No abstract available.
Endocarditis* ; Hypertension ; Mitral Valve

Persistent tricuspid regurgitation (TR) caused by infarction or ischemia of right ventricle (RV) is rare and has not been reported by coronary vasospasm previously. We reported the two cases of patients with persistent right heart failure (HF) and severe TR by coronary vasospasm. After RV infarction or ischemia, two-dimensional (2D) echocardiographic examination revealed normal left ventricular function, but RV hypokinesia, RV and tricuspid annular dilation, and severe TR with normal appearance of tricuspid valve itself. Subsequent coronary angiography and cardiac catheterization revealed coronary vasospasm without significant coronary artery stenosis and pulmonary hypertension. Repeated echocardiography showed persistent right HF and severe TR at 5 years and 4 months later in respective cases. In conclusion, we suggest that RV infarction or ischemia with coronary vasospasm can be one of the causes for isolated TR and tricuspid annular dilation.
Cardiac Catheterization ; Cardiac Catheters ; Coronary Angiography ; Coronary Stenosis ; Coronary Vasospasm* ; Echocardiography ; Heart Failure* ; Heart Ventricles ; Heart* ; Humans ; Hypertension, Pulmonary ; Hypokinesia ; Infarction ; Ischemia ; Tricuspid Valve ; Tricuspid Valve Insufficiency* ; Ventricular Function, Left

Cardiac beriberi is caused by thiamine deficiency. Shoshin beriberi is a rare and fulminant form of cardiac beriberi characterized by hypotension, high output heart failure, lactic acidosis and anuria. Without early recognition and immediate treatment, most of these patients will be fatal. Therefore clinical diagnosis of shoshin beriberi is most important in emergency situation. We report a case of shoshin beriberi with clinical features mimicking acute coronary syndrome. Fifty year old male patient with chronic alcoholism was presented with shock, hypoxia, right heart failure and severe acidosis. Electrocardiogram showed abnormal Q in V1-3 and mild ST elevation and level of troponin I was slightly elevated. All manifestations including lactic acidosis were dramatically subsided in 18 hours by thiamine infusion. Even in developed country, shoshin beriberi can be occurred in patients with malnutrition and/or chronic alcoholism and should be differentiated with acute coronary syndrome.
Acidosis ; Acidosis, Lactic ; Acute Coronary Syndrome* ; Alcoholism ; Anoxia ; Anuria ; Beriberi* ; Developed Countries ; Diagnosis ; Electrocardiography ; Emergencies ; Heart Failure ; Humans ; Hypotension ; Male ; Malnutrition ; Shock* ; Thiamine ; Thiamine Deficiency ; Troponin I

Intramural hematoma of the cardiac muscle is a rare clinical condition. Only a few cases have been reported in the medicosurgical conditions related to post cardiac surgery, chest trauma and dissecting aneurysms of the aorta. Moreover, there are few cases of spontaneous left atrial intramural hematoma and they may occur in the medical conditions related to calcified mitral annulus dissection or amyloidosis. We experienced a case of spontaneous intramural left atrial hematoma in a 29 year-old male resulting in vaso-occlusive cardiogenic shock. We report the clinical manifestation and treatment of this case with a review of literatures.
Adult ; Amyloidosis ; Aneurysm, Dissecting ; Aorta ; Heart Atria ; Hematoma* ; Humans ; Male ; Myocardium ; Shock, Cardiogenic* ; Thoracic Surgery ; Thorax

Most patients with hypertension and no definable cause are said to primary or essential hypertension, while other patients with hypertension and specific causes are siad to secondary hypertension. Approximately 5% fo patients with hypertension have specific causes. The patients of secondary hypertension should not be ignored for the reason: The elimination of cause for hypertension can normalize the blood pressure. Juxtaglomerular cell tumor is a rare condition of secondary hypertension, with only approximately 70 cases reported to date. The higher the level of blood pressure, the most likely that various cardiovascular diseases will develop prematurely through acceleration of atherosclerosis. But Acute myocardial infarction in young hypertensives has been reported rarely. We describe the rare case of a young patient with acute myocardial infarction associated with secondary hypertension by renal juxtaglomerular cell tumor.
Acceleration ; Atherosclerosis ; Blood Pressure ; Cardiovascular Diseases ; Humans ; Hypertension* ; Myocardial Infarction*

Pseudoaneurysm in the mitral aortic intervalvular fibrosa (MAIVF) is a rare but potentially catastrophic complication of the aortic valve endocarditis, aortic valve surgery or chest trauma. We describe a case of pseudoaneurysm in the MAIVF with fistulous connection to the left atrium in a 55-year-old woman with native aortic valve endocarditis. The diagnosis was confirmed using transesophageal echocardiography and she recovered her health through surgical correction.
Aneurysm, False* ; Aortic Valve* ; Diagnosis ; Echocardiography, Transesophageal ; Endocarditis* ; Female ; Fistula* ; Heart Atria ; Humans ; Middle Aged ; Thorax

No abstract available.
Mitral Valve*

Aneurysm formation and rupture of the anterior mitral leaflet is a rare complication of infectious aortic valve endocarditis. Prompt diagnosis and early surgical treatment can prevent complications such as embolization and cardiogenic shock. It is also related to the acute and severe mitral regurgitation. We describe a case of aneurysm of the anterior mitral leaflet secondary to bicuspid aortic valve endocarditis.
Aneurysm* ; Aortic Valve* ; Bicuspid* ; Diagnosis ; Echocardiography, Transesophageal ; Endocarditis* ; Mitral Valve Insufficiency ; Mitral Valve* ; Rupture* ; Shock, Cardiogenic

Quadricuspid aortic valves (QAVs) is a rare congenital malformation. We report two cases of QAV associated with aortic regurgitation. The one is incidentally diagnosed and uncomplicated, and the other is symptomatic and associated with infective endocarditis. In most cases, QAVs are associated with valve regurgitation, with a concurrent stenosis in some patients, while only a small number of QAVs are functionally normal. Once the diagnosis has been made, echocardiographic follow-up is recommended, because of progression to severe valve regurgitation and the risk of infective endocarditis.
Aortic Valve Insufficiency* ; Aortic Valve* ; Constriction, Pathologic ; Diagnosis ; Echocardiography ; Endocarditis* ; Humans

Patent ductus arteriosus (PDA) is a congenital heart disease occasionally encountered in adult cardiology, which can potentially be complicated by endocarditis or progressive left ventricular (LV) volume overload. Although transcatheter device closure has become a standard treatment in most cases, it can sometimes be challenged by anatomical variation of PDA. We report a case of 53-year-old man with PDA which was successfully treated by percutaneous closure, which had failed 12 years ago because of guidewire passage failure. Transesophageal echocardiography played an important role to give precise anatomical information and enable us to apply an alternative retrograde approach. Closure of PDA resulted in the resolution of symptom and decrease in LV size and volume.
Adult ; Cardiology ; Ductus Arteriosus ; Ductus Arteriosus, Patent* ; Echocardiography, Transesophageal ; Endocarditis ; Heart Defects, Congenital ; Humans ; Middle Aged