Atrial tachycardia (AT) in the right atrium often occurs following open-heart surgery. Catheter ablation for these AT is challenging and can lead to unintended conduction block. We performed late-gadolinium enhancement magnetic resonance imaging prior to catheter ablation and predicted wavefront propagation during SR as well as the slow conduction zone
We are reporting a case of neurofibromatosis type 1 in a genotype-phenotype correlation and chromosomal microarray test revealed a submicroscopic deletion on the long arm of chromosome 17, which is associated with a more severe phenotype. The presence of a more severe phenotype warrants precise monitoring of complications.
Biliary tract cancer is the most common biliary malignant tumor, which is considered to be a high-grade malignant tumor because of its frequent recurrence / metastasis. Late recurrence of gallbladder cancer after operation is rare. We presented a case of recurrent cancer after radical resection of gallbladder cancer.
Device insertion is a common cardiovascular procedure. Devices are implanted into the right heart; which is a safeguard against systemic thromboembolism. Lead insertion into the left ventricle is rare. This is a case of a defibrillator lead inadvertently inserted into the left cavity. This was discovered 6 years later.
Pathologic amyloid β and tau protein accumulation in the cerebral cortex does not necessarily lead to a diagnosis of Alzheimer’s disease. Our current report presents a patient with Alzheimer’s disease pathology who presented general cognitive impairment we considered derived from the lung cancer itself, without metastasis.
Proteus syndrome (PS) is a complex disorder characterized by variable clinical findings of overgrowth and tumor susceptibility. This report presents the first known association between PS and an ovarian germ cell tumor in an adolescent with immature teratoma. A review of the diagnosis of PS and associated tumors is included.
A patient with diagnosed MELAS (mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes) syndrome had developed psychological and behavioural disturbances at a later stage of his illness. Psychiatric care for this patient would not be possible without a multidisciplinary team approach involving multi-prong interventions from the different team members.
Metastasis of renal cell carcinoma to the heart is a rare event. Herein we present a case of renal cell carcinoma presenting with progressive fatigue, abdominal pain, and weight loss. Imaging studies revealed complex renal mass with extension to right atrium and histopathology confirmed the metastatic renal cell carcinoma.
Our patient is a 19-year-old female who presented with left shoulder pain. Diagnostic arthroscopy revealed an articular-sided supraspinatus tear. When the shoulder was taken out of traction and placed in 90 degrees of abduction and external rotation, we visualized the biceps tendon directly impinging the undersurface of the supraspinatus tendon.
We report two cases of patients with concurrent osteoarthritis of the knee and the ipsilateral ankle. Patients were treated with high tibial osteotomy (HTO). In well-planned and selected cases, HTO may be effective in treating not only the knee but also the ankle in patients with ipsilateral double-joint osteoarthritis.
Acute liver failure precipitated by acute Budd–Chiari syndrome and complete portal vein thrombosisYuji Suzuki MD, PhD; Akiko Suzuki MD, PhD; Keisuke Kakisaka MD, PhD; Yasuhiro Takikawa MD, PhDDivision of Hepatology, Department of Internal Medicine, Iwate Medical University School of Medicine, Yahaba-cho, Iwate, Japan
A phytobezoar occurring in the stomach is uncommon. The most frequent symptoms are dyspepsia, abdominal pain, nausea and vomiting. It is an important differential to remember in those patients with risk factors for developing phytobezoars, as phytobezoars can be managed conservatively in most cases.
We herein report an exceedingly rare case of Evans syndrome with associated tubercular pleural effusion. The patient was initially treated as autoimmune hemolytic anemia. However, the development of thrombocytopenia led to the subsequent diagnosis of Evans syndrome. The co-existence of tuberculosis resulted in additional difficulty during treatment with immunosuppressive medications.
We present hereby the case of a 75-year-old woman with a degenerated mitral bioprosthesis and severely reduced left ventricular ejection fraction who underwent a successful trans-septal mitral valve-in-valve (TMViV) replacement using a 29mm Edwards Sapien S3 transcatheter heart valve. We also performed a literature review.
In case of decompensated heart failure related to chemotherapy-induced cardiomyopathy, ivabradine administration could lead to favorable hemodynamics via the increase of stroke volume with reducing sinus heart rate. Assessment of the overlap between the E- and A-waves facilitates understanding the effects of ivabradine in such cases.