The impact of introduction of Code-STEMI program on the reduction of door-to-balloon time in acute ST-elevation myocardial infarction patients undergoing primary percutaneous coronary intervention: A single-center study in Saudi Arabia
Conclusion Implementation of direct emergency department catheterization lab activation protocol was associated with a significant reduction in D2BT. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - February 26, 2018 Category: Cardiology Source Type: research

Determining the factors causing delayed referral for fetal echocardiography at a tertiary care hospital
Conclusion On the basis of the results, it could be concluded that delayed presentation for fetal echocardiography was not associated with the educational status of females. By contrast, referral personnel were found to be responsible for the delayed referral of females. Therefore, we strongly recommend that both pregnant women and gynecologists be educated about the importance of timely diagnosis for identification of congenital heart diseases. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - February 26, 2018 Category: Cardiology Source Type: research

Value of three-dimensional echocardiography study of left ventricle function correlated to coronary arterial dominance in predicting the outcome of primary percutaneous coronary intervention
Conclusion In patients with STEMI treated with primary PCI, left coronary artery dominance confers a higher risk of various adverse clinical events after primary PCI, during hospital stay, and at 3 months follow-up compared to right and balanced coronary artery dominance. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - February 26, 2018 Category: Cardiology Source Type: research

Transcatheter perforation of atretic pulmonary valve by the stiff end of a coronary wire in neonates with pulmonary atresia with intact ventricular septum: A solution in developing countries
Conclusion Perforation of the atretic PV in selected cases with membranous atresia and patent infundibulum using the stiff end of a coronary wire is an effective alternative to using radiofrequency perforation. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - February 26, 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 - February 26, 2018 Category: Cardiology Source Type: research

Incidence and Causes of prolonged mechanical Ventilation in children with Down syndrome undergoing cardiac surgery
Conclusion 11.7% of Down syndrome patient required prolonged ventilation post-cardiac surgery. Pulmonary hypertension was seen more in cases requiring PMV and half of PMV cases required anti-pulmonary hypertension medication upon discharge. Early recognition of pulmonary hypertension and proper peri-operative management are recommended to avoid serious complication and co-morbidity post-cardiac surgery. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - February 26, 2018 Category: Cardiology Source Type: research

Multimodality Imaging of a Rare Type of Coronary Cameral Fistula
Publication date: Available online 23 February 2018 Source:Journal of the Saudi Heart Association Author(s): Murat Akcay, Asli Tanrivermis Sayit, Okan Gulel, Cetin Celenk Coronary artery fistulas are defined as abnormal vascular connections between one or more coronary arteries and cardiac chamber (coronary cameral fistula) or great thoracic vessel. In this case, we presented multimodality imaging findings of a rare case with coronary cameral fistula between sinoatrial nodal artery and left atrium. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - February 26, 2018 Category: Cardiology Source Type: research

“Huge right ventricular mass revealing a testicular non-seminomatous germ cell tumor”
We report the case of a 32-years-old male patient, suffering from dyspnea, for whom Trans-thoracic echocardiography and computed tomography have revealed a large intra-ventricular mass and a mass in the left testicle, with a heterogeneous aspect and multiple calcifications. The patient underwent a left inguinal orchidectomy and a resection of the ventricular tumor with tricuspid valvuloplasty. The anatomopathological study has revealed a malignant mixed Germ Cell Tumor with a secondary localization in the right ventricle. Afterward, the patient has received a systemic adjuvant chemotherapy. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - February 26, 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: Case Report
Publication date: Available online 9 January 2018 Source:Journal of the Saudi Heart Association Author(s): Abdelfatah Elasfar, Kafaf Jalali, Mohamed Hussein, Ibraheem AlHarbi, Osama Amoudi The 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 his warfarin for one month before presenting to our center for rout...
Source: Journal of the Saudi Heart Association - January 9, 2018 Category: Cardiology Source Type: research

ASD device closure in pediatrics: 3-Dimensional transthoracic echocardiography perspective
Conclusion Use of 3D before and after ASD closure is of value to determine the device relation to the surrounding structures. AV rim by TEE is an important rim to avoid eventual encroachment on the mitral valve and aorta. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - January 3, 2018 Category: Cardiology Source Type: research

Percutaneous retrieval of a shard of metal from the right ventricular apex after an industrial accident
Publication date: Available online 8 December 2017 Source:Journal of the Saudi Heart Association Author(s): Christian Blockhaus, Marcel Keßler, Jan-Erik Gülker, Hans-Peter Waibler, Alexander Bufe, Dong-In Shin, Heinrich Klues A 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 MP catheter. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - December 20, 2017 Category: Cardiology Source Type: research

Determining the factors causing delayed referral for fetal echocardiography at tertiary care hospital
Conclusion On the basis of the results, it could be concluded that delayed presentation for fetal echocardiogram was not associated with the educational status of the patients. On the other side, referral personale were found responsible for delayed referral of the patients. Therefore, we strongly recommend that both patients and gynecologists should be educated about the importance of timely diagnosis for identification of the congenital heart diseases. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - December 16, 2017 Category: Cardiology Source Type: research

Atrial septal defect device closure in pediatrics: A three-dimensional echocardiography perspective
Conclusion Use of 3D echocardiography prior to and after ASD closure is of value to determine the relation of the device with the surrounding structures. The assessment of AV rim by TEE is important to avoid eventual encroachment on the mitral valve and aorta. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - December 9, 2017 Category: Cardiology Source Type: research

Percutaneous retrieval of a shard of metal from the right ventricular apex after industrial accident
Publication date: Available online 8 December 2017 Source:Journal of the Saudi Heart Association Author(s): Christian Blockhaus, Marcel Keßler, Jan-Erik Gülker, Hans-Peter Waibler, Alexander Bufe, Dong-In Shin, Heinrich Klues A 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 MP catheter. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - December 9, 2017 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 - December 7, 2017 Category: Cardiology Source Type: research