Subject(s)
Heart Aneurysm/diagnosis , Heart Ventricles/diagnostic imaging , Myocardial Ischemia/diagnosis , Cardiac Surgical Procedures/methods , Coronary Angiography , Echocardiography, Doppler, Color , Heart Aneurysm/complications , Heart Aneurysm/surgery , Heart Ventricles/surgery , Humans , Magnetic Resonance Imaging, Cine , Male , Middle Aged , Myocardial Ischemia/etiology , Myocardial Ischemia/surgeryABSTRACT
Familial constrictive pericarditis is extremely rare. We report a case of two brothers both suffering constrictive pericarditis along with having multiple painless joint deformities. Genetic workup confirmed the clinical diagnosis of camptodactyly-arthropathy-coxa vara-pericarditis (CACP) syndrome CACP syndrome and also revealed a rare mutation in the causative gene.
Subject(s)
Arthropathy, Neurogenic/genetics , Coxa Vara/genetics , DNA/genetics , Hand Deformities, Congenital/genetics , Mutation , Pericarditis, Constrictive/genetics , Proteoglycans/genetics , Rare Diseases , Siblings , Synovitis/genetics , Adolescent , Arthropathy, Neurogenic/diagnosis , Arthropathy, Neurogenic/metabolism , Cardiac Catheterization , Child , Coxa Vara/diagnosis , Coxa Vara/metabolism , DNA Mutational Analysis , Echocardiography , Genetic Testing , Hand Deformities, Congenital/diagnosis , Hand Deformities, Congenital/metabolism , Humans , Male , Pedigree , Pericarditis, Constrictive/diagnosis , Pericarditis, Constrictive/metabolism , Proteoglycans/metabolism , Synovitis/diagnosis , Synovitis/metabolismABSTRACT
Ruptured sinus of Valsalva aneurysm is a rare anomaly and an associated coarctation of aorta is even rarer. A combination of such defects is traditionally treated surgically. The surgery is necessarily staged and done through different approaches. We report successful simultaneous transcatheter treatment of both these defects performed in the same setting in an acutely ill adult male patient with a good intermediate-term follow-up.
Subject(s)
Aneurysm, Ruptured/diagnosis , Aneurysm, Ruptured/surgery , Aortic Coarctation/diagnosis , Aortic Coarctation/surgery , Aortic Rupture/diagnosis , Aortic Rupture/surgery , Septal Occluder Device , Sinus of Valsalva , Stents , Adult , Humans , MaleABSTRACT
A 26 year primigravida, 8 days after delivering a still born baby presented with gradually progressive dyspnea from New York Heart Association (NYHA) class II to class III over a period of 1 week. 2D-Echocardiography showed severely compromised left ventricular systolic function with evidence of thrombi in three different chambers of the heart. All the clots disappeared after an effective anticoagulation therapy without any embolic complications. The hypercoagulable state of the peripartum period and the severe biventricular dysfunction led to the formation of clots.