[Atypical chest pain revealing an asymptomatic Ebstein´s anomaly: case report]. / Une maladie d'Ebstein asymptomatique découverte à l'occasion d'une douleur thoracique atypique: à propos d'un cas.

Ebstein´s disease is a rare congenital malformation whose clinical presentation differs according to the anatomical form and age of the patient. In adults, it presents mainly as right or global heart failure or arrhythmia. Survival is exceptionally long in some cases. Management varies according to the anatomical form and clinical presentation, ranging from simple surveillance for asymptomatic patients to surgical management for other cases. We report the case of a patient with asymptomatic Ebstein´s disease until the age of 54 years when it was discovered at the time of atypical chest pain, an uncommon presentation of the disease. Management in this case consisted of strict clinical and ultrasound surveillance.

Late pulmonary embolism in a patient with non-severe COVID-19: case report, value of antithrombotic prophylaxis and literature review.

Since the onset of the COVID-19 pandemic, several small cohorts have reported the recurrent occurrence of venous thromboembolic disease (VTE), particulary pulmonary embolism, in serious patients hospitalized in intensive care units. We report the case of a patient who presented a minor COVID-19 infection treated on an outpatient basis with good clinical resolution. She developed a pulmonary embolism three weeks after the onset of symptoms. When she was admitted to the emergency room, the two real time reverse transcription polymerase chain reactions (RT-PCRs) performed were negative, moreover the anti-SARS-CoV-2 Immunoglobulin Gs (IgGs) serological test was positive and the chest scanner without and with injection of contrast product showed specific images of COVID-19 with intermediate pulmonary embolism according to the classification of the European society of cardiology (ESC). This observation is interesting since there are not many studies which address the question of the occurrence of late pulmonary embolism in patients with non-severe COVID-19 and raises the discussion on the criteria for the initiation of thromboembolic prophylaxis treatment at the first diagnosis of the disease and duration of that treatment.

Acute coronary syndrome with non ST segment elevation myocardial infarction revealing anomalous connection of the left anterior descending artery.

The occurrence of an acute coronary syndrome (ACS) with an anomalous connection of coronary artery (ANOCOR) identified as a culprit artery is very rare. This association may lead in some anatomical forms to a delay in coronary reperfusion. We report the clinical case of a patient admitted for high-risk Non ST elevation myocardial infarction (NSTEMI) in whom coronary angiography accidentally discovers an anomalous connection of the left coronary network from the right anterior. In light of this case and a review of literature, we discuss the peculiarities of these anomalous connections.

Unexpected normal left ventricular systolic function after total chronic occlusion of left main coronary artery and stenosis of right coronary artery: a case report and review of the literature.

INTRODUCTION: Total occlusion of the left main coronary artery is a very rare finding in coronary angiography because of its highly lethal nature. Right coronary artery dominance and extensive collateral circulation are the principal determinant factors of survival after total occlusion of the left main coronary artery. The impact on the left ventricle is often significant with a profound alteration of its systolic function. CASE PRESENTATION: We describe a 52-year-old North African man, a tobacco smoker, who presented symptoms of unstable angina related to a total chronic occlusion of his left main coronary artery with a right coronary artery stenosis. Unexpectedly, the impact on his left ventricle was absent with normal dimensions and systolic function. He underwent a successful on-pump coronary artery bypass grafting with uneventful postoperative course and good recovery. CONCLUSIONS: Total occlusion of the left main coronary artery is a rare condition, the fact that the left ventricle retains a normal size and systolic function makes it exceptional, which must be kept in mind to avoid dangerous examinations and delayed treatment. Coronary artery bypass surgery should be considered the main treatment of total chronic occlusion of the left main coronary artery.

[Cardiovascular risk and obstructive sleep apnea]. / Risque cardiovasculaire et syndrome d'apnées obstructives du sommeil.

Obstructive sleep apnoea (OSA) affects approximately 4% of men and 2% of women in the middle ages but many of these patients are not diagnosed or treated. Cardiovascular and cerebrovascular morbidity and mortality are associated with sleep apnoea. This causal link has been confirmed in recent years on the basis of epidemiological, experimental and therapeutic data. The prevalence in the general population and the impact on the genesis and evolution of systemic and pulmonary arterial hypertension, of cardiac rhythm disorders, of coronary artery disease, of heart failure and of strokes should encourage clinicians to early diagnose and treat sleep disordered breathing and, if possible, to prevent them.

[Atheromatous coronary ectasia]. / Athérome coronaire éctasiant.

Coronary ectasias are relatively rare and poorly known pathologies. In adults they are caused most often by atheromas. These anomalies can expose to intracoronary thrombotic risk due to blood stasis. They are most often associated with stenosing lesions which may affect the prognosis. We here report three observations of patients hospitalized for acute coronary syndrome associated with ST elevation and mega coronary appearance detected on coronarography and conduct a review of the literature on this type of lesions.

[Peripartum cardiomyopathy: about a case and review of the literature]. / Cardiomyopathie du péripartum: à propos d'une observation et revue de la littérature.

Peripartum cardiomyopathy or primitive pregnancy-induced cardiomyopathy is a rare and little known entity characterized systolic heart failure occurring in the last month of pregnancy or in the first five months postpartum in the absence of known cause or pre-existing heart disease. We report the case of a 31-year old young patient with no significant past medical history admitted to hospital with congestive left heart failure 1 month after delivery. Presumptive diagnosis was made on the basis of the context of peripartum and justified the realization of CT scan which confirmed this entity.

[Cardiac manifestations of Takayasu's disease: observation and review of the literature]. / Manifestations cardiaques de la maladie de Takayasu: à propos d'une observation et revue de la literature.

Takayasu's disease is a rare inflammatory vascular disease, preferentially affecting young woman with predominant involvement of the aorta and its first division branches. We here report the case of a patient with ostial left main trunk involvement following non-ST elevation acute coronary syndrome revealing Takayasu's disease and we highlight the various cardiovascular manifestations of this disease.