scholarly journals An unusual interventricular septal bounce in a patient with dermatomyositis: a case report

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Vito Maurizio Parato ◽  
Davide Corradini ◽  
Andrea Di Matteo ◽  
Michele Scarano
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Cardiac Involvement ◽  
Transoesophageal Echocardiography ◽  
Jugular Veins ◽  
Acute Pericarditis ◽  
Case Summary ◽  
Almost All ◽  
First Time ◽  
Pericardial Involvement

AbstractBackgroundIn literature it has been reported in 1998, for the first time, a case of a 54-year-old man who developed constrictive pericarditis (CP) 12 years after diagnosis of dermatomyositis (DM). To our knowledge, this may be the only case reported.Case summaryA 16-year-old man presented to our institution because of symptoms posing a suspicion for an inflammatory disease; after physical examination, lab tests, and other investigations (electromyography, magnetic resonance, and muscular biopsy) was diagnosed as having DM. Patient also showed hepatomegaly and congested jugular veins: after clinical and imaging investigations (transthoracic echocardiography and transoesophageal echocardiography) he was diagnosed as having a CP. Patient underwent pericardial resection and the final outcome consisted of a completely regression of the symptoms.DiscussionCardiac involvement in patients with DM ranges between 6% and 75%, and it can be clinically manifest or, far more frequently, sub-clinic. Pericardial involvement as a complication of DM is widely reported in the literature, but in almost all cases as acute pericarditis, effusive pericarditis or cardiac tamponade and almost never as a CP.

scholarly journals Cardiac involvement in hydrocarbon inhalant toxicity — role of cardiac magnetic resonance imaging: A case report

2021 ◽  
Vol 13 (10) ◽  
pp. 593-598
Author(s):  
George Jolly ◽  
Shevel Dacosta Davis ◽  
Saif Ali ◽  
Lauren Bitterman ◽  
Ashley Saunders ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Cardiac Magnetic Resonance Imaging ◽  
Cardiac Involvement ◽  
Resonance Imaging

scholarly journals Transcatheter closure of multiple paravalvular leaks by a transapical approach under echocardiographic guidance: A case report

2021 ◽  
Vol 104 (4) ◽  
pp. 003685042110585
Author(s):  
Kang Yi ◽  
Fang-Hui Ding ◽  
Tao You ◽  
Hong-Xin Li ◽  
Jian-Guo Xu ◽  
...  
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Valve Replacement ◽  
Transcatheter Closure ◽  
Good Condition ◽  
Transoesophageal Echocardiography ◽  
Hybridization Method ◽  
Double Valve Replacement ◽  
Case Summary ◽  
Transapical Approach

Case summary A patient who underwent mechanical aortic and mitral valve replacement developed three paravalvular leaks 10 months later. We located the tracks by puncturing the apex cordis under transoesophageal echocardiography guidance alone and puncturing the femoral artery guided by fluoroscopy. Three paravalvular leaks were occluded with a hybridization method simultaneously. The patient was followed up for 24 months and maintained a good condition. Conclusion Multiple paravalvular leaks after double valve replacement can be occluded in patients by the use of different approaches under echocardiographic guidance alone.

scholarly journals Recurrent hemopericardium with cardiac tamponade as an initial presentation of cardiac sarcoidosis

2017 ◽  
Vol 5 (1) ◽  
pp. 10
Author(s):  
Aditya Sanjeev Pawaskar ◽  
Gregg M. Lanier ◽  
Priya Prakash ◽  
Julia Y. Ash
Keyword(s):  
Case Report ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Cardiac Tamponade ◽  
Cardiac Involvement ◽  
Cardiac Sarcoidosis ◽  
Pulmonary Sarcoidosis ◽  
Non Invasive ◽  
Extra Pulmonary ◽  
Cmr Imaging

This case report illustrates an unusual presentation of recurrent hemopericardium with cardiac tamponade secondary to pulmonary sarcoidosis with extra-pulmonary cardiac involvement. It also demonstrates the usefulness of cardiac magnetic resonance (CMR) imaging as a non-invasive modality for the diagnosis of cardiac sarcoidosis.

scholarly journals Is cardiac involvement prevalent in highly trained athletes after SARS-CoV-2 infection? A cardiac magnetic resonance study using sex-matched and age-matched controls

2021 ◽  
pp. bjsports-2021-104576
Author(s):  
Liliána Szabó ◽  
Vencel Juhász ◽  
Zsófia Dohy ◽  
Csenge Fogarasi ◽  
Attila Kovács ◽  
...  
Keyword(s):  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Cardiac Involvement ◽  
T2 Mapping ◽  
Specific Data ◽  
Native T1 ◽  
T1 And T2 ◽  
Active Controls ◽  
Antibody Tests ◽  
Pericardial Involvement

ObjectivesTo investigate the cardiovascular consequences of SARS-CoV-2 infection in highly trained, otherwise healthy athletes using cardiac magnetic resonance (CMR) imaging and to compare our results with sex-matched and age-matched athletes and less active controls.MethodsSARS-CoV-2 infection was diagnosed by PCR on swab tests or serum immunoglobulin G antibody tests prior to a comprehensive CMR examination. The CMR protocol contained sequences to assess structural, functional and tissue-specific data.ResultsOne hundred forty-seven athletes (94 male, median 23, IQR 20–28 years) after SARS-CoV-2 infection were included. Overall, 4.7% (n=7) of the athletes had alterations in their CMR as follows: late gadolinium enhancement (LGE) showing a non-ischaemic pattern with or without T2 elevation (n=3), slightly elevated native T1 values with or without elevated T2 values without pathological LGE (n=3) and pericardial involvement (n=1). Only two (1.4%) athletes presented with definite signs of myocarditis. We found pronounced sport adaptation in both athletes after SARS-CoV-2 infection and athlete controls. There was no difference between CMR parameters, including native T1 and T2 mapping, between athletes after SARS-CoV-2 infection and the matched athletic groups. Comparing athletes with different symptom severities showed that athletes with moderate symptoms had slightly greater T1 values than athletes with asymptomatic and mildly symptomatic infections (p<0.05). However, T1 mapping values remained below the cut-off point for most patients.ConclusionAmong 147 highly trained athletes after SARS-CoV-2 infection, cardiac involvement on CMR showed a modest frequency (4.7%), with definite signs of myocarditis present in only 1.4%. Comparing athletes after SARS-CoV-2 infection and healthy sex-matched and age-matched athletes showed no difference between CMR parameters, including native T1 and T2 values.

scholarly journals Effusive–constrictive pericarditis after the second dose of BNT162b2 vaccine (comirnaty): a case report

2022 ◽  
Author(s):  
Giacomo Maria Viani ◽  
Patrizia Pedrotti ◽  
Romano Seregni ◽  
Brucato Antonio
Keyword(s):  
Emergency Department ◽  
Adverse Reaction ◽  
Case Report ◽  
Inflammatory Response ◽  
Constrictive Pericarditis ◽  
Clinical Benefit ◽  
Natural Infection ◽  
Acute Pericarditis ◽  
Case Summary ◽  
Effusive Constrictive Pericarditis

Abstract Background Whereas effusive-constrictive pericarditis can rarely occur in COVID-19, to date no cases of effusive-constrictive pericarditis related to SARS-CoV2 vaccine have been documented. Case summary A 59-year-old caucasian man presented to our emergency department with effusive-constrictive pericarditis. Symptoms occurred shortly after the second dose of BNT162b2 (Comirnaty) vaccine. No other etiological causes were identified. Guidelines directed therapy for acute pericarditis was implemented, with clinical benefit. Discussion Systemic inflammatory response to COVID-19 can rarely trigger pericarditis. In our case a strong temporal relation between the second dose of BNT162b2 vaccine and symptoms occurrence was documented, indicating a possible rare adverse reaction to the vaccine, similarly to natural infection. Further research is needed to confirm a causal relationship.

Managing the Transition to Edentulousness Using Partial Transitional Dentures for First Time Prosthodontic Patients: Addressing Unrealistic Expectations – A Case Report

2017 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Case Report ◽  
Treatment Outcomes ◽  
Treatment Planning ◽  
Clinical Relevance ◽  
Treatment Plan ◽  
Sequential Treatment ◽  
Aesthetic Result ◽  
Abutment Teeth ◽  
First Time ◽  
Unrealistic Expectations

Aim: The aim of this report is to describe the management of a prosthodontic patient expressing unrealistic expectations with respect to the transition to edentulousness. Objectives: To outline (1) the diagnosis and explicit expectations of the patient on presentation (2) considerations made during treatment planning to address the wishes of the first time prosthodontic patient (3) a sequential treatment plan utilizing transitional partial removable dentures to manage the change to edentulousness (4) functional and aesthetic result achieved. Results: Delivery of immediate removable partial dentures retaining key abutment teeth in upper and lower arches was a viable prosthodontic solution in the transition to edentulousness of a patient expecting unrealistic treatment outcomes. Conclusions: Addressing impractical expectations and devising a treatment plan amenable to both clinician and patient is difficult. Strategies to manage these wishes in prosthodontic dentistry can include transitional partial dentures. Clinical relevance: Practitioners who encounter similar situations may consider this report valuable.

scholarly journals Intrascrotal lipoblastoma in adulthood

2019 ◽  
Vol 12 (12) ◽  
pp. e231320
Author(s):  
Mário José Pereira-Lourenço ◽  
Duarte Vieira-Brito ◽  
João Pedro Peralta ◽  
Noémia Castelo-Branco
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
S100 Protein ◽  
Surgical Excision ◽  
Large Mass ◽  
Histological Diagnosis ◽  
Physical Exam ◽  
Nodular Lesion ◽  
Inferior Portion ◽  
The Right

This case report describes the case of a 37-year-old man that noticed an intrascrotal right mass with 1 month of evolution. During physical exam presented with a large mass at the inferior portion of the right testicle, clearly separated from the testicle, with a tender consistency and mobile. An ultrasound was performed that showed a solid and subcutaneous nodular lesion, extra testicular, heterogeneous, measuring 7.2 cm. Pelvic magnetic resonance imageMRI showed a lesion compatible with a lipoma. The patient was subjected to surgical excision of the lesion by scrotal access, having histology revealed a lipoblastoma (LB) of the scrotum. Histological diagnosis was obtained by microscopic characteristics (well-circumscribed fatty neoplasm) and immunohistochemistry (stains for CD34, S100 protein and PLAG1 were positive; stains for MDM2 and CDK4 were negative). LB is extremely rare after adolescence in any location, being this first described case of intrascrotal LB described in adulthood.

Sign in / Sign up

Export Citation Format

Share Document