Publications by authors named "R Fellat"
Article Synopsis
- The study focuses on the outcomes of aortic valve replacement (AVR) in young Moroccan patients with severe aortic regurgitation and impaired left ventricle function.
- A total of 42 out of 110 patients with significant aortic regurgitation and an ejection fraction of ≤35% underwent AVR, showing a low immediate postoperative mortality rate of 4.7%.
- Long-term follow-up indicated a high survival rate of 86.8% after 15 years, along with significant clinical improvements and increased left ventricle ejection fraction post-surgery.
Traditionally reflecting critical stenosis of the proximal left anterior descending (LAD) artery, Wellens' syndrome (WS) is an electrocardiogram (ECG) pattern of biphasic or deeply inverted T waves in leads V2 and V3. This critical stenosis can progress to an extensive anterior myocardial infarction (MI) if early and appropriate management is not received promptly. The diagnosis of severe stenosis of the LAD coronary artery can be made by using electrocardiographic changes in Wellens' syndrome.
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- Acute coronary syndromes lead to high morbidity and mortality rates, despite improvements in treatments, emphasizing the need for prompt reperfusion therapy.
- Early diagnosis can be challenging, particularly in patients with atypical symptoms, such as diabetics, which may delay necessary intervention.
- A case study illustrates a 54-year-old male with multiple cardiovascular risk factors whose initial complaint of epigastric pain led to a delayed diagnosis of biventricular infarction after eight hours.
Mitral valve masses are uncommon. These tumors and tumor-like lesions may have similar morphological and clinical characteristics, but different outcomes. Unlike valvular tumors, caseous calcification of the mitral annulus (CCMA) is a benign degenerative disorder, commonly misdiagnosed, thus differentiating it from other mitral valve masses is important to avoid unnecessary surgery.
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- - Antiphospholipid syndrome can lead to recurrent miscarriages and thrombosis, and its diagnosis involves a specific set of clinical and biological criteria.
- - The condition is rarely linked to postpartum cardiomyopathy, which features left ventricle dysfunction and is difficult to manage due to limited literature.
- - A 33-year-old patient with risk factors experienced severe complications, including a pulmonary embolism and altered heart function, leading to the diagnosis of antiphospholipid syndrome after thorough testing.