No abstract available.

Native aortic valve thrombosis is a very rare condition. We report a case of ST-segment elevation acute myocardial infarction secondary to native aortic valve thrombus in a 61-year-old woman who presented with acute chest pain. The patient had no previous precipitating factors. The patient was treated with a thrombolytic agent and subsequently recovered. On a follow-up echocardiogram, the thrombus of aortic valve disappeared.
Aortic Valve ; Chest Pain ; Embolism ; Female ; Follow-Up Studies ; Humans ; Middle Aged ; Myocardial Infarction ; Precipitating Factors ; Thrombosis

In this report, we describe a case of previous undiagnosed masses of the pulmonary valve mimicking infective endocarditis that were incidentally found during the work-up of a 62-year-old woman, who was presented with abdominal discomfort and dyspepsia. The pathologic findings were characteristics of a papillary fibroelastoma. Although benign, papillary fibroelastomas have the potential to cause lethal embolic events such as stroke, myocardial infarction, and pulmonary embolism are reported in some cases. Tumor identification and surgical excision are important to prevent such complications.
Dyspepsia ; Endocarditis ; Female ; Humans ; Middle Aged ; Myocardial Infarction ; Pulmonary Embolism ; Pulmonary Valve ; Stroke

We report a case of apical hypertrophic cardiomyopathy combined with acute myocardial infarction and multiple coronary thrombosis. The patient presented with signs and symptoms of acute myocardial infarction, showing ST elevation in the lateral leads and ST depression in anterior chest leads on initial electrocardiogram. The coronary angiogram on admission, multiple thrombosis of distal left anterior descending artery, left circumflex, diagonal and obtuse marginal arteries were found. The present case shows that apical hypertrophic cardiomyopathy can be combined with acute myocardial infarction and multiple coronary thrombosis.
Arteries ; Cardiomyopathy, Hypertrophic ; Coronary Thrombosis ; Depression ; Electrocardiography ; Humans ; Myocardial Infarction ; Thorax ; Thrombosis

The spontaneous perforation of sinus of Valsalva without congenital anomaly such as aneurysm and trauma has not been reported. We report a 66-year-old female presenting with ST elevation myocardial infarction due to compressing the proximal part of right coronary artery by hematoma attributed to spontaneous perforation of sinus of Vaslava. The patient was stabilized after surgical primary repair.
Aged ; Aneurysm ; Coronary Vessels ; Female ; Hematoma ; Humans ; Myocardial Infarction ; Sinus of Valsalva

Infective endarteritis in the pulmonary artery is unusual. However, congenital heart disease such as patent ductus arteriosus (PDA) could be a predisposing factor of infective endarteritis. We report a patient with PDA complicated by infective endarteritis and large pulmonary artery vegetation. After three weeks of antibiotic treatment, the patient underwent surgical closure of the PDA and removal of the vegetation.
Ductus Arteriosus, Patent ; Endarteritis ; Heart Diseases ; Humans ; Pulmonary Artery

A 27 year-old female presented with dyspnea on exertion, and was diagnosed using transthoracic and transesophageal echocardiography as congenital double-orifice mitral valve and mitral valve prolapse resulting in severe mitral regurgitation. This finding was confirmed by open heart surgery, and her mitral valve was successfully repaired with lateral commissural repair and ring annuloplasty using da Vinci system. We report this case with review of literature.
Dyspnea ; Echocardiography, Transesophageal ; Female ; Humans ; Mitral Valve ; Mitral Valve Insufficiency ; Mitral Valve Prolapse ; Thoracic Surgery

Infective endocarditis (IE) is one of the major complications of the mitral valve prolapse (MVP) syndrome and usually involves mitral valve (MV) and its accessory apparatus. Left atrial (LA) mural endocarditis is a condition of rarely diagnosed and the most feasible mechanism is related to the impact of regurgitant jet that causes endothelial damage and retrograde microorganisms dissemination. Echocardiography is essential in diagnosis and treatment of IE but in mural endocarditis, it may be difficult to find vegetation by standard view of transthoracic echocardiography (TTE). We report a case of LA mural endocarditis which was diagnosed by transesophageal echocardiography (TEE) in a patient with MVP.
Echocardiography ; Echocardiography, Transesophageal ; Endocarditis ; Humans ; Mitral Valve ; Mitral Valve Prolapse

Primary cardiac angiosarcoma is a rare and rapidly progressing tumor characterized by high predilection for right-sided heart involvement and a very poor prognosis. In this report, we present a case of angiosarcoma involving right atrium and ventricle in 61-year old woman with clinical presentation of repeated bloody pericardial effusion. Right atrial perforation was confirmed by contrast echocardiography using hand-agitated saline contrast. Primary cardiac angiosarcoma was confirmed by histological and immunohistochemical studies.
Echocardiography ; Female ; Heart ; Heart Atria ; Hemangiosarcoma ; Humans ; Pericardial Effusion ; Prognosis

No abstract available.