RESUMO
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.
Assuntos
Cardiomiopatias , Insuficiência Cardíaca , Embolia Pulmonar , Cardiomiopatias/complicações , Cardiomiopatias/diagnóstico por imagem , Insuficiência Cardíaca/etiologia , Ventrículos do Coração/diagnóstico por imagem , Humanos , Embolia Pulmonar/complicações , Embolia Pulmonar/diagnóstico por imagemRESUMO
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.
Assuntos
Síndrome Coronariana Aguda/etiologia , Corpos Estranhos/complicações , Derrame Pericárdico/etiologia , Ferimentos por Arma de Fogo/complicações , Síndrome Coronariana Aguda/diagnóstico , Tamponamento Cardíaco/etiologia , Corpos Estranhos/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Derrame Pericárdico/diagnóstico , Radiografia Torácica , Tomografia Computadorizada por Raios XRESUMO
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.
Assuntos
Veias Braquiocefálicas/anormalidades , Cardiopatias Congênitas/diagnóstico por imagem , Veias Pulmonares/anormalidades , Síndrome de Cimitarra/diagnóstico por imagem , Adulto , Angiografia por Tomografia Computadorizada , Ecocardiografia Transesofagiana , Eletrocardiografia , Feminino , Cardiopatias Congênitas/cirurgia , Hemodinâmica , Humanos , Imageamento por Ressonância Magnética , Radiografia Torácica , Síndrome de Cimitarra/cirurgiaRESUMO
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.
Assuntos
Insuficiência da Valva Aórtica/etiologia , Valva Aórtica/anormalidades , Válvula Aórtica Quadricúspide/diagnóstico , Adulto , Valva Aórtica/cirurgia , Ecocardiografia , Eletrocardiografia , Humanos , Masculino , Válvula Aórtica Quadricúspide/cirurgia , Tomografia Computadorizada por Raios X , Trinidad e TobagoRESUMO
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.
