Postinfarction right ventricular wall dissection with left-to-right shunting

Abstract Ventricular septal rupture is an uncommon fatal complication of acute myocardial infarction. In rare cases, the rupture can extend into the right ventricular free wall and cause intramyocardial dissection. We describe the case of a patient who developed postinfarction right ventricular free wall dissection with left-to-right shunting and successfully underwent patch repair.

Download Full-text

Cardiac echinococcosis

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh0206217i ◽

2002 ◽

Vol 130 (5-6) ◽

pp. 217-221 ◽

Cited By ~ 1

Author(s):

Branislava Ivanovic-Krstic ◽

Dimitra Kalimanovska-Ostric ◽

Bosiljka Vujisic-Tesic ◽

Dragana Jovanovic ◽

Predrag Petrovic ◽

...

Keyword(s):

Hydatid Cyst ◽

Right Ventricular ◽

Right Atrial ◽

Ventricular Wall ◽

Free Wall ◽

Atrial Wall ◽

Right Ventricular Free Wall ◽

Right Ventricular Wall ◽

Tomography Finding ◽

The Right

Cardiac hydatid disease is rare. We report on an uncommon hydatid cyst localized in the right ventricular wall, right atrial wall tricuspid valve left atrium and pericard. A 33-year-old woman was treated for cough, fever and chest pain. Cardiac echocardiograpic examination revealed a round tumor (5.8 x 4 cm) in the right ventricular free wall and two smaller cysts behind that tumor. There were cysts in right atrial wall and tricuspidal valve as well. Serologic tests for hydatidosis were positive. Computed tomography finding was consistent with diagnosis of hydatid cyst in lungs and right hylar part. Surgical treatment was rejected due to great risk of cardiac perforation. Medical treatment with albendazole was unsuccessful and the patient died due to systemic hydatid involvement of the lungs, liver and central nervous system.

Download Full-text

Association of epicardial fat thickness with left ventricular diastolic function parameters in a community population

10.21203/rs.3.rs-171598/v2 ◽

2021 ◽

Author(s):

Wei Ma ◽

Baowei Zhang ◽

Ying Yang ◽

Litong Qi ◽

Jin Zhou ◽

...

Keyword(s):

Confidence Interval ◽

Right Ventricular ◽

Diastolic Function ◽

Ventricular Free Wall ◽

Free Wall ◽

Right Ventricular Free Wall ◽

Community Population ◽

The Mean ◽

The Right ◽

The Relationship

Abstract Purpose We examined the relationship between EFT measured by echocardiography and LV diastolic function parameters in a Beijing community population. Methods We included 1004 participants in this study. Echocardiographic parameters including E and A peak velocity, the early diastolic velocities (e’) of the septal and lateral of mitral annulus using tissue doppler imaging, E/e’, and EFT, were measured. EFT1 was measured perpendicularly on the right ventricular free wall at end-diastole in the extension line of the aortic root. EFT2 was the maximum thickness measured perpendicularly on the right ventricular free wall at end-diastole. Multivariate linear regression was used to analyze the relationship between EFT and the mean e’ and E/e’. Results The mean age of the participants was 63.91 ± 9.02 years old (51.4% men). EFT1 and EFT2 were negatively correlated with e’ lat, e’ sep, and e’ mean (p < 0.05), and positively correlated with E/e’ lat, E/e’ sep, and E/e’ mean. Multivariate regression analysis showed that EFT1 and EFT2 were independently and negatively correlated with e’ mean (EFT1: β = −0.089 [95% confidence interval = − 0.177, − 0.000, p = 0.050]; EFT2: β = −0.078 [95% confidence interval = − 0.143, − 0.012, p = 0.020]). There were no interactions between EFT and any covariates, including age or heart groups, sex, BMI, or presence of hypertension, diabetes, or coronary heart disease in relation to LV diastolic dysfunction. Conclusions EFT was negatively and independently correlated with e’ mean, suggesting that more attention to this type of adipose fat is required for cardiovascular disease therapy.

Download Full-text

Progressive right ventricular outflow tract fibrosis after repair of tetralogy of Fallot

Cardiology in the Young ◽

10.1017/s1047951120002164 ◽

2020 ◽

Vol 30 (9) ◽

pp. 1366-1367

Author(s):

Gauri R. Karur ◽

Wadi Mawad ◽

Lars Grosse-Wortmann

Keyword(s):

Cardiac Magnetic Resonance ◽

Right Ventricular ◽

Tetralogy Of Fallot ◽

T1 Mapping ◽

Right Ventricular Outflow Tract ◽

Ventricular Outflow Tract ◽

Ventricular Free Wall ◽

Free Wall ◽

Right Ventricular Free Wall ◽

The Right

AbstractObjectives:The objective of this study was to determine the evolution of fibrosis over time and its association with clinical status.Methods:Children with repaired tetralogy of Fallot who had undergone at least two cardiac magnetic resonance examinations including T1 mapping at least 1 year apart were included.Results:Thirty-seven patients (12.7 ± 2.6 years, 61% male) were included. Right ventricular free wall T1 increased (913 ± 208 versus 1023 ± 220 ms; p = 0.02). Baseline cardiac magnetic resonance parameters did not predict a change in imaging markers or exercise tolerance. The right ventricular free wall per cent change correlated with left ventricular T1% change (r = 0.51, p = 0.001) and right ventricular mass Z-score change (r = 0.51, p = 0.001). T1 in patients with late gadolinium enhancement did not differ from the rest.Conclusion:Increasing right ventricular free wall T1 indicates possible progressive fibrotic remodelling in the right ventricular outflow tract in this pilot study in children and adolescents with repaired tetralogy of Fallot. The value of T1 mapping both at baseline and during serial assessments will need to be investigated in larger cohorts with longer follow-up.

Download Full-text