Treatment of Recurrent LV Tachycardia Through LV Aneurysmectomy Procedure | Chapter 5 | Medical Research and Its Applications Vol. 9

The present study highlights the treatment of recurrent LV tachycardia through LV aneurysmectomy procedure. The aneurysm may be asymptomatic or present as heart failure, sustained ventricular tachyarrhythmias, or arterial embolism. Left ventricular aneurysm (LVA) is one of the common complications of myocardial infarction (MI) that can lead to death or serious morbidity [1]. We present a 71 YO woman PMH of CAD S/P LAD stent, HTN, DLD, RA myxoma, LV apical thrombus, s/p cardiac arrest and s/p single-chamber implantable cardioverter-defibrillator (ICD) on Mexiletine, who presented to hospital with multiple ICD shocks. Initial EKG showed a wide complex rhythm with an LBBB pattern. Amiodarone was administered to the patient, and mexiletine was continued. Temporarily covering the ICD with a magnet helped to prevent more shocks. Overdrive pacing attempts during wide complex tachycardia were unsuccessful. During this admission, no serious infections or anomalies related to electrolytes were found. This admission's Echo as well as the previous admission's ECHO both revealed aneurysmal malformation and LV apical dyskinesis.  The resolution of her arrhythmia was achieved only after an aneurysmectomy.

 

Author(s) Details

Md Didar Ul Alam
Brookdale Hospital Medical Center, 1 Brookdale Plaza, Brooklyn, NY 11212, USA.

Muhammad Ihsan
SUNY Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY 11203, USA.

Asma Syed
Brookdale Hospital Medical Center, 1 Brookdale Plaza, Brooklyn, NY 11212, USA and SUNY Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY 11203, USA.

 

 

Please see the book here:- https://doi.org/10.9734/bpi/mria/v9/883

 

Bilateral Pneumothorax Associated with Marfan Syndrome: A Case Report | Chapter 6 | Recent Updates in Disease and Health Research Vol. 5

 The present study reports a case of spontaneous bilateral pneumothorax as an initial diagnosis of Marfan syndrome. The most prevalent type of syndromic heritable thoracic aortic aneurysm illness, Marfan syndrome is a hereditary autosomal dominant multisystem connective tissue ailment that mostly affects the skeletal, cardiovascular, and ophthalmic systems with less frequent involvement of the pulmonary system.

 

Here, we report a case of a 17-year-old male patient who presented with sudden onset shortness of breath over the last 12 hours. The patient was tall, thin built with long slender fingers. There were absent breath sounds over both sides of his chest with resonant notes on percussion. Chest X-ray confirmed the presence of bilateral pneumothorax consistent with the clinical finding. ICD (Intercostal Chest Drain) insertion was done. Marfan syndrome was diagnosed. Computed tomography angiogram revealed focal ectasia at the distal arch of the aorta just proximal to the descending aorta measuring 3 cm in diameter without any aortic regurgitation on transthoracic echocardiography. This case suggests that spontaneous pneumothorax could be a pointer towards as well as an initial presentation of inherited connective tissue disorder like MARFAN syndrome. Whenever any patient with Marfan’s syndrome, presented with acute chest pain, with or without dyspnoea, Pneumothorax along with aortic dissection should be considered immediately.

Author(s) Details:

Mir Wasim Ali,
Department of Internal Medicine, IPGMER & SSKM Hospital, Kolkata - 700020, India.

Soumadip Rakshit,
Department of Internal Medicine, IPGMER & SSKM Hospital, Kolkata - 700020, India.

Abu Saiyed Ansary,
Department of Chest Medicine, IPGMER & SSKM Hospital, Kolkata - 700020, India.

Md. Karimulla Mondal,
Department of Internal Medicine, IPGMER & SSKM Hospital, Kolkata - 700020, India.

Anup Kumar Datta,
Department of Internal Medicine, IPGMER & SSKM Hospital, Kolkata - 700020, India.

Sumit Kumar Ghosh,
Department of Internal Medicine, IPGMER & SSKM Hospital, Kolkata - 700020, India.

Ananta Kumar Datta,
Department of Internal Medicine, IPGMER & SSKM Hospital, Kolkata - 700020, India.

Please see the link here: https://stm.bookpi.org/RUDHR-V5/article/view/14031

A Study on Endovascular Treatment of Ascending Aortic Pseudoaneurysm | Chapter 4 | Novel Research Aspects in Medicine and Medical Science Vol. 4

 The purpose concerning this chapter search out give a review of the literature in addition to a case of endovascular replacement of Aortic PSAs following aortic faucet replacement. Pseudoaneurysm of the aortic arch is infrequently associated with cancer, and is intensely rare in pulmonary tumor. Here, we report an unusual and favorably treated case of aortic arch pseudoaneurysm in a male patient with alveolus squamous cell abnormal growth in animate being. The Aortic Pseudoaneurysm (PSAs) is a frequent complication that has existed documented following essence surgery. Endovascular therapy for this condition is still disputed in terms of security and effectiveness. However, cause surgical therapy of aortic PSAs is associated with important mortality and melancholy and is not always attainable, percutaneous closure has been projected as an alternative.

Author(s) Details:

Lucas Regatieri Barbieri,
Department of Cardiovascular Surgery, Beneficência Portuguesa de São Paulo, Brazil.

Thais Amarante Couto,
Department of Cardiovascular Surgery, Beneficência Portuguesa de São Paulo, Brazil.

Eliane Cruz,
Department of Cardiovascular Surgery, Beneficência Portuguesa de São Paulo, Brazil.

Rubens Andreole Carvalheiro,
Department of Cardiovascular Surgery, Beneficência Portuguesa de São Paulo, Brazil.

Oscar Jaime Morales Medranos,
Department of Cardiovascular Surgery, Beneficência Portuguesa de São Paulo, Brazil.

Noedir Antônio Groppo Stolf,
Department of Cardiovascular Surgery, Beneficência Portuguesa de São Paulo, Brazil.

Please see the link here: https://stm.bookpi.org/NRAMMS-V4/article/view/12084

A Rare Case of Consecutive Posterior Shoulder Fracture Dislocation after Cerebral Saccular Aneurysm Episode | Chapter 2 | Current Progress in Medicine and Medical Research Vol. 5

 Introduction: Posterior jostle fracture dislocations are a exceptional injury. Posterior shoulder rupture dislocations are a frequently missed condition. Bilateral posterior shoulder break dislocations develop mostly on account of epileptic seizures.Case Report: This case describes the following posterior shoulder break dislocation of a 68-year-traditional male patient who had a taking due to saccular aneurysm. Open decline and internal bone obsession were performed on two together shoulders with an pause of three months, and derotation of the left shoulder from the having a common boundary humerus was performed. The patient was contained in the physical healing program after the surgeries. The final effect was done at 20 months subsequently surgery for the right side and at 17 months afterwards surgery for the left side. He established that he was satisfied accompanying the right side and moderately compensated with the left.Discussion: Posterior push fracture dislocations are a more unique condition than isolated push dislocations, it is rarer that it is bilaterally consecutive. Since it maybe missed when making the disease, the presence of computerized axial tomography scanner images in addition to direct x-indications makes the disease easier in doubtful cases. Depending on the degree of injury to the close by physically humerus, treatment alternatives are conservative or surgical.Conclusion: Careful physical examination, appropriate radiological examinations, and particularized anamnesis are main for correct diagnosis and treatment. It endure be kept in mind that skilled may be aneurysm in the mind in patients with non-frightening shoulder posterior break dislocation.

Author(s) Details:

Ahmet Sagir,

Orthopedics and Traumatology Clinic, Kadirli State Hospital, Sehit Orhan Gok mahallesi, 939 Sokak No: 7, 80750 Kadirli/Osmaniye, Turkey.

Please see the link here: https://stm.bookpi.org/CPMMR-V5/article/view/11382

Angio-behçet’s Disease with Concomitant Neurologic, Pulmonary and Cardiac Involvement: A Case Report| Chapter 5 | Current Overview on Disease and Health Research Vol. 7

Concomitant neurological, cardiac, and pulmonary vascular involvement in Behçet’s disease is very rare and characterized by high mortality. Management is challenging because of the very high risk of bleeding. We report the case of a 25-year-old man, of Maghreb descent, who was admitted with acute motor deficit in all four limbs. A thoracic computed tomography angiogram (CTA) showed thrombosis of an aneurysm of the inferior lobar pulmonary arteries bilaterally, with an obstructive intraluminal thrombus of a segmental branch of the right superior lobe. Transthoracic echocardiography (TTE) revealed a mobile right atrial thrombus measuring 13 × 10 mm. The patient was treated with methylprednisolone (1 g), cyclophosphamide, colchicine, and low weight heparin followed by oral antivitamin K anticoagulation. The outcome was satisfactory with complete resolution of the atrial thrombus and the aneurysm, and mild neurological sequelae at six months.

Author(s) Details:

Reine Joephane Bikouta Ouadika,
Neurology Department, University Teaching Hospital Mohammed VI, Marrakesh, Morocco.

Nissrine Louhab,
Neurology Department, University Teaching Hospital Mohammed VI, Marrakesh, Morocco and Laboratory of Clinical and Experimental Neuroscience Research, Faculty of Medicine, Cadi Ayyad University, Marrakech, Morocco.

Laila Benjilali,
Neurology Department, University Teaching Hospital Mohammed VI, Marrakesh, Morocco and Laboratory of Clinical and Experimental Neuroscience Research, Faculty of Medicine, Cadi Ayyad University, Marrakech, Morocco.

Najib Kissani,
Neurology Department, University Teaching Hospital Mohammed VI, Marrakesh, Morocco and Laboratory of Clinical and Experimental Neuroscience Research, Faculty of Medicine, Cadi Ayyad University, Marrakech, Morocco.

Please see the link here: https://stm.bookpi.org/CODHR-V7/article/view/9433

Definition, Classification, Differential Diagnosis and Therapeutic Approach of Cardiac Outpouchings in Clinical Practice| Chapter 7 | Current Overview on Disease and Health Research Vol. 11

 Cardiac outpouchings encounter a broad cluster of unconnected inborn or seized anatomic bodies, whose information is still poorly extensive in dispassionate practice. This review aims to provide a inclusive survey fixating on description, categorization, differential disease and healing approach of cardiac outpouchings in dispassionate practice. The material inspected was obtained from the MEDLINE (PubMed) and EMBASE search until March 2021. We follow the following keywords (in Title and/or Abstract): (“cardiac” OR “soul”) AND (“outpouching” OR “outpouch” OR “aneurysm” OR “pseudoaneurysm” OR “dishonest aneurysm” OR “diverticulum” OR “break”). All available superior possessions composed in English holding information on community health etiopathogenesis, dispassionate judgments, disease and healing strategies of cardiac outpouchings, from fetal to someone of advanced years age range were examined. Out of the 378 documents initially repaired, 165 duplicates and 84 records in styles apart from English were forbade. 76 of the 129 surplus articles were included into our research material established the following addition tests: a) peer-inspected articles, b) having to do with the research affair, c) engaging standardised demonstrative criteria, and d) newsgathering inexperienced predominance dossier. The position, morphologic features, and fabric description of cardiac outpouchings were found to have a bigger effect on recognition and characteristic disease in dispassionate practise. Therefore, cautious acknowledgment of cardiac outpouchings plays a pivotal part in consideration of supply ultimate appropriate clinical administration and in charge action.

Author(s) Details:

Riccardo Scagliola ,
Division of Cardiology, Department of Emergency, Cardinal G. Massaia Hospital, Asti, Italy.

Please see the link here: https://stm.bookpi.org/CODHR-V11/article/view/9290