1/332. Integrated approach for revascularization in multivessel coronary artery disease and porcelain aorta.We report two cases in which combined beating heart revascularization of the left anterior descending artery (LAD) and percutaneous angioplasty of the non-LAD target arteries were adopted after the intraoperative detection of porcelain aorta and impossibility to complete surgical revascularization. This type of strategy preserves the benefits of surgical LAD grafting and complete revascularization and results in a simple and low-risk technical procedure in an otherwise challenging setting.- - - - - - - - - - ranking = 1keywords = coronary (Clic here for more details about this article) |
2/332. Localized pericarditis with calcifications mimicking a pericardial tumor.A 62-year-old man was admitted with increasing palpitations. radiography of the chest demonstrated a calcified mass. magnetic resonance imaging revealed compression of the right ventricle by a tumor. At the time of cardiac catheterization, the coronary arteries were found not to supply blood flow of the mass, and no dip-and-plateau pattern was seen in the right ventricular pressure measurements. At the time of surgery, the mass was found to be a focal calcified thickening of the pericardium containing only pus. The thickening resembled an oval pericardial tumor. Microbiologic examination of the pus revealed propionibacterium acnes.- - - - - - - - - - ranking = 0.25keywords = coronary (Clic here for more details about this article) |
3/332. Calcified splenic artery aneurysm discovered during coronary arteriography.We present a case of calcified splenic artery aneurysm discovered during routine coronary angiography. Early awareness of these aneurysms is important since their rupture may cause serious complications. This case emphasizes the importance of attention to cardiac and extra-cardiac structures during coronary angiography.- - - - - - - - - - ranking = 1.5keywords = coronary (Clic here for more details about this article) |
4/332. String-plucking as a mechanism of chordal rupture during balloon mitral valvuloplasty using inoue balloon catheter.Percutaneous transvenous mitral commissurotomy using the Inoue technique was performed in a 59-year-old female with mitral stenosis and a severely calcified mitral leaflets. Although not entrapped in the subvalvular apparatus, the balloon catheter was deviated away from the mitral orifice-apex axis of the left ventricle during the inflation of the proximal balloon, which plucked and severed the chordae tendineae of the posterior mitral leaflet and resulted in severe mitral regurgitation.- - - - - - - - - - ranking = 0.11599760097878keywords = stenosis (Clic here for more details about this article) |
5/332. Accelerated allograft degeneration after aortic valve endocarditis.Early calcification of aortic allografts is usually seen in children less than 3 years of age. We describe a case of a 22-year-old intravenous drug user who developed calcific aortic valve stenosis less than 3 years after an allograft root replacement for endocarditis.- - - - - - - - - - ranking = 0.11599760097878keywords = stenosis (Clic here for more details about this article) |
6/332. Lamellar bone formation in an atherosclerotic plaque of the carotid artery, with a review of histogenesis--a case report.Longer existing atherosclerotic lesions may contain calcifications; lamellar bone rarely develops within them. A 59-year-old man was referred with a progressive stroke. A high-grade stenosis of the left common carotid artery, formed by an ulcerating atherosclerotic plaque with a free-floating thrombus, was detected on angiography. An urgent endarterectomy was performed. Surprisingly this plaque contained pieces of lamellar bone, proved by histologic examination.- - - - - - - - - - ranking = 0.11599760097878keywords = stenosis (Clic here for more details about this article) |
7/332. Symptomatic calcified subdural hematomas.Two unique cases of chronic calcified subdural hematomas are reported in children as a long-term complication of a ventriculoperitoneal shunt. Both the patients had undergone shunt procedures in infancy for congenital hydrocephalus. In one patient, the cause of the hydrocephalus was aqueduct stenosis, while in the second patient, a lumbar meningomyelocele was associated with hydrocephalus. In both these patients, a ventriculoperitoneal shunt was done in infancy. In one of them, following the shunt surgery, a bilateral subdural collection was noticed which required burr hole evacuation. Both the patients remained asymptomatic for 9 years, when they presented to our center with acute raised intracranial pressure and contralateral hemiparesis. Both the patients had a relatively short history and had altered sensorium at admission. Surprisingly, in both the patients, the CT scan showed significant mass effect producing calcified subdural hematomas. The shunt systems were found to be working well at surgery. craniotomy and excision of the calcified subdural hematomas was undertaken. Postoperatively, the patients showed satisfactory recovery, and at discharge the patients were doing well. At the follow-up at the outpatient clinic, the patients were asymptomatic.- - - - - - - - - - ranking = 0.11599760097878keywords = stenosis (Clic here for more details about this article) |
8/332. Translocation of aortic valve for calcific aortic stenosis.A 56-year-old man underwent surgery for treatment of severe calcific aortic stenosis. Because it was found after excision of the aortic valve that calcification of the annulus was too extensive for the placement of sutures, translocation of the aortic valve was performed. The results were satisfactory and indicate that translocation is a useful alternative in cases of severe calcification of the aortic valve which cannot be treated by ordinary valve replacement.- - - - - - - - - - ranking = 0.57998800489391keywords = stenosis (Clic here for more details about this article) |
9/332. Coronary artery erosion and dissection: an unusual complication of mitral annular calcification.This article describes a 42-year-old male patient with a longstanding history of insulin-dependent diabetes mellitus, systemic arterial hypertension, and chronic renal failure. The patient had severe mitral annular calcification (MAC) identified at autopsy. This MAC was of an amorphous, caseous-appearing type; it displaced the posterior mitral valve leaflet and extruded into the myocardium of the lateral and posterolateral left ventricle to involve the epicardial surface. The MAC produced extramural erosion of the wall, and dissection into the media, of the first left/obtuse marginal coronary artery. This coronary artery involvement by, and other complications of, MAC are discussed.- - - - - - - - - - ranking = 0.5keywords = coronary (Clic here for more details about this article) |
10/332. Difference in structural change in the Carpentier-Edwards pericardial valves implanted in the mitral and tricuspid positions.We report a 29-year-old patient with prosthetic valve dysfunction with severe calcific stenosis in the mitral position but no structural change in the tricuspid position after mitral valve replacement and tricuspid valve supra-annular implantation with same bioprostheses at the seven years before. The difference in structural change between the mitral position and the tricuspid position might be due mainly to the effect of mechanical stress on the cusps, rather than to any difference in serum calcium levels. However, some hormonal effect other than that of the parathyroid hormone on the systemic and pulmonary circulation might be related to the early progression in cusp calcification in the systemic circulation.- - - - - - - - - - ranking = 0.11599760097878keywords = stenosis (Clic here for more details about this article) |
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