Cahide Soydas Cinar

Right atrial and ventricular thrombi in Behçet's disease : a case report and review of literature

Behçets disease is a chronic multi-system disease presenting with recurrent oral and genital ulceration, and relapsing uveitis. Cardiac involvement is an extremely rare manifestation of this disorder. We report an unusual case of Behçets disease characterized by a mural cardiac thrombi in the right atrium and right ventricle along with transient protein C and S deficiency.

Stress cardiomyopathy (Tako-Tsubo) following radiofrequency ablation in the right ventricular outflow tract

A 44-year-old female undergoing radiofrequency ablation in the right ventricular outflow tract for symptomatic, frequent premature ventricular contractions developed stress cardiomyopathy (Tako-Tsubo). Stress cardiomyopathy was probably due to hyperadrenergic state induced by the procedure itself, dobutamine infusion, sympathetic nerve stimulation at the ablation site, and parasympathetic withdrawal with atropine administration.

Two cases of cardiac cyst hydatid with right and left ventricular involvement.

Cardiac cyst hydatic is a rare disease. Two cases with left and right ventricular involvement are presented that demonstrate the use of echocardiography in the diagnosis and during follow up of the disease.

Relationship Between Echocardiographic Determinants of Left Atrial Spontaneous Echo Contrast and Thrombus Formation in Patients with Rheumatic Mitral Valve Disease.

Spontaneous echo contrast (SEC) may be detected by ultrasonography in environments favoring blood stasis. It is most commonly seen through the use of transesophageal echocardiography in the left atrium of patients with rheumatic mitral valve disease especially in the presence of atrial fibrillation. We studied the predictors of SEC, such as cardiac rhythm, left atrium and left atrial appendage functions, and mitral and pulmonary vein flow parameters, in patients with rheumatic mitral valve disease. The relationship between these parameters and the severity of SEC and appearance of thrombus was evaluated.

Left ventricle-right atrium communication along with a membranous septum aneurysm.

At the presentation, the patient was hemodynamically unstable in an anasarcatic state. On physical examination, her blood pressure was 90/65 mmHg. There was no need for mechanical ventilation and inotropic support. Pitting pretibial edema was observed as three plus and the jugular veins were distended. By auscultation, rales in both lung bases, a closing click of the mitral prosthetic valve and grade 4/6 pansystolic murmur were heard with a shudder along the left sternal border. Hepatomegaly was palpable with ascites. Electrocardiography revealed a sinus rhythm with first-degree atrioventricular conduction delay and incomplete right bundle branch block (RBBB). Chest radiograph showed marked cardiomegaly and pulmonary venous congestion. Computed tomography of the thorax showed marked enlargement in the right atrium (RA), right ventricle (RV) and pulmonary artery. An aneurysm in the ventricular membranous septum was also displayed.

Mycotic Aneurysms of Aortic Root and Aorta-to-Left Atrial Fistula Complicating Bicuspid Aortic Valve Endocarditis

Unlike root abscess, fistula formation is quite uncommon in aortic valve endocarditis. In this report, we describe a patientwith subacute bicuspid aortic valve endocarditis complicated by aortic insufficiency, mycotic aneurysms of the aortic root and fistulous communication between the aorta and the left atrium and his recovery upon surgical treatment.

A complicated trilogy: persistent left superior vena cava with hypertrophic cardiomyopathy and atrial septal defect

Extract: A 28-year-old asymptomatic woman was referred to ourclinic for evaluation of a heart murmur. Transthoracic echocardiography (TTE) demonstrated ventricular hypertrophy with septal thickness of 26 mm., consistent with hypertrophic cardiomyopathy (HCM). The diagnosis of HCM was confirmed by contrast-enhanced magnetic resonance imaging, and late gadolinium enhancement was observed in the anterior wall ...

Chronic Papillary Muscle Rupture: 14-Year Survival without Surgical Treatment

UNLABELLED Papillary muscle rupture is a life-threatening complication of myocardial infarction which is usually refractory to medical treatment. We present a very rare case of a 65-year-old woman who had a myocardial infarction and posteromedial papillary muscle rupture which was only treated with medical therapy, including her corresponding 14-year follow-up. However, surgical intervention is still strongly recommended because the prognosis of acute papillary muscle rupture associated with myocardial infarction remains poor. KEY WORDS Complication; Myocardial infarction; Papillary muscle rupture; Survival.