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Surgical management of traumatic tricuspid regurgitation: a case report.

Eur Heart J Case Rep

January 2025

Department of Cardiac Surgery, Medical University Innsbruck, Anichstrasse 35, A-6020 Innsbruck, Austria.

Background: Traumatic tricuspid valve regurgitation is a rare condition related to blunt chest trauma. In the early phase, the patients may remain asymptomatic. Progressive tricuspid regurgitation leads to the development of symptoms thereafter.

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Purpose: This study aimed to identify major lesion characteristics of chronic total occlusions (CTOs) that predict failed percutaneous coronary intervention (PCI) using pre-procedure coronary computed tomography angiography (CCTA) in combination with conventional coronary angiography (CCA).

Methods: Consecutive patients with at least one CTO of the native coronary arteries received CCTA and CCA-guided PCI, with computed tomography performed before or during PCI.

Results: A total of 76 patients with CTO were included in this study.

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Epicardial ablation in patients with pericardial adhesions is challenging. This case is the first report of successful epicardial ventricular tachycardia ablation by combining hydrodissection with the previously reported blunt dissection techniques for pericardial adhesions. This approach demonstrates a promising technique for managing similar cases where traditional methods may fail, providing a safer and more effective solution for epicardial ablation in patients with pericardial adhesions.

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Background: Coronary artery pseudoaneurysm (PSA) is a rare occurrence linked to percutaneous coronary interventions (PCIs), infection, or chest trauma, lacking established management guidelines due to its low incidence.

Case Summary: A 78-year-old male with a medical history of triple vessel disease, post coronary artery bypass grafting, heart failure, and chronic obstructive pulmonary disease, presented with intractable left-sided chest pain following a mechanical fall. The initial workup was positive for mildly elevated high-sensitivity troponin and brain natriuretic peptide raising suspicion for a pulmonary embolism; but chest computed tomography angiography revealed an enlarging pericardial haematoma.

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Renal pseudoaneurysms are serious and rare vascular lesions. They can be seen in vasculitis or, more commonly, after renal biopsy, percutaneous renal surgery, penetrating trauma, and less frequently due to blunt renal trauma. We present the case of a 28-year-old woman with lupus nephritis accompanied by the incidental finding of renal pseudoaneurysms in both kidneys after an elective percutaneous renal biopsy of the left kidney.

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