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An autopsy case of constrictive pericarditis following open chest surgery with severe pulmonary hypertension treated as HFpEF.
J Cardiol Cases
November 2024
Department of Epidemiology, Fukushima Medical University, Fukushima, Japan.
Unlabelled: A 73-year-old man with a history of aortic arch replacement for chronic type B aortic dissective aneurysm was admitted for heart failure. He had normal left ventricular systolic function and had pulmonary hypertension with a pulmonary artery pressure of approximately 90 mmHg. He had been diagnosed with pneumoconiosis from his occupation and pulmonary hypertension due to heart failure with preserved ejection fraction (HFpEF) and respiratory disease.
View Article and Find Full Text PDFThe Constricted Heart: A 31-Year-Old Man with a Case of Constrictive Tuberculous Pericarditis.
Am J Case Rep
September 2024
Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Article Synopsis
- Constrictive pericarditis is a condition caused by chronic inflammation of the pericardium, with tuberculosis being a common cause outside the U.S. and a serious complication of pericardial disease.
- A case study as illustrated by a 31-year-old man who experienced symptoms like chest pain and dyspnea, leading to diagnoses through various tests, including an echocardiogram and right heart catheterization.
- The patient's treatment involved surgery to remove thickened pericardium and a 6-month antibiotic therapy regimen, underscoring the need for a multidisciplinary approach in managing this condition, especially in cases tied to tuberculosis.
Cardiovascular Magnetic Resonance in the Management of Cardiac Amyloidosis: Current and Future Clinical Applications.
Heart Fail Clin
July 2024
Department of Cardiology and Cardiovascular Medicine, Fondazione "Gabriele Monasterio" CNR - Regione Toscana, Via Moruzzi, 1, Pisa 56124, Italy.
Cardiac magnetic resonance represents the gold standard imaging technique to assess cardiac volumes, wall thickness, mass, and systolic function but also to provide noninvasive myocardial tissue characterization across almost all cardiac diseases. In patients with cardiac amyloidosis, increased wall thickness of all heart chambers, a mildly reduced ejection fraction and occasionally pleural and pericardial effusion are the characteristic morphologic anomalies. The typical pattern after contrast injection is represented by diffuse areas of late gadolinium enhancement, which can be focal and patchy in very early stages, circumferential, and subendocardial in intermediate stages or even diffuse transmural in more advanced stages.
View Article and Find Full Text PDFBronchogenic cyst: a rare cause of palpitations and atrial fibrillation.
BMJ Case Rep
March 2024
Queen Mary University of London, Queen Mary University of London Blizard Institute, London, UK.
Bronchogenic cysts are rare congenital lesions found primarily in the mediastinum. Most patients are asymptomatic and can be treated with minimally invasive resection. We present a case of a middle-aged patient who presented to a district general hospital with palpitations and shortness of breath.
View Article and Find Full Text PDFExtended autologous tracheal replacement by a novel pedicled thoraco-chondro-costal flap: a cadaveric proof of concept.
Eur J Cardiothorac Surg
March 2024
Department of Thoracic and Cardiac Surgery, Rouen University Hospital, 37 Bd Gambetta, 76000, Rouen, France.
Objectives: Our aim was to report an anatomic model of an autologous flap based on the internal thoracic blood supply: the pedicled thoraco-chondro-costal flap; and establish the feasibility of various types of extended tracheal replacement with this novel flap, according to a newly proposed topographic classification.
Methods: In a cadaveric model, a cervicotomy combined with median sternotomy was performed. The incision was extended laterally to expose the chest wall.
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