Publications by authors named "G Perk"

Gastric antral vascular ectasia (GAVE) is an uncommon cause of upper gastrointestinal (GI) bleeds. Due to the high vascularity of the region, transient bacteremia due to manipulation of the GI tract can very rarely cause the translocation of bacteria. We present a rare case in which endoscopic manipulation to treat GAVE led to native valve infective endocarditis (IE).

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Article Synopsis
  • * In a cohort of 305 hospitalized patients, 62.3% exhibited myocardial injury, evidenced by abnormal electrocardiograms and echocardiograms indicating left ventricular and right ventricular dysfunction.
  • * The findings showed that in-hospital mortality rates increased significantly with the presence of myocardial injury and echocardiographic abnormalities, linking these conditions to a greater risk of death during hospitalization.
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Left ventricular outflow tract obstruction is a serious complication of mitral valve surgery (repair and replacement) and transcatheter mitral valve replacement. An appreciation of the various mechanisms which cause outflow obstruction in these settings is critical to avoiding this complication and to initiating appropriate treatment. This article discusses the mechanisms, pathophysiology, and imaging of left ventricular outflow tract obstruction which can arise following insertion of a variety of mitral valve prosthetics.

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Background: Right heart thrombus in the absence of structural heart disease, atrial fibrillation, or intracardiac catheter is rare. It typically represents a thrombus migrating from the venous system to the lung, known as thrombi-in-transit, and can lead to a life-threatening pulmonary embolism. The optimal therapy for thrombi-in-transit remains controversial.

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