ABSTRACT
Ventricular noncompaction is a rare, heterogeneous cardiomyopathy characterized by marked trabeculations and deep intertrabecular spaces with clinical sequelae of heart failure, arrhythmias, and cardioembolic events. In this article, we describe a patient with isolated right ventricular noncompaction who presented with submassive pulmonary embolism, which was managed with long-term direct oral anticoagulation.
Subject(s)
Cardiomyopathies , Heart Failure , Pulmonary Embolism , Cardiomyopathies/complications , Cardiomyopathies/diagnostic imaging , Heart Failure/etiology , Heart Ventricles/diagnostic imaging , Humans , Pulmonary Embolism/complications , Pulmonary Embolism/diagnostic imagingABSTRACT
Penetrative cardiac injury can often result in life-threatening sequelae such as myocardial contusion or rupture, coronary vessel and valvular damage, pericardial effusion with tamponade, and arrhythmias of which gunshot injury is a chief culprit. We report a case of a suspected acute coronary syndrome after a cardiac gunshot injury that was conservatively managed.
Subject(s)
Acute Coronary Syndrome/etiology , Foreign Bodies/complications , Pericardial Effusion/etiology , Wounds, Gunshot/complications , Acute Coronary Syndrome/diagnosis , Cardiac Tamponade/etiology , Foreign Bodies/diagnosis , Humans , Male , Middle Aged , Pericardial Effusion/diagnosis , Radiography, Thoracic , Tomography, X-Ray ComputedABSTRACT
In isolated partial anomalous pulmonary venous connections (PAPVCs), an abnormal vein connects venous blood from the pulmonary circulation to the systemic circulation, resulting in an extracardiac shunt. A single aberrant pulmonary vein (PV) is usually hemodynamically insignificant, and affected patients are generally asymptomatic. We describe a young Caribbean-Black woman with an isolated, singular PAPVC from the left inferior PV to the left innominate (brachiocephalic) vein that was hemodynamically significant, obfuscated by recurrent pleural effusions from catamenial pleural endometriosis.
Subject(s)
Brachiocephalic Veins/abnormalities , Heart Defects, Congenital/diagnostic imaging , Pulmonary Veins/abnormalities , Scimitar Syndrome/diagnostic imaging , Adult , Computed Tomography Angiography , Echocardiography, Transesophageal , Electrocardiography , Female , Heart Defects, Congenital/surgery , Hemodynamics , Humans , Magnetic Resonance Imaging , Radiography, Thoracic , Scimitar Syndrome/surgeryABSTRACT
The quadricuspid aortic valve is an exceedingly rare congenital valvular anomaly, characterized by a tetrad of leaflets that typically presents with aortic regurgitation. Almost one third of cases are associated with coexisting cardiac defects with one fifth warranting surgical intervention. In this article, we describe the first documented-in-Caribbean case and present a brief clinical review of its pathophysiology, diagnosis, and management.
Subject(s)
Aortic Valve Insufficiency/etiology , Aortic Valve/abnormalities , Quadricuspid Aortic Valve/diagnosis , Adult , Aortic Valve/surgery , Echocardiography , Electrocardiography , Humans , Male , Quadricuspid Aortic Valve/surgery , Tomography, X-Ray Computed , Trinidad and TobagoABSTRACT
Pregnancy-associated spontaneous coronary artery dissection (PASCAD) accounts for less than 5% of spontaneous coronary artery dissection cases and is comparatively more fulminant or clinically aggressive. Several factors associated with PASCAD include black ethnicity, multiparity, hypertension, advanced maternal age, and age at first childbirth. This atypical case highlights a preeclamptic patient presenting with an ST-segment elevation myocardial infarction in which multivessel dissection of both the left anterior descending and right coronary arteries were deemed co-culprit lesions for the index event.
