Case series of patients treated with the oral fluoropyrimidine S-1 after capecitabine-induced coronary artery vasospasm

2017 ◽  
Vol 81 ◽  
pp. 130-134 ◽  
Author(s):  
Johannes J.M. Kwakman ◽  
Arnold Baars ◽  
Annette A. van Zweeden ◽  
Pieter de Mol ◽  
Miriam Koopman ◽  
...  
Cardiology ◽  
2021 ◽  
pp. 1-8
Author(s):  
Nurdan Erol

Myocardial bridging (MB) is a congenital anomaly where a coronary artery branch or group of branches extends inside a tunnel consisting of myocardium. Although it is mostly considered “benign,” it is reported that MB may lead to significant cardiac problems and sudden cardiac deaths. While it is a congenital anomaly, its symptoms usually arise at further ages rather than childhood. The literature on MB in children is in the form of case reports or small case series. This is why pediatric cases are assessed in the light of information obtained from adults. This review compiled the literature on MB in adults and children and compared it, as well as discussing questions arising regarding the clinic, diagnosis, and treatment of MB.


2021 ◽  
Vol 14 (10) ◽  
pp. e245566
Author(s):  
Ahmed Gargoum ◽  
Idris Bare ◽  
Christopher Pekrul ◽  
Shravan Nosib

We present the case of a previously healthy 25-year-old woman who presented with an out-of-hospital ventricular fibrillation arrest. Postresuscitation ECG did not show any evidence of ST segment elevation. Echocardiogram showed regional wall abnormalities in keeping with takotsubo syndrome (TTS). Urgent coronary angiogram to rule out malignant congenital coronary artery anomaly revealed an isolated severe ostial left main coronary artery (LMCA) stenosis, a rare disease, approximately 0.2% in previous case series. The LMCA was aneurysmal. Genetic studies revealed a novel frameshift pathogenic variant in the transforming growth factor B two ligand gene (TGFB2) gene, suggestive of Loeys-Dietz syndrome (LDS) type 4, an aggressive vascular disease. Ostial LMCA stenosis has not been previously reported in LDS, and we outline the management of this unique disease combination. We also reflect on its presentation as TTS and infer that TTS and acute coronary syndromes are not mutually exclusive.


2020 ◽  
Vol 12 (9) ◽  
pp. 468-474
Author(s):  
Dennis Grewal ◽  
Adeba Mohammad ◽  
Pooja Swamy ◽  
Islam Abudayyeh ◽  
Mamas A Mamas ◽  
...  

Cureus ◽  
2021 ◽  
Author(s):  
Nouraldeen Manasrah ◽  
Ali F Al Sbihi ◽  
Kendall Bell ◽  
Luis C Afonso ◽  
Nimrod Blank

2020 ◽  
pp. 124-124
Author(s):  
Stefan Juricic ◽  
Milorad Tesic ◽  
Milan Dobric ◽  
Srdjan Aleksandric ◽  
Zlatko Mehmedbegovic ◽  
...  

Background. Chronic total occlusion (CTO) of coronary artery still represents one of the most challenging lesion subset in field of interventional cardiology. Considering the complexity and increased risk posed by the retrograde approach, it is most often performed after a failed antegrade approach. Methods. We present a series of cases dedicated to the retrograde approach as a special technique for the treatment of chronic total coronary artery occlusion. All cases have some special characteristics that are today part of a dedicated portfolio in every cath lab. Results. In our series of cases all of three percutaneous coronary interventions (PCI) with retrograde approach finished with successful recanalization of CTO with different strategy and supported with rotational atherectomy (RA) or intravascular ultrasound (IVUS). Conclusion. In cases where there is the presence of interventional collaterals, as well as when the anterograde approach is very difficult, the retrograde approach can increase the success rate of procedures. The retrograde approach requires a long learning curve as well as very skilled and experienced operators who are able to perform the procedure independently.


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