Implantation of Pacemaker in a Patient with Dextrocardia, Persistent Left Superior Vena Cava, TGA and Heart Block
Murat KERKUTLUOGLU and Mahmut Tuna KATIRCIBASI
Article Type: CASE REPORT | First Published: August 29, 2018
Congenital anomalies of the heart may generate difficulties for cardiac invasive procedures. Dextrocardia is a rare congenital heart disease in which the apex of the heart is located on the right side of the chest. Patients with transposition of great arteries (TGA) abnormalities are at risk for complete cardiac block and usually require a permanent cardiac pacemaker in long-term follow-up. The persistent left superior vena cava (PLSCV) is a rare venous anomaly, often associated with abnormaliti...
Hyperhomocysteinemia: How Does it Affect the Development of Cardiovascular Disease?
Lopes Cardoso I
Article Type: Review Article | First Published: August 27, 2018
Homocysteine is an amino acid with an SH group, metabolised by the remethylation and transsulfuration pathways. Several genetic and environmental factors (like deficient nutrition status, systemic disease or consumption of certain drugs), can lead to changes in the levels of plasma homocysteine. Nowadays, hyperhomocysteinemia is considered an important and independent risk factor for atherosclerosis and cardiovascular disease....
Coronary Artery Ectasia: An Interventional Cardiologist's Dilemma
Matthew Schmidt and Timothy E Paterick
Article Type: Case Report | First Published: July 28, 2018
Coronary artery ectasia is defined as a localized, or diffuse dilation of a coronary artery lumen. Coronary artery ectasia is well recognized, but a rare finding encountered during diagnostic coronary angiography. Coronary artery ectasia represents a form of atherosclerotic coronary artery disease, seen in 1.4-4.9% of patients undergoing coronary angiography. It may be an isolated finding, or in combination with stenotic lesions. ...
Lipoprotein(a) and Atherosclerosis: A Case Report and Literature Review
Marc Lubitz and Vaskar Mukerji
Article Type: Case Report | First Published: June 25, 2018
A 61-year-old man presented with central chest and vague left shoulder pain precipitated by a brisk walk up a steep hill. His pain resolved with rest. He has never had this pain before and had no associated symptoms. He has no other medical problems. He is known to have three vessel coronary artery disease (CAD) based on two previous cardiac catheterizations. His initial catheterization was conducted to evaluate the cause reversibility on an exercise stress test using radioisotope technetium 99M...
Clinical Features and Management of Patients with an Anomalous Origin of the Coronary Arteries
Carolina Espejo-Paeres, Carmen Olmos, Pedro Martinez-Losas, Fabian Islas, Javier Higueras-Nafria, David Vivas and Isidre Vilacosta
Article Type: Case Report | First Published: May 30, 2018
An anomalous origin of a coronary artery is a rare congenital condition in which a coronary artery arises from the opposite coronary sinus. Most coronary artery anomalies are an incidental finding without clinical significance, although some cases may be potentially life threatening, depending on the origin, course and termination of the anomalous vessel. Anatomical features of risk are an aortic intramural course or inter-arterial course....
Ventricular Electrical Standstill in a Patient with Left Ventricular Assist Device
Chee Kiang Teoh, Kah Leng Ho, Louis Teo, David Sim, Ka Lee Kerk, Jia Lin Soon, Teing Ee Tan, Sivathasan Cumaraswamy and Choon Pin Lim
Article Type: Case Report | First Published: February 02, 2018
Left ventricular assist device (LVAD) is designed primarily for circulatory support in left ventricular failure and its function relies heavily on intrinsic right ventricular function. We report, to our knowledge, the longest reported case of ventricular electrical standstill from progressive cardiomyopathy who was successfully managed on LVAD. A 51-year-old man, non-ischaemic cardiomyopathy who had been on HeartMate II LVAD support for three years, presented with frequent intermittent low pump ...