1.Fulminant Infective Endocarditis Requiring Early Surgical Intervention.
Hyun Ju YOON ; Ki Young KIM ; Taek Geun KWON ; Dae Woo HYUN ; Jang Ho BAE
Journal of Cardiovascular Ultrasound 2006;14(3):124-125
No abstract available.
Endocarditis*
;
Hypertension
;
Mitral Valve
2.Two Cases of Isolated Tricuspid Regurgitation with Persistent Right Heart Failure by Coronary Vasospasm.
Sang Kyu LEE ; Dae Gyun PARK ; Sung Eun KIM ; Su Rin SHIN ; Duck Hyoung YOON ; Sung Eun KIM ; Jun Hee LEE ; Kyoo Rok HAN ; Dong Jin OH
Journal of Cardiovascular Ultrasound 2006;14(3):120-123
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
3.A Case of Shoshin Beriberi Presenting as Acute Coronary Syndrome with Shock: Shoshin Beriberi Mimicking Acute Coronary Syndrome.
Tae Jung KWON ; Jin Yong HWANG ; So Ra PARK ; Young Ran KANG ; Hae Young LEE ; Chung Hwan KWAK ; Bong Ryong CHOI
Journal of Cardiovascular Ultrasound 2006;14(3):116-119
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
4.A Case of Spontaneous Left Atrial Intramural Hematoma Causing Vaso-occlusive Cardiogenic Shock.
Dong Hoon OH ; Joon Hyung DOH ; Seuk Hyun LEE ; Sung Uk KWON ; June NAMGUNG ; Sung Yun LEE ; Chang Young KIM ; Woo Ik CHANG ; Sun Hee CHANG ; Won Ro LEE
Journal of Cardiovascular Ultrasound 2006;14(3):112-115
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
5.Acute Myocardial Infarction Associated with Secondary Hypertension by Renal Juxtaglomerular Cell Tumor.
Kyoung Hee KIM ; Eun Ju CHO ; Byoung Soo JIE ; So Young LEE ; Chong Jin KIM ; Jae Hyung KIM ; Eun Joo SEO
Journal of Cardiovascular Ultrasound 2006;14(3):108-111
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*
6.A Case of Mitral-Aortic Intervalvular Pseudoaneurysm with Fistula Complicating Native Aortic Valve Infective Endocarditis.
Seok Ju PARK ; Dong Soo KIM ; Tae Hyun YANG ; Jae Ik LEE ; Myoung Joo KANG ; Jun Young KIM ; Dae Kyeong KIM ; Seong Man KIM ; Doo Il KIM
Journal of Cardiovascular Ultrasound 2006;14(3):105-107
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
7.A Hidden Pressure Gradient That can be Easily Passed Over in Prosthetic Mitral Valve.
Se Jung YOON ; Eui Young CHOI ; Sung Ai KIM ; Chi Young SHIM ; Jong Won HA ; Se Joong RIM ; Namsik CHUNG
Journal of Cardiovascular Ultrasound 2007;15(4):140-141
No abstract available.
Mitral Valve*
8.Aneurysmal Rupture of the Anterior Leaflet of the Mitral Valve Secondary to Bicuspid Aortic Valve Endocarditis.
In Soo CHOI ; Ja Kyung KIM ; Byung Ju CHOI ; O Gil KIM ; Tae Joon CHA ; Jea Woo LEE ; Jung Ho HEO
Journal of Cardiovascular Ultrasound 2007;15(4):136-139
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
9.Two Cases of Quadricuspid Aortic Valve Associated with Aortic Regurgitation and Infective Endocarditis.
Won Yu KANG ; Wan KIM ; Young MOON ; Sung Hee JOHN ; Jong Bum CHOI ; Sang Chul JO ; An Doc JUNG ; Young Chan JO ; Sun Ho HWANG ; Weon KIM
Journal of Cardiovascular Ultrasound 2007;15(4):131-135
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
10.Successful Transcatheter Closure of a Web-Shaped Patent Ductus Arteriosus Using Amplatzer Duct Occluder via Retrograde Wire-Assisted Approach.
Jeong Hoon KIM ; Mi Jeong KIM ; Yun Jeong KIM ; In Hyun JUNG ; Jon SUH ; Sang Hyun KIM ; Jong Min SONG ; Duk Hyun KANG ; Myeong Ki HONG ; Jae Kwan SONG
Journal of Cardiovascular Ultrasound 2007;15(4):127-130
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