RESUMO
Cocaine is a potent sympathomimetic drug usually associated with cardiotoxicity, including ventricular arrhythmia, systemic hypertension and acute myocardial infarction. It constitutes the most frequent cause of drug-related death reported by medical examiners in the US, and these events are most often related to the cardiovascular manifestations of the drug. However; to the best of our knowledge; cocaine induced acute myocarditis has very rarely been reported. We describe the case of a 19 year-old male regular user of marijuana and cocaine who was admitted for a suspicion on an acute lateral-wall myocardial infarction and in whom the final diagnosis of acute cocaine myocarditis has been made. We report diagnosis modalities and evolution.
Assuntos
Transtornos Relacionados ao Uso de Cocaína/complicações , Miocardite/etiologia , Doença Aguda , Humanos , Masculino , Adulto JovemRESUMO
Renal carcinoma is an aggressive cancer with a high metastatic tendency. It may invade the renal vein, inferior vena cava and potentially extend in some cases to the right heart cavities. We report a case of a 71-year-old male presenting with an impressive polylobular tissular mass inside the right atrium and the right ventricle revealing an aggressive renal carcinoma extending through the inferior vena cava.
Assuntos
Carcinoma de Células Renais/patologia , Átrios do Coração , Neoplasias Cardíacas/patologia , Ventrículos do Coração , Neoplasias Renais/patologia , Neoplasias Vasculares/patologia , Veia Cava Inferior , Idoso , Humanos , Masculino , Invasividade NeoplásicaRESUMO
Cor triatrium is a rare congenital heart disease typically diagnosed amongst very young patients. Delayed diagnosis in the elderly is much more unusual. We report the case of a 59-year-old male with unremarkable medical history in whom we have discovered, on an echocardiography performed for an exploration of transient ischemic accident with atrial fibrillation, a particular form of an isolated cor triatrium dextrum investigated with multimodality imaging.
Assuntos
Coração Triatriado/diagnóstico , Diagnóstico Tardio , Fibrilação Atrial/diagnóstico , Fibrilação Atrial/etiologia , Ecocardiografia , Humanos , Masculino , Pessoa de Meia-Idade , Imagem MultimodalRESUMO
Posterior mediastinal hematoma in a rare and potentially lethal disease and is frequently consecutive to a traumatism. We report the original case of a 88-year-old male admitted to our department for lipothymia and syncope related to a severe compression of the left atrium by an important mediastinal hematoma mimicking in transthoracic echocardiography an obstructive intraatrial mass.
Assuntos
Apêndice Atrial/diagnóstico por imagem , Ecocardiografia , Hematoma/diagnóstico por imagem , Doenças do Mediastino/diagnóstico por imagem , Idoso de 80 Anos ou mais , Anticoagulantes/administração & dosagem , Anticoagulantes/efeitos adversos , Calcinose/diagnóstico por imagem , Constrição Patológica , Diagnóstico Diferencial , Dilatação Patológica/diagnóstico por imagem , Hematoma/induzido quimicamente , Hematoma/terapia , Hematoma Subdural/complicações , Hematoma Subdural/diagnóstico por imagem , Humanos , Assistência de Longa Duração , Imageamento por Ressonância Magnética , Masculino , Doenças do Mediastino/induzido quimicamente , Doenças do Mediastino/terapia , Fraturas da Coluna Vertebral/complicações , Fraturas da Coluna Vertebral/diagnóstico por imagem , Síncope/etiologia , Vértebras Torácicas/diagnóstico por imagem , Vértebras Torácicas/lesões , Conduta ExpectanteRESUMO
Pheochromocytoma is a rare tumor potentially life-threatening and associated with non specific and diverse symptomatology. Cardiac symptoms may mislead diagnosis; they could manifest as myocardial sideration concomitant to a hypertensive peak or supraventricular arythmia. We report a case of pheochromocytoma associated with hypokaliemia revealed by a myocardial ischemia with acute cardiac failure and severe left ventricular depression and complete reversal after surgery.