scholarly journals Incidental Finding of an Asymptomatic Migrated Coil to the Right Ventricle Following Pelvic Vein Embolisation

2021 ◽  
Vol 4 ◽  
Author(s):  
Luca Scott ◽  
Jack Cullen
Keyword(s):  
Chest Pain ◽  
Right Ventricle ◽  
Incidental Finding ◽  
Complication Rates ◽  
Migration Rates ◽  
Pelvic Vein ◽  
Delayed Complications ◽  
The Right ◽  
Coil Migration ◽  
Metallic Coils

Pelvic vein embolisation (PVE) with metallic coils is an effective treatment for pelvic venous congestion. The migration of coils following the procedure has been well-reported; however, the most effective approach to management is still unclear. In the present case, the authors describe the delayed identification of a migrated coil to the right ventricle following an ovarian vein embolisation. The patient presented to the emergency department with chest pain and subsequent radiology identified a coil in the right ventricle. This was found to be present on previous radiology, but had not been reported on. The position of the coil had remained stable and therefore was deemed an unlikely cause for the chest pain. The coil was managed conservatively. This demonstrates how asymptomatic coil migration may go undetected and thus the migration rates in the literature may be underreported. Post-PVE screening to assess for migration could improve the accuracy of complication rates and prevent delayed complications associated with migrated coils.

scholarly journals A Remnant Sewing Needle in the Right Ventricle as a Cause of Chest Pain

2009 ◽  
Vol 33 (1) ◽  
pp. E23-E25 ◽  
Author(s):  
Hasan Gungor ◽  
Hamza Duygu ◽  
Bekir Serhat Yildiz ◽  
Ilker Gul ◽  
Mehdi Zoghi ◽  
...  
Keyword(s):  
Chest Pain ◽  
Right Ventricle ◽  
Sewing Needle ◽  
The Right

scholarly journals Lead extractions: dissecting adhesions up to the lead-tip of the right ventricle: safety and success-rates

2021 ◽  
Author(s):  
Olivier Witte ◽  
Peter Delnoy ◽  
Abdul Ghani ◽  
Jaap Jan Smit ◽  
Anand Ramdat Misier ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Major Complication ◽  
Complete Removal ◽  
Lead Extraction ◽  
Complication Rates ◽  
Evolution System ◽  
Success Rates ◽  
Significant Difference ◽  
Group B ◽  
The Right

Objectives and Background: Goal of Transvenous Lead Extraction (TLE) is complete removal of all targeted leads, without complications. Despite counter traction manoeuvres, efficacy rates are often hampered by broken right ventricle lead (RV-lead) tips. Mechanically powered lead extraction (Evolution sheath) is effective, however safety of dissection up to the lead tip is unclear. Therefore, we examined the feasibility and safety of RV-lead extraction requiring dissection up to the myocardium. Methods and results: From 2009 to 2018, all TLE in the Isala Heart Centre (Zwolle, The Netherlands) requiring the hand-powered mechanical Evolution system to extract RV-leads (n=185) were examined from a prospective registry. We assessed 2 groups: TLE with the first generation Evolution (n=43) with (A1,n=18) and without (A2,n=25) adhesions up to the myocardium and TLE with the Novel R/L type (n=142) of sheath with (B1,n=59) and without (B2,n=83) adhesions up to the myocardium. Complete success rate in Group B was significantly higher than group A (96.5 vs 76.7%, p=0.0354). When comparing the patients with adhesions up to the myocardium, total complete success is higher in the R/L group (61.1% vs 90.5%, p=0.0067). There were no deaths. Overall major complication rates were low (2/185;1.1%) and there was no statistically significant difference in major and minor complications between the two groups. Conclusion: Extraction strategy with the bidirectional Evolution R/L sheath for right ventricular leads with adhesions up to the myocardium is safe and feasible.

An unusual presentation of chest pain: Needle perforation of the right ventricle

Heart & Lung ◽  
2013 ◽  
Vol 42 (3) ◽  
pp. 218-220 ◽  
Author(s):  
Kristin L. Thanavaro ◽  
Sadia Shafi ◽  
Charlotte Roberts ◽  
Michael Cowley ◽  
James Arrowood ◽  
...  
Keyword(s):  
Chest Pain ◽  
Right Ventricle ◽  
Unusual Presentation ◽  
The Right

Needle fragment embolism into the right ventricle: a rare cause of chest pain case report and literature review

2015 ◽  
Vol 128 (5-6) ◽  
pp. 215-220 ◽  
Author(s):  
Barbara Anna Danek ◽  
Petr Kuchynka ◽  
Tomas Palecek ◽  
Vladimir Cerny ◽  
Karel Hlavacek ◽  
...  
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Literature Review ◽  
Right Ventricle ◽  
The Right

Echocardiographic Diagnosis of Congenital Membranous Ventricular Septal Aneurysm in the Dog and Cat

2005 ◽  
Vol 41 (4) ◽  
pp. 215-220 ◽  
Author(s):  
William P. Thomas
Keyword(s):  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Cardiac Dysfunction ◽  
Congenital Heart ◽  
Septal Defect ◽  
Incidental Finding ◽  
Heart Defects ◽  
Thin Membrane ◽  
Echocardiographic Examination ◽  
The Right

Membranous ventricular septal aneurysm was diagnosed by echocardiography in 17 dogs and three cats. The aneurysm appeared as a thin membrane protruding into the right ventricle from the margins of a congenital ventricular septal defect (VSD). The aneurysm was intact in nine dogs and two cats and perforated by a small VSD in eight dogs and one cat. Other congenital heart defects were present in seven dogs. In all animals, the aneurysm was an incidental finding observed during echocardiographic examination, and it did not appear to directly cause any cardiac dysfunction.

scholarly journals Direct Rapid Left Ventricular Wire Pacing during Balloon Aortic Valvuloplasty

2020 ◽  
Vol 9 (4) ◽  
pp. 1017
Author(s):  
Pawel Kleczynski ◽  
Artur Dziewierz ◽  
Sylwia Socha ◽  
Tomasz Rakowski ◽  
Marzena Daniec ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Complication Rate ◽  
Severe Aortic Stenosis ◽  
Left Ventricular ◽  
Complication Rates ◽  
Lower Radiation Dose ◽  
Aortic Valvuloplasty ◽  
Effective Option ◽  
Temporary Pacemaker ◽  
The Right

Background: Rapid ventricular pacing is mandatory for optimal balloon positioning during aortic valvuloplasty (BAV) in patients with severe aortic stenosis. We aimed to assess the safety and efficacy of direct left ventricular (LV) guidewire pacing in comparison with regular pacing induced by temporary pacemaker (PM) placement in the right ventricle. Methods: Direct rapid LV pacing was provided with a 0.035″ guidewire. Baseline clinical characteristics, echocardiographic and procedural data, as well as complication rates, were compared between the two groups. Results: A total of 202 patients undergoing BAV were enrolled (49.5% with direct LV guidewire pacing). The pacing success rate was 100%. In the direct LV guidewire pacing group, we found a lower radiation dose, shorter fluoroscopy and overall procedural time (0.16 vs. 0.28 Gy, p = 0.02; 5.4 vs. 10.3 min, p = 0.01; 17 vs. 25 min, p = 0.01; respectively). In addition, the complication rate was lower in that group (cardiac tamponades, vascular access site complications, blood transfusions rate, and in-hospital mortality: 0% vs. 3.9%; 4.0% vs. 15.7%; 2.0% vs. 12.7%; 2.0% vs. 9.8%, p = 0.01 for all, respectively). Conclusions: Direct rapid LV guidewire pacing is a simple, safe and effective option for BAV with a reduced complication rate compared to a temporary PM placed in the right ventricle.

scholarly journals P716 Acute chest pain and new onset severe and asymmetric functional tricuspid regurgitation: What is going on?

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
G Ramirez-Escudero Ugalde ◽  
N Garcia Ibarrondo ◽  
A Manzanal Rey ◽  
M Codina Prat ◽  
L Ruiz Gomez ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Chest Pain ◽  
Right Ventricle ◽  
Tricuspid Valve ◽  
Papillary Muscle ◽  
Tricuspid Regurgitation ◽  
Inferior Myocardial Infarction ◽  
The Right ◽  
Acute Inferior Myocardial Infarction ◽  
New Onset

Abstract Acute inferior myocardial infarction can be complicated by conduction disorders and/or by extension to the right ventricle (RV). Both situations can resolve with an early percutaneous revascularization. We report a case of a 73-year-old woman, with arterial hypertension, dyslipidemia, and studied by cardiology for atypical chest pain, with several negative ischemia detection tests. She was brought to the Emergency Department due to oppressive chest pain irradiated to the left upper extremity. An electrocardiogram was performed, highlighting a complete atrioventricular block with suprahisian escape and ST segment elevation in inferior leads. Tendency to arterial hypotension and multiple episodes of asymptomatic non-sustained monomorphic ventricular tachycardias as well as self-limiting Torsade de Pointes were registered. The transthoracic echocardiogram (TTE) showed an akinesia circumscribed to the basal segment of the inferior left ventricle wall, a non-dilated RV with akinesia of its anterior wall and a new onset functional and asymmetric severe tricuspid regurgitation (TR) by tethering of the anterior leaflet. It was not possible to estimate the RV-RA gradient by obtaining a dense triangular doppler continuous wave jet contour with early peak. Vena contracta was 7 mm long. An urgent coronary angiography was performed in which the presence of an acute thrombotic occlusion of the proximal segment of the right coronary artery was confirmed. A drug-eluting stent was implanted, with good result. With all this, it was possible to stabilize the patient"s electrical and hemodynamic situation. A TTE was repeated one week after, in which mild to moderate tricuspid regurgitation was observed, coinciding with improvement of the RV systolic function and better mobility of the anterior tricuspid leaflet. Anatomically, the tricuspid valve consists of anterior, septal, and posterior leaflets. Each leaflet is connected via chordae tendineae to the anterior, posterior, and septal papillary muscles of the right ventricle, respectively. The cause of functional TR appears to be tricuspid annular dilatation and tethering of the tricuspid valve leaflets (because of LV failure, pulmonary hypertension, left-to-right shunt, or RV infarction). Primary disorders of the tricuspid valve causing TR are less common. RV myocardial infarction may involve the wall supporting the papillary muscle with resulting tension on the chordae causing TR. The 2D TTE demonstrates incomplete and often asymmetric closure of the tricuspid leaflets with apical displacement of the coaptation point. This phenomenon is similar to that seen with LV myocardial infarction with resulting loss of support of mitral papillary muscle and ischemic mitral regurgitation. We report a case of acute inferior myocardial infarction involving the RV that caused a transient dysfunction of the papillary muscle of the anterior tricuspid leaflet, generating a severe TR that resolved by early revascularization. Abstract P716 Figure. A: severe acute TR. B: few days after

scholarly journals A case of a small-sized cavernous hemangioma in the right ventricle - an incidental finding

2022 ◽  
Vol 17 (3) ◽  
pp. 856-862
Author(s):  
Thu Thuy Vu ◽  
Van Thach Nguyen ◽  
Quang Thai Tran ◽  
Minh Hanh Ngo Thi ◽  
Thanh Hoa Do ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Cavernous Hemangioma ◽  
Incidental Finding ◽  
The Right

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 Cardiac Hemangioma of RVOT in a Patient with Atypical Chest Pain

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Hossein Vakili ◽  
Isa Khaheshi ◽  
Mahnoosh Foroughi ◽  
Hamid Ghaderi ◽  
Shooka Esmaeeli ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Angiography ◽  
Right Ventricle ◽  
Transthoracic Echocardiography ◽  
Cardiac Tumor ◽  
Preoperative Diagnosis ◽  
Atypical Chest Pain ◽  
Cardiac Hemangioma ◽  
The Right

A 40-year-old man presented with atypical chest pain and fatigue from 15 days ago a suspicious mass in the right ventricle based on a bed side transthoracic echocardiography. Preoperative diagnosis of a cardiac hemangioma comes to mind in a minority of cases. In our case, a cardiac tumor was diagnosed and the vascular nature of the tumor was suggested by vascular blush on the coronary angiography. In addition, right ventriculotomy was the approach of choice in our case because of its inaccessibility and its particular location.

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