Endovascular repair of a leaking aortic-arch pseudoaneurysm using graft stent combined with chimney protection to left common carotid artery: Case report and review of literature
We report a rare case of leaking aortic-arch PsA repaired by thoracic endovascular aortic repair using graft stent with the chimney technique to protect the left common carotid artery. Unlike other cases in the literature, our case was unique, having leaking PsA not related to previous cardiac surgery or aortic dissection. The successful management of this patient using thoracic endovascular aortic repair combined with the chimney technique suggests that this approach may be an attractive therapeutic alternative to treat aortic-arch PsA. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Is baseline cerebral oximetry a better predictor than carotid scan for postoperative delirium in cardiac surgery?
We report a 41-year-old woman who presented with a normal carotid scan and unexpectedly low baseline cerebral oximetry levels. She had delayed postoperative recovery and discharge from hospital following her coronary-artery bypass surgery. This case report reiterates the prognostic significance of cerebral oximetry in the preoperative checkup and the association of low intraoperative values to postoperative cerebral impairment. It can also be identified as a comparatively better tool for preventing cognitive disturbances after cardiac surgery. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Percutaneous retrieval of a shard of metal from the right ventricular apex after an industrial accident
Publication date: July 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 3Author(s): Christian Blockhaus, Marcel Keßler, Jan-Erik Gülker, Hans-Peter Waibler, Alexander Bufe, Dong-In Shin, Heinrich KluesAbstractA 29-year-old man suffered from an industrial accident as a piece of metal of a die-cutter burst and shards of metal penetrated his right upper arm. One shard was localized via x-ray and computer tomography within the apex of the right ventricle. Here we report on a successful retrieval of this shard of metal by aspirating it via a 6F multipurpose (MP) catheter. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Discontinuation of anticoagulant therapy for a month in a patient with HeartMate III continuous-flow left ventricular assist device without thromboembolic events
Publication date: July 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 3Author(s): Abdelfatah Elasfar, Kafaf Jalali, Mohamed Hussein, Ibraheem AlHarbi, Osama AmoudiAbstractThe recommended anticoagulation regimen for continuous-flow left ventricular assist device (LVAD) systems is warfarin and aspirin with a targeted international normalized ratio (INR) of 2.0–3.0. Our patient is a 58-year-old male who underwent surgical HeartMate III continuous-flow LVAD implantation 3 months ago outside the country. The patient mistakenly stopped taking warfarin for 1 month prior to presenting to our center for ...
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Endovascular repair of severe aortic coarctation, transcatheter aortic valve replacement for severe aortic stenosis, and percutaneous coronary intervention in an elderly patient with long term follow-up
We report a 70-year-old female, who presented with uncontrolled hypertension and acute decompensated heart failure (ADHF) and was found to have severe CoA, severe bicuspid aortic valve (BAV) stenosis, and significant proximal left anterior descending (LAD) coronary artery disease. In a multidisciplinary heart team meeting, we decided to perform an endovascular repair of both cardiac and vascular pathologies using a two-stage approach due to the significant comorbidities; mainly uncontrolled hypertension, type 2 diabetes mellitus, chronic obstructive pulmonary disease, and severe calcifications of the ascending aorta. The p...
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Multimodality imaging of a rare type of coronary cameral fistula
Publication date: July 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 3Author(s): Murat Akcay, Asli Tanrivermis Sayit, Okan Gulel, Cetin CelenkAbstractCoronary artery fistulas are defined as abnormal vascular connections between one or more coronary arteries and the cardiac chamber [coronary cameral fistula (CCF)] or a great thoracic vessel. Here, we present multimodality imaging findings of a rare case with CCF between the sinoatrial nodal artery and the left atrium. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Huge right ventricular mass revealing a testicular nonseminomatous germ cell tumor
ConclusionsHere, we describe the world's first reported case of intraventricular metastasis from a nonseminomatous germ cell tumor of the testis which occupies almost all the right ventricular volume and extending to the root of pulmonary artery that underwent surgical resection of the ventricular mass before chemotherapy. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Interesting case of narrow QRS tachycardia with atrioventricular dissociation
Publication date: July 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 3Author(s): Krishna Kumar Mohanan Nair, Narayanan Namboodiri, Hiren Kevadiya, Ajitkumar ValaparambilAbstractA 30-year-old man with no structural heart disease has been evaluated for paroxysmal palpitation with documented regular narrow QRS tachycardia that has not responded to intravenous adenosine. Surface electrocardiogram has not shown any pre-excitation. He has been taken for an electrophysiology study after informed consent. Diagnostic catheters were placed at the coronary sinus, His bundle region, and right ventricle. During c...
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Aneurysm formation of pericardial patch in Manouguian procedure
Publication date: Available online 3 July 2018Source: Journal of the Saudi Heart AssociationAuthor(s): Hamidreza Pouraliakbar, Maryam Pourmojib, Yousef Rezaei, Saeid HosseiniAbstractPericardial patch has been used to repair cardiac defects; however, its strength as an aortoplasty patch to tolerate systemic pressure is a matter of debate. Herein, we report an aneurysmal dilatation of pericardial patch in aortoplasty. Our patient was a 56-year-old female known case of rheumatic heart disease that underwent redoes mitral and aortic valve replacements along with Manouguian aortoplasty at the age of 44 years old. After 2 months...
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Samter –Beer triad presenting as Kounis Type I variant of syndrome
Publication date: Available online 24 March 2018 Source:Journal of the Saudi Heart Association Author(s): Imen Hamdi, Chadia Chourabi, Taha Yassine Jabloun, Mehdi Ghommidh, Dhaker Lahidheb, Wafa Fehri, Habib Haouala (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - April 5, 2018 Category: Cardiology Source Type: research

Interesting Case of Narrow QRS tachycardia with A-V dissociation
Publication date: Available online 3 April 2018 Source:Journal of the Saudi Heart Association Author(s): Krishna Kumar Mohanan Nair, Narayanan Namboodiri, Hiren Kevadiya, Ajitkumar Valaparambil A 30 year old gentleman with no structural heart disease has been evaluated for paroxysmal palpitation with documented regular narrow QRS tachycardia that has not responded to IV adenosine. Surface electrocardiogram has not shown any pre-excitation. He has been taken for an EP study after informed consent. Diagnostic catheters were placed at coronary sinus (CS), His bundle region and right ventricle (RV). During catheter manip...
Source: Journal of the Saudi Heart Association - April 3, 2018 Category: Cardiology Source Type: research

Samter-Beer triad presenting as Kounis type I variant of syndrome
Publication date: Available online 24 March 2018 Source:Journal of the Saudi Heart Association Author(s): Imen Hamdi, Chadia Chourabi, Taha Yassine Jabloun, Mehdi Ghommidh, Dhaker Lahidheb, Wafa Fehri, Habib Haouala (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - March 24, 2018 Category: Cardiology Source Type: research

Baseline characteristics, management practices, and long-term outcomes among patients with first presentation acute myocardial infarction in the Second Gulf Registry of Acute Coronary Events (Gulf RACE-2)
Conclusions First presentation AMI patients tend to be older and to have lower rates of risk factors. Adverse clinical outcomes such as congestive heart failure, reinfarction, cardiogenic shock and stroke were higher among patients with first presentation AMI compared to patients with previous history of ACS. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - March 18, 2018 Category: Cardiology Source Type: research

Huge right ventricular mass revealing a testicular nonseminomatous germ cell tumor
Conclusions Here, we describe the world's first reported case of intraventricular metastasis from a nonseminomatous germ cell tumor of the testis which occupies almost all the right ventricular volume and extending to the root of pulmonary artery that underwent surgical resection of the ventricular mass before chemotherapy. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - March 12, 2018 Category: Cardiology Source Type: research

Hyper-dominant left anterior descending coronary artery with continuation as a posterior descending artery – an extended empire.
Publication date: Available online 5 March 2018 Source:Journal of the Saudi Heart Association Author(s): Pankaj Jariwala, Edla Arjun Padma Kumar Hyper-dominant left anterior descending artery [LAD] is a rare coronary anomaly where LAD continues as a posterior descending artery. It is rare coronary anomaly and there are only 19 cases reported so far in 17 case reports in the literature. Its involvement during acute coronary syndrome can be fatal as it leads to larger area of left ventricular myocardium at jeopardy. Its early recognition and management is essential with high index of clinical suspicion. (Source: Journal ...
Source: Journal of the Saudi Heart Association - March 5, 2018 Category: Cardiology Source Type: research