Ahmad S. Omran

Primary cardiac synovial sarcoma demonstrated by 3D transesophageal echocardiogram

A 26-year old male patient presented with a 9 month history of progressive shortness of breath, easy fatigability, abdominal distension, and lower limb oedema. He had large bilateral pleural effusion on the chest X ray, right-axis deviation and incomplete right bundle branch block on the ECG. Transthoracic echocardiography and transoesophageal echocardiography (TEE) 2D and 3D showed …

Paradoxical embolism in acute myocardial infarction in a patient with congenital heart disease

We present a case of a young male with severe pulmonary stenosis, hypoplastic right ventricle, and atrial septal defect. Acute embolic myocardial infarction, followed by cardiac arrest, occurred during hospitalization after Glenn operation. The therapeutic challenges are discussed. Insufficient anticoagulation therapy during the postoperative period was a possible contributing factor leading to embolic myocardial infarction.