scholarly journals A Remnant Sewing Needle in the Right Ventricle as a Cause of Chest Pain

2009 ◽  
Vol 33 (1) ◽  
pp. E23-E25 ◽  
Author(s):  
Hasan Gungor ◽  
Hamza Duygu ◽  
Bekir Serhat Yildiz ◽  
Ilker Gul ◽  
Mehdi Zoghi ◽  
...  
Keyword(s):  
Chest Pain ◽  
Right Ventricle ◽  
Sewing Needle ◽  
The Right

An unusual presentation of chest pain: Needle perforation of the right ventricle

Heart & Lung ◽  
2013 ◽  
Vol 42 (3) ◽  
pp. 218-220 ◽  
Author(s):  
Kristin L. Thanavaro ◽  
Sadia Shafi ◽  
Charlotte Roberts ◽  
Michael Cowley ◽  
James Arrowood ◽  
...  
Keyword(s):  
Chest Pain ◽  
Right Ventricle ◽  
Unusual Presentation ◽  
The Right

Needle fragment embolism into the right ventricle: a rare cause of chest pain case report and literature review

2015 ◽  
Vol 128 (5-6) ◽  
pp. 215-220 ◽  
Author(s):  
Barbara Anna Danek ◽  
Petr Kuchynka ◽  
Tomas Palecek ◽  
Vladimir Cerny ◽  
Karel Hlavacek ◽  
...  
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Literature Review ◽  
Right Ventricle ◽  
The Right

scholarly journals P716 Acute chest pain and new onset severe and asymmetric functional tricuspid regurgitation: What is going on?

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
G Ramirez-Escudero Ugalde ◽  
N Garcia Ibarrondo ◽  
A Manzanal Rey ◽  
M Codina Prat ◽  
L Ruiz Gomez ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Chest Pain ◽  
Right Ventricle ◽  
Tricuspid Valve ◽  
Papillary Muscle ◽  
Tricuspid Regurgitation ◽  
Inferior Myocardial Infarction ◽  
The Right ◽  
Acute Inferior Myocardial Infarction ◽  
New Onset

Abstract Acute inferior myocardial infarction can be complicated by conduction disorders and/or by extension to the right ventricle (RV). Both situations can resolve with an early percutaneous revascularization. We report a case of a 73-year-old woman, with arterial hypertension, dyslipidemia, and studied by cardiology for atypical chest pain, with several negative ischemia detection tests. She was brought to the Emergency Department due to oppressive chest pain irradiated to the left upper extremity. An electrocardiogram was performed, highlighting a complete atrioventricular block with suprahisian escape and ST segment elevation in inferior leads. Tendency to arterial hypotension and multiple episodes of asymptomatic non-sustained monomorphic ventricular tachycardias as well as self-limiting Torsade de Pointes were registered. The transthoracic echocardiogram (TTE) showed an akinesia circumscribed to the basal segment of the inferior left ventricle wall, a non-dilated RV with akinesia of its anterior wall and a new onset functional and asymmetric severe tricuspid regurgitation (TR) by tethering of the anterior leaflet. It was not possible to estimate the RV-RA gradient by obtaining a dense triangular doppler continuous wave jet contour with early peak. Vena contracta was 7 mm long. An urgent coronary angiography was performed in which the presence of an acute thrombotic occlusion of the proximal segment of the right coronary artery was confirmed. A drug-eluting stent was implanted, with good result. With all this, it was possible to stabilize the patient"s electrical and hemodynamic situation. A TTE was repeated one week after, in which mild to moderate tricuspid regurgitation was observed, coinciding with improvement of the RV systolic function and better mobility of the anterior tricuspid leaflet. Anatomically, the tricuspid valve consists of anterior, septal, and posterior leaflets. Each leaflet is connected via chordae tendineae to the anterior, posterior, and septal papillary muscles of the right ventricle, respectively. The cause of functional TR appears to be tricuspid annular dilatation and tethering of the tricuspid valve leaflets (because of LV failure, pulmonary hypertension, left-to-right shunt, or RV infarction). Primary disorders of the tricuspid valve causing TR are less common. RV myocardial infarction may involve the wall supporting the papillary muscle with resulting tension on the chordae causing TR. The 2D TTE demonstrates incomplete and often asymmetric closure of the tricuspid leaflets with apical displacement of the coaptation point. This phenomenon is similar to that seen with LV myocardial infarction with resulting loss of support of mitral papillary muscle and ischemic mitral regurgitation. We report a case of acute inferior myocardial infarction involving the RV that caused a transient dysfunction of the papillary muscle of the anterior tricuspid leaflet, generating a severe TR that resolved by early revascularization. Abstract P716 Figure. A: severe acute TR. B: few days after

scholarly journals Incidental Finding of an Asymptomatic Migrated Coil to the Right Ventricle Following Pelvic Vein Embolisation

2021 ◽  
Vol 4 ◽  
Author(s):  
Luca Scott ◽  
Jack Cullen
Keyword(s):  
Chest Pain ◽  
Right Ventricle ◽  
Incidental Finding ◽  
Complication Rates ◽  
Migration Rates ◽  
Pelvic Vein ◽  
Delayed Complications ◽  
The Right ◽  
Coil Migration ◽  
Metallic Coils

Pelvic vein embolisation (PVE) with metallic coils is an effective treatment for pelvic venous congestion. The migration of coils following the procedure has been well-reported; however, the most effective approach to management is still unclear. In the present case, the authors describe the delayed identification of a migrated coil to the right ventricle following an ovarian vein embolisation. The patient presented to the emergency department with chest pain and subsequent radiology identified a coil in the right ventricle. This was found to be present on previous radiology, but had not been reported on. The position of the coil had remained stable and therefore was deemed an unlikely cause for the chest pain. The coil was managed conservatively. This demonstrates how asymptomatic coil migration may go undetected and thus the migration rates in the literature may be underreported. Post-PVE screening to assess for migration could improve the accuracy of complication rates and prevent delayed complications associated with migrated coils.

scholarly journals Primary percutaneous transluminal coronary angioplasty in the acute infarction of the right ventricle

2003 ◽  
Vol 60 (1) ◽  
pp. 81-87
Author(s):  
Branko Gligic ◽  
Vjekoslav Orozovic ◽  
Slobodan Obradovic ◽  
Sinisa Rusovic ◽  
Jelena Kostic ◽  
...  
Keyword(s):  
Chest Pain ◽  
Right Ventricle ◽  
Cardiogenic Shock ◽  
Coronary Angioplasty ◽  
Percutaneous Transluminal Coronary Angioplasty ◽  
Invasive Approach ◽  
Acute Infarction ◽  
Transluminal Coronary Angioplasty ◽  
The Right ◽  
Percutaneous Transluminal

Background. Predilection site for the acute myocardial infarction of the right ventricle, (AMI-RV) is the upper third of the right coronary artery and for this reason such an infarction is followed by numerous complications, primarily by conduction disorders and very often by sudden and rapid cardiogenic shock development. Methods. Primary percutaneous transluminal coronary angioplasty (PPTCA) was performed on three patients in whom the acute infarction of the right ventricular was diagnosed and who had been hospitalized six hours after the beginning of chest pain. In all three patients intracoronary stent was implanted. On the admission patients had been in the threatening cardiogenic shock, with the prominent chest pain and with the elevation of ST-segment in V4R>2 mV. In the course of intervention patients were administered low-molecular intracoronary heparin with direct platelet glycoprotein IIb/IIIa inhibitors (abciximab), according to the established procedure applied in such cases. Results. The complete dilatation of the infarcted artery was established with the signs of reperfusion and the further clinical course was completely normal, there was no heart failure and patients had no subjective difficulties. Conclusion. Invasive approach in the treatment of AMI-RV is justifiable, and possibly the therapy of choice of these patients, providing well trained and equipped team is available.

scholarly journals Cardiac Hemangioma of RVOT in a Patient with Atypical Chest Pain

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Hossein Vakili ◽  
Isa Khaheshi ◽  
Mahnoosh Foroughi ◽  
Hamid Ghaderi ◽  
Shooka Esmaeeli ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Angiography ◽  
Right Ventricle ◽  
Transthoracic Echocardiography ◽  
Cardiac Tumor ◽  
Preoperative Diagnosis ◽  
Atypical Chest Pain ◽  
Cardiac Hemangioma ◽  
The Right

A 40-year-old man presented with atypical chest pain and fatigue from 15 days ago a suspicious mass in the right ventricle based on a bed side transthoracic echocardiography. Preoperative diagnosis of a cardiac hemangioma comes to mind in a minority of cases. In our case, a cardiac tumor was diagnosed and the vascular nature of the tumor was suggested by vascular blush on the coronary angiography. In addition, right ventriculotomy was the approach of choice in our case because of its inaccessibility and its particular location.

Case 13.30

2014 ◽  
pp. 671-672
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Chest Pain ◽  
Right Ventricle ◽  
Cervical Carcinoma ◽  
Right Atrium ◽  
Anterior Wall ◽  
Proton Density ◽  
Short Axis ◽  
Free Wall ◽  
Contrast Enhanced ◽  
The Right

46-year-old woman receiving chemotherapy and radiotherapy for cervical carcinoma diagnosed 6 months ago; she now has new-onset chest pain Axial double (Figure 13.30.1) and triple (Figure 13.30.2) inversion recovery FSE images with proton density- and T2-weighting demonstrate a poorly defined mass involving the anterior wall of the right atrium and free wall of the right ventricle. Short-axis contrast-enhanced LGE images (...

scholarly journals Acute chest pain in a triathlete: rupture of the noncoronary sinus of Valsalva into the right ventricle

2016 ◽  
Vol 8 (10) ◽  
pp. E1199-E1201
Author(s):  
Ernan Zhu ◽  
Ralf Westenfeld ◽  
Mareike Gastl ◽  
Florian Bönner ◽  
Alexander Assmann ◽  
...  
Keyword(s):  
Chest Pain ◽  
Right Ventricle ◽  
Acute Chest Pain ◽  
Sinus Of Valsalva ◽  
The Right
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