scholarly journals Biventricular Failure due to Stress Cardiomyopathy after Pericardiectomy for Constrictive Pericarditis

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Elliott M. Groves ◽  
Jin Kyung Kim
Keyword(s):  
Constrictive Pericarditis ◽  
Coronary Atherosclerosis ◽  
Single Ventricle ◽  
Surgical Intervention ◽  
Rare Complication ◽  
Stress Cardiomyopathy ◽  
Rare Clinical Entity ◽  
Resonance Imaging ◽  
Biventricular Failure ◽  
Echocardiographic Assessment

Importance. Constrictive pericarditis is a rare clinical entity that frequently necessitates surgical intervention. Here we present a case of biventricular failure due to stress cardiomyopathy after pericardiectomy. This is an extremely rare complication that is not well described and does not have a definitive mechanism.Observations. A 40-year-old Ecuadorian woman who was found to have constrictive pericarditis due toMycobacterium tuberculosisinfection was referred to our institution. The presence of constrictive pericarditis was confirmed by echocardiography, computed tomography, magnetic resonance imaging, and cardiac catheterization. Following pericardiectomy, the patient developed biventricular failure consistent with stress cardiomyopathy (Takotsubo cardiomyopathy), based on the echocardiographic assessment of the ventricles, which demonstrated an akinetic apex and hyperactive base in both ventricles, the absence of significant epicardial coronary atherosclerosis, and prompt normalization of the cardiac function after intensive medical therapy.Conclusions and Relevance. Biventricular failure in the form of stress cardiomyopathy after pericardiectomy in the manner presented here has not been previously described in the literature. While postulations as to the cause of single ventricle dysfunction have been described, the exact mechanism is unclear and current theories do not explain the clinical features in this case of stress cardiomyopathy after pericardiectomy.

Nonketotic Hyperglycemic Chorea in a 10-Year-Old Asian Boy with Diabetes Mellitus

2020 ◽  
Author(s):  
Julia Marian ◽  
Firdous Rizvi ◽  
Lily Q. Lew
Keyword(s):  
Diabetes Mellitus ◽  
Parietal Lobe ◽  
Rare Complication ◽  
Brain Magnetic Resonance Imaging ◽  
Food Allergies ◽  
Developmental Venous Anomaly ◽  
Venous Anomaly ◽  
Resonance Imaging ◽  
Focal Lesions

AbstractNonketotic hyperglycemic chorea-ballism (NKHCB), also known as diabetic striato-pathy (DS) by some, is a rare complication of diabetes mellitus and uncommon in children. We report a case of a 10 11/12-year-old boy of Asian descent with uncontrolled type 1 diabetes mellitus (T1DM), Hashimoto's thyroiditis, and multiple food allergies presenting with bilateral chorea-ballism. His brain magnetic resonance imaging revealed developmental venous anomaly in right parietal lobe and right cerebellum, no focal lesions or abnormal enhancements. Choreiform movements resolved with correction of hyperglycemia. Children and adolescents with a movement disorder should be evaluated for diabetes mellitus, especially with increasing prevalence and insidious nature of T2DM associated with obesity.

Tetraplegia after Coronary Artery Bypass Surgery in a Patient with Cervical Herniation

2010 ◽  
Vol 5 (2) ◽  
pp. 134-135 ◽  
Author(s):  
Alper Gorur ◽  
Numan Ali Aydemir ◽  
Nurgül Yurtseven ◽  
Mehmet Salih Bilal
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Rare Complication ◽  
Artery Bypass ◽  
Surgical Decompression ◽  
Cervical Disc ◽  
Resonance Imaging ◽  
Cervical Magnetic Resonance Imaging

Tetraplegia is a rare complication after coronary artery bypass surgery. The authors present a case of tetraplegia after uncomplicated coronary artery bypass surgery because of cervical disc herniation. No distinct abnormality was found in the preoperative neurologic examination although the postoperative cervical magnetic resonance imaging revealed a huge hernia at C5–C6 level presenting with tetraplegia. Surgical decompression was performed on the second postoperative day of bypass surgery, and neurologic deficits gradually improved.

scholarly journals Chronic Constrictive Pericarditis

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Hossein Doustkami ◽  
Afshin Hooshyar ◽  
Nasrollah Maleki ◽  
Zahra Tavosi ◽  
Iraj Feizi
Keyword(s):  
Cardiac Catheterization ◽  
Constrictive Pericarditis ◽  
Gold Standard ◽  
Elevated Serum ◽  
Disease Process ◽  
Clinical Suspicion ◽  
Rare Clinical Entity ◽  
Good Recovery ◽  
Prompt Treatment ◽  
High Degree

Constrictive pericarditis (CP) is a rare clinical entity that can pose diagnostic problems. The diagnosis of CP requires a high degree of clinical suspicion. The gold standard for diagnosis is cardiac catheterization with analysis of intracavitary pressure curves, which are high and, in end diastole, equal in all chambers. We present a patient with unexplained dyspnea, recurrent right-side pleural effusion, and ascites. Analysis of the ascitic fluid revealed a high protein content and an elevated serum-ascites gradient. Echocardiography, computed tomography, and cardiac catheterization revealed the diagnosis of CP. He underwent complete pericardiectomy and to date has made a good recovery. The diagnosis of CP is often neglected by admitting physicians, who usually attribute the symptoms to another disease process. This case exemplifies the difficulty in diagnosing this condition, as well as the investigation required, and provides a discussion of the benefit and outcomes of prompt treatment.

scholarly journals Iatrogenic Supravalvular Aortic Stenosis

Aorta ◽  
2016 ◽  
Vol 04 (05) ◽  
pp. 172-174 ◽  
Author(s):  
Paolo Bosco ◽  
Antonella Ferrara ◽  
Samer Nashef
Keyword(s):  
Aortic Stenosis ◽  
Aortic Wall ◽  
Rare Complication ◽  
Suture Line ◽  
Anastomotic Site ◽  
Resonance Imaging ◽  
Sandwich Technique ◽  
Type A Aortic Dissection ◽  
Preoperative Magnetic Resonance ◽  
Aortic Anastomosis

AbstractWe describe a case of hemolytic anemia and proximal anastomotic site stenosis following emergency repair of a Type A aortic dissection. This rare complication led to a reoperation to correct the iatrogenic aortic stenosis and cure the consequent hemolysis. A “sandwich” technique (with two Teflon strips on the outside and inside of the aortic wall) was used in the initial repair to reinforce the suture line and prevent bleeding from the aortic anastomoses. At the time of reoperation, the inner Teflon strip at the proximal aortic anastomosis was found to have inverted into the aortic lumen, as suggested by the preoperative magnetic resonance imaging. Surgical treatment consisted of resecting the portion of inner Teflon that had turned in and tacking the remaining part back onto the aortic wall. The observed hemolysis was likely due to the turbulent flow associated with the supra-aortic stenosis and the collision of red cells with the internal Teflon strip. The patient made an uncomplicated recovery with no further hemolysis and was discharged on postoperative day 8.

scholarly journals Surgical Treatment of Constrictive Pericarditis

2017 ◽  
Vol 44 (2) ◽  
pp. 101-106 ◽  
Author(s):  
Burak Can Depboylu ◽  
Parmeseeven Mootoosamy ◽  
Nicola Vistarini ◽  
Ariane Testuz ◽  
Ismail El-Hamamsy ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Diastolic Dysfunction ◽  
Constrictive Pericarditis ◽  
Inflammatory Process ◽  
Symptomatic Relief ◽  
Restrictive Cardiomyopathy ◽  
Diastolic Filling ◽  
Resonance Imaging ◽  
Chronic Inflammatory Process ◽  
Myocardial Atrophy

Constrictive pericarditis is the final stage of a chronic inflammatory process characterized by fibrous thickening and calcification of the pericardium that impairs diastolic filling, reduces cardiac output, and ultimately leads to heart failure. Transthoracic echocardiography, computed tomography, and cardiac magnetic resonance imaging each can reveal severe diastolic dysfunction and increased pericardial thickness. Cardiac catheterization can help to confirm a diagnosis of diastolic dysfunction secondary to pericardial constriction, and to exclude restrictive cardiomyopathy. Early pericardiectomy with complete decortication (if technically feasible) provides good symptomatic relief and is the treatment of choice for constrictive pericarditis, before severe constriction and myocardial atrophy occur. We describe our surgical approach to constrictive pericarditis, summarize our results in 93 patients, and provide a brief overview of the literature.

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