case, we present a 55-year-old female patient complaining of abdominal discomfort and vague abdominal pain. Additionally, we provide a comprehensive summary encompassing key aspects related to symptomatology, diagnostic approaches, treatment, and prognostic indicators.

Comparison of Heart Team vs Interventional Cardiologist Recommendations for the Treatment of Patients With Multivessel Coronary Artery Disease.

Importance: Although the heart team approach is recommended in revascularization guidelines, the frequency with which heart team decisions differ from those of the original treating interventional cardiologist is unknown.

Objective: To examine the difference in decisions between the heart team and the original treating interventional cardiologist for the treatment of patients with multivessel coronary artery disease.

Design, Setting, And Participants: In this cross-sectional study, 245 consecutive patients with multivessel coronary artery disease were recruited from 1 high-volume tertiary care referral center (185 patients were enrolled through a screening process, and 60 patients were retrospectively enrolled from the center's database).

Para-aortic arch abscess secondary to Staphylococcus aureus pneumonia.

Staphylococcus aureus is a relatively common pathogen causing pneumonia in the community, hospital ward and intensive care unit. Although pneumonia is responsible for significant morbidity and mortality, especially in elderly and immunocompromised patients, it is usually uncomplicated and resolves without complications. The case of a woman who developed a para-aortic abscess after a community-acquired S aureus pneumonia infection is presented.

Intracardiac shunt with hypoxemia caused by right ventricular dysfunction following pericardiocentesis.

Significant hypoxemia can result from right-to-left intracardiac shunting through a patent foramen ovale, an atrial septal defect or a ventricular septal defect. Pulmonary embolus, congenital heart disease and pericardial tamponade are well-recognized causes of right-to-left shunting. However, right-to-left shunting can also follow pericardiocentesis.

Cardiogenic shock following nasal septoplasty: a case report and review of the literature.

Purpose: Nasal septoplasty is a surgical procedure offered to patients with chronic snoring secondary to nasal obstruction. We describe a case of cardiogenic shock following the administration of metoprolol to treat hypertension, (likely) induced by systemic absorption of topical epinephrine used during a routine nasal septoplasty.

Clinical Features: A 29-yr-old male, with no significant medical history, was scheduled for nasal septoplasty for mild nasal obstruction.

Tricuspid valve disruption and ventricular septal defect secondary to blunt chest trauma.

An unusual case of blunt thoracic injury is presented, highlighting the importance of echocardiography in the assessment of patients with suspected cardiac trauma.

Ventricular septal defect secondary to penetrating trauma without pericardial effusion.

Incidence of penetrating cardiac trauma is on the rise. With improved trauma care, an increasing number of these patients arrive at the hospital alive. An unusual case of penetrating cardiac trauma is presented that highlights the importance of thorough echocardiographic assessment of such patients.

Blunt and penetrating cardiac trauma: a review.

Cardiologists' expertise in managing traumatic heart disease will be increasingly sought as the incidence of both firearm and motor vehicle accidents soars. Knowledge of mechanisms of injury, as well as appropriate use of diagnostic tools, will aid in rapid recognition of complications related to cardiac injury.