scholarly journals P191 Pellets in rigth ventricle. Without entry point?

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
G Pinillos Francia ◽  
A Gutierrez Fernandez ◽  
L Alvarez Roy ◽  
I Ruiz Zamora ◽  
M Gomez Llorente ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Right Ventricle ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Incidental Finding ◽  
Interventricular Septum ◽  
Anatomical Location ◽  
Axial Tomography ◽  
The Right

Abstract Case Report A 39-year-old male patient was transferred to emergency room by mobile intensive care unit after receiving a firearm wound in the neck while hunting: accidentally hit by a shotgun. Physical examination highlighted the existence of multiple entry holes at right side face and neck and some above the shoulder girdle line, the rest of the thorax and abdomen did not present skin lesions. Axial tomography (CT) showed multiple pellets in the face and neck tissues and two intracardiac pellets in the right ventricle. He did not present pneumothorax, pneumopericardium or pericardial effusion. He underwent surgical intervention by otolaryngology and vascular teams due to right cervical hematoma and secondary alterations to the shot in the right internal jugular vein. Enucleation of the right eye was also necessary. Echocardiographic study showed the presence of a small hyperechogenic mass with posterior acoustic shadow located in interventricular septum. Another similar structure was also found, in the right ventricle, next to the tricuspid annulus: normal tricuspid valve function. Considering the trajectory (blue triangle) of the shot and the absence of thoracic complications, we thought about the plausibility of projectile embolization from the right internal jugular vein. Discussion The presence of projectiles in different cardiac structures can occur by direct impact (the most frequent mechanism), passing through thoracic and/or abdominal structures to be lodged in the pericardium and/or myocardium. They are often accompanied by manifestations such as pericardial effusion or pneumothorax as a result of their trajectory. Embolization to the heart is a much more uncommon mechanism by impacting in another anatomical location such as the neck or lower extremitie. In these cases there may be no extra-cardiac manifestations and can be an incidental finding of a previous event. In our case the intracardiac pellets were s was handled conservatively and the rest of the wounds produced by the shot showed a good evolution. The patient remained asymptomatic from a cardiological point of view during hospitalization and follow up. There is no evidence to support the therapeutic attitude that should be followed in these cases. When the patient is stable and the projectiles are non-mobile, conservative treatment with periodic follow-up is a suitable option. Abstract P191 Figure. A. 3D echo, B. Xplane, C. CT VR.

scholarly journals A Case Study of Deep Vein Thrombosis of the Right Internal Jugular Vein in a Healthy 21-Year-Old Male

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Javier Corral ◽  
Geri Villanueva
Keyword(s):  
Deep Vein Thrombosis ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Significant Past Medical History ◽  
Vein Thrombosis ◽  
The Right ◽  
Deep Vein ◽  
Work Up

We are reporting a case of a healthy 21-year-old male, with no significant past medical history, who was found to have an incidental nonocclusive deep vein thrombosis in the right internal jugular vein detected on a head MRI previously ordered for work-up of headaches. A follow-up upper extremity venous Doppler ultrasound confirmed the presence of a partially occlusive deep vein thrombosis in the right jugular vein. The case presented is unique for the reason that the patient is young and has no prior risk factor, personal or familial, for venous thrombosis except for associated polycythemia on clinical presentation.

Bullet Embolization From the Right Internal Jugular Vein to the Right Ventricle

2013 ◽  
Vol 27 (4) ◽  
pp. e45-e46 ◽  
Author(s):  
Sophia S.F. Wong ◽  
Edgar Hockmann ◽  
Fuad Moussa ◽  
Sue Bertram
Keyword(s):  
Right Ventricle ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
The Right

scholarly journals 108 Uncommon cardiac fatty distribution: a case report

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
B Redondo Bermejo ◽  
M M De La Torre Carpente ◽  
J C Munoz San Jose ◽  
T Escudero Caro ◽  
M Acuna Lorenzo ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Right Ventricular ◽  
Rare Case ◽  
Interventricular Septum ◽  
Fatty Infiltration ◽  
Left Ventricular ◽  
Pericardial Fat ◽  
Cardiac Apex ◽  
The Right

Abstract Background Fatty masses of the heart are relatively uncommon. This report is about a rare case of extensive fat infiltration along the apical interventricular septum that causes separation of the right ventricular apex from left ventricular apex, simulating a bifid cardiac apex. Case summary The patient was a 58-year-old female who was admitted to the hospital because of palpitations and chest pain. A trasnsthoracic echocardiogram was performed and it showed a thickenned anterior pericardium so a cardiovascular magnetic resonance (CMR) was performed. CMR revealed a large amount of epicardial and pericardial fat without adipose tissue inside the right ventricle wall. In the cardiac apex this fat seemed a lipoma however CMR demonstrated the fat was not capsulated and besides, it extended, as if it were an infiltrative disorder, in the cardiac apex between both ventricles. Patient was discharged with an implantable loop recorder (ILR) in order to ruled out ventricular arrhythmia. During a two year follow-up, ILR has shown several symptomatic supraventricular paroxysmal tachycardia episodes and no other arrhythmic events have been reported. Also, the CMR has been repeated and it has shown similar results. Discussion Fatty masses of the heart are relatively uncommon. Among those masses are included cardiac lipomas, lipomatous infiltration of the right ventricle, arrhythmogenic right ventricular dysplasia (ARVD) and lipomatous hypertrophy of the interatrial septum. The findings in the CMR of our patient do not fulfill the criteria of the aforementioned disorders. Our patient shows a pattern of unusual fatty infiltration pattern of unclear etiology. The prognostic value of this type of heart disease is unknown. In our patient, although the follow-up has not been very long, it does not seem to have had any relevant consequences, so far. Conclusion This is a rare case of a patient with a large amount of epicardial and pericardial fat that seems to infiltrate between both ventricular apex, as a bifid cardiac apex. It is apparently asymptomatic. Abstract 108 Figure. CMR-Cardiac-fatty_EECHO-2019

Isolated aneurysm of the internal jugular vein

VASA ◽  
2008 ◽  
Vol 37 (4) ◽  
pp. 371-373 ◽  
Author(s):  
Kersting ◽  
Rössel ◽  
Hinterseher ◽  
Gaebler ◽  
Litz ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Vein Graft ◽  
Doppler Sonography ◽  
Jugular Vein ◽  
The Face ◽  
Thin Walled ◽  
The Right

True venous aneurysms are rare. We report the case of a 70-year-old male with the extremely uncommon finding of an aneurysm of the internal jugular vein. Due to their rarity, no general guidelines for the treatment of these aneurysms have been established. Upon surgical exclusion of the aneurysm, a progressive swelling of the right side of the face was noted in this patient leading to the decision to interpose a thin-walled ePTFE prosthesis for want of a suitable vein graft. Upon follow-up three years later, the patient is completely asymptomatic and the prosthesis is patent in Doppler sonography.

scholarly journals P1492 A rare case of a spontaneous rupture of a congenital inter ventricular septum diverticulum in an adult

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
E A Khalifa ◽  
S Helmy ◽  
S F Mohamed ◽  
A Ghareep ◽  
M Alkuwari
Keyword(s):  
Left Ventricle ◽  
Right Ventricle ◽  
Cardiac Computed Tomography ◽  
Interventricular Septum ◽  
Ventricular Septum ◽  
Cardiac Anomaly ◽  
True Incidence ◽  
Sternal Border ◽  
The Right

Abstract Introduction A ventricular diverticulum is a rare cardiac anomaly with its true incidence is likely to be underestimated, as most patients are thought to be asymptomatic. Possible known complications include conduction abnormalities, rupture, bacterial endocarditis, and thromboembolism. We report a case of inter ventricular septum diverticulum detected incidentally in an adult during echocardiography and which ruptured spontaneously after 3 years of follow up. Case report A 36-year-old asymptomatic gentleman was referred for cardiac evaluation as a part of pre employment general check-up. He was controlled hypertensive on medical treatment. He had no history myocardial infarction (MI), arrhythmias, or stroke. He had never experienced exertional dyspnoea or chest pain. Physical examination was unremarkable. Transthoracic echocardiography revealed mild left ventricle hypertrophy with normal global and regional contractility with an ejection fraction of 58%. In addition, it showed a myocardial out-pouching (11x9 mm) localized at the basal third of the posterior inter-ventricular septum and bulging into the right ventricle and moving in synchrony with the rest of the left ventricle with no shunt (figures A&B&C). The patient’s history allowed us to exclude a post-ischemic LV aneurysm and an infective genesis of the lesion. Contrast enhanced EKG gated cardiac computed tomography confirmed the presence of a blind ended diverticulum of the interventricular septum which was stretching and protruding into the right ventricle. The septum and the diverticulum were intact with no evidence of associated septal defects, (figures D&E&F). Three years later, during his regular follow up, a loud pan-systolic murmur was heard along the left sternal border. His repeated echocardiographic study revealed a rupture of the inter ventricular septal diverticulum into the right ventricle, with a left to right shunt of a peak systolic gradient of 71 mmHg, (Fig G). His blood pressure was 100/60. Cardiac magnetic resonance confirmed the rupture of the interventricular septum diverticulum. It revealed a tiny defect with a left to right shunt and the calculated QP/QS was 1.3, (fig H&I). As the patient was asymptomatic and the shunt was insignificant, the decision was made to be managed conservatively and not to intervene with surgery at this point. This was to avoid the potential of surgical complications as disruption of the patient’s conduction system and the chance of post-operative arrhythmia. Abstract P1492 Figure.

scholarly journals HYDATID CYST OF THE INTERVENTRICULAR SEPTUM OF THE HEART WITH RUPTURE INTO THE RIGHT VENTRICLE

1962 ◽  
Vol 44 (1) ◽  
pp. 110-114 ◽  
Author(s):  
Hernán Artucio ◽  
José L. Roglia ◽  
Raúl Di Bello ◽  
Jorge Dubra ◽  
Agustín Gorlero ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Hydatid Cyst ◽  
Interventricular Septum ◽  
The Right

Does thrombolysis for pulmonary embolism reduce the risk of chronic complications?

2021 ◽  
Vol 20 (1) ◽  
pp. 15-17
Author(s):  
Caroline Apsey ◽  
◽  
Muhammad Jawad ◽  
Martin Daschel ◽  
Daniel Woosey ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Pulmonary Artery ◽  
Right Ventricle ◽  
Chronic Complications ◽  
The Right

We assessed the efficacy of thrombolysis in avoiding long-term complications. Notes of patients thrombolysed for PE in the 2-year period were reviewed. The initial CTPA and echocardiogram results before thrombolysis were compared to the results of follow up imaging repeated after 6 months. Twenty-two patients were thrombolysed for PE. 14 patients had sub-massive PE and 8 patients had massive PE. The right ventricle (RV) was dilated on pre-thrombolysis echocardiogram in 16 patients. On follow up echocardiography all patients with massive PE (6 studies) had a normal RV size, with pulmonary artery pressures (PAP) of 29mmHg. Follow up echocardiography of patients with submassive PE (13 studies) showed 11 patients with a normal RV, with PAP of 28 mmHg.

Peritricuspid annular prostate pellet

2021 ◽  
Vol 14 (2) ◽  
pp. e238076
Author(s):  
Bryan O'Sullivan ◽  
Richard Tanner ◽  
Peter Kelly ◽  
Gerard Fahy
Keyword(s):  
Right Ventricle ◽  
Left Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Prostate Adenocarcinoma ◽  
Left Ventricular ◽  
Premature Ventricular Contractions ◽  
Left Ventricular Outflow ◽  
Metallic Object ◽  
The Right

A 75-year-old was treated for prostate adenocarcinoma with brachytherapy in September 2018. A routine follow-up chest radiograph 3 months later revealed a metallic object of the same dimensions as a brachytherapy pellet located in the right ventricle. Further imaging showed the brachtherapy pellet was located in the anterobasal right ventricular endocardium close to the tricuspid valve. Frequent asymptomatic premature ventricular contractions were observed with likely origin from the left ventricular outflow tract, an area remote from the site of the pellet. The patient remains asymptomatic and subsequent imaging shows that the position of the pellet has not changed.

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