Benign Metastasizing Leiomyoma of the Heart
Amit C Shah, Srijan Shrestha and Mark Rosenthal
Article Type: Case Report | First Published: September 29, 2018
This is a rare case of a 53-year-old woman with history of oophorectomy and hysterectomy 3 years prior to presentation admitted for gait abnormality and found to have a basal ganglia stroke. Transthoracic echocardiogram for stroke work up revealed a cardiac mass in the right atrium emanating from Inferior Vena Cava (IVC). Computed Tomography imaging of abdomen and pelvis ruled out malignancy. The mass was surgically removed due to high risk of embolization. Intraoperative, transesophageal echoca...
Pacemaker Twiddler Syndrome - A Rare but Serious Cause of Pacemaker Malfunction
Gurkirat Singha, Hemant Khemani, Zahidullah Khan and Narender Omprakash Bansal
Article Type: Case Report | First Published: September 27, 2018
Twiddler's syndrome is a rare complication after pacemaker implantation. It is caused by conscious or unconscious manipulation at the implantation site by the patient with the result of device malfunction. It results in lead dislodgment, diaphragmatic stimulation, and loss of capture. In a pacemaker dependent patient, it can be a lethal complication. It usually occurs in the first year following pacemaker implantation. The treatment involves readmission, repositioning of the dislodged leads and ...
Chronic Total Coronary Occlusions: Stress Echocardiography with Speckle Tracking Analysis Study
Ines Monte, Francesco Calvo, Giovanni Millan, Vincenzo Lavanco, Corrado Tamburino
Article Type: Original Article | First Published: September 24, 2018
Chronic total coronary occlusions (CTO) are found in approximately 15-30% of patients who undergo coronary angiography for suspected or known coronary artery disease. Speckle Tracking Echocardiography (STE) is a novel technology to assessing modifications of myocardial deformation with higher accuracy than the simple visual of regional wall motion. The study was to evaluate, using STE applied to dobutamine stress echocardiography (DSE), changes in echo parameters before and after successful reca...
A Rare Late Term Complication of Vascular Surgery: True Common Femoral Artery Aneurysm
Ali Buturak, Ulaankhuu Batgerel and Duhan Fatih Bayrak
Article Type: Case Report | First Published: September 24, 2018
Femoral artery aneurysm is a rarely seen peripheral aneurysm which may lead to thrombosis, embolism and fatal rupture in untreated cases. Although femoral artery aneurysm is usually caused by atherosclerosis or chronic inflammation, aneurysm formation in sites of anastomosis, grafts or endarterectomy territory may occur at late term. A 57-years-old man presenting with stable angina pectoris was admitted for coronary angiography with documented ischemia in exercise stress test. The patient had a ...