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ABSTRACT: Tricuspid valve (TV) injury is a rare complication of blunt chest trauma, most commonly as a result of a traffic collision. The authors describe a case of massive TV regurgitation due to a rupture of the chorde tendinae to the anterior and septal leaflets in a 21-year-old man, the victim of a car crash. Concomitant organ injuries included, among others, multiple rib fractures, pulmonary contusion, open femoral fracture. TV annuloplasty with Medtronic Duran ring implantation was performed one year after the accident because of right ventricular function worsening and occurrence of right heart failure symptoms. Three years after surgery only trivial TV regurgitation is detectable. The patient manifest good physical efficiency and continues occupational activity.
Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego 07/2012; 33(193):25-8.
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ABSTRACT: We presented a case of asymptomatic myxoma of the tricuspid valve septal leaflet. The tumour was diagnosed accidentally during rutine transthoracic echocardiography and confirmed by transesophageal echocardiography. It was resected and the septal leaflet repaired during surgery.
Kardiologia polska 01/2012; 70(6):609-11. · 0.51 Impact Factor
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ABSTRACT: Coarctation of the aorta is treated surgically in most of patients during childhood. However, some of them experience recoarctation in future. A 57 year-old woman suffering from chest pain and decreased activity tolerance was admitted to the cardiac department. Physical examinations, lab tests and cardiovascular imaging revealed severe aortic valve stenosis and insignificant narrowing of the aorta. The patient underwent a surgical replacement of the aortic valve without recoarctation repair.
Kardiologia polska 01/2012; 70(2):169-71. · 0.51 Impact Factor
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ABSTRACT: A 67-year-old female patient was referred to our clinic for coronary artery bypass graft and severe mitral regurgitation (MR) treatment. The patient had a history of coronary disease and MR treated in 2007 with a CARILLON device. Left mammary and saphenous vein were used to graft the diseased coronaries. MR was corrected with a saddle ring; however, we had some difficulties anchoring ring sutures to the mitral annulus caused by the protruding CARILLON. The ring was finally stitched, and the patient was weaned from bypass. A transoesophageal echo showed a competent valve. The patient was transferred to the intensive care unit on moderate catecholamines.
Interactive cardiovascular and thoracic surgery 03/2011; 12(6):1054-6.
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ABSTRACT: We reported a case of a 45 year-old woman who had a quadricuspid aortic valve associated with moderate aortic regurgitation. The valve abnormality was detected by transthoracic echocardiography. Transesophageal echocardiography showed mild thickening of 4 symmetric aortic valve cusps, a small rectangular central regurgitant orifice, and moderate aortic insufficiency. In addition visualised this anomaly in 3D transesophageal echocardiography too.
Kardiologia polska 01/2011; 69(10):1084-6. · 0.51 Impact Factor
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ABSTRACT: We present a rare case of fungal (Candida albicans) endocarditis on the two (mitral and aortic) biological prosthetic valves. Vegetations were detected by transthoracic echocardiography and confirmed by transesophageal echocardiography.
Kardiologia polska 01/2011; 69(11):1189-92. · 0.51 Impact Factor
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ABSTRACT: We present a case of severe symptomatic tricuspid valve regurgitation due to shifting of the septal leaflet of the valve toward the interventricular septum by a permanent ventricular pacemaker lead, making coaptation of the tricuspid leflats in systole impossible.
Kardiologia polska 01/2011; 69(11):1197-9. · 0.51 Impact Factor
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Kardiologia polska 01/2011; 69(10):1075-8. · 0.51 Impact Factor
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ABSTRACT: Intraventricular septum (IVS) rending from left ventricular wall after acute myocardial infarction is a rare and dramatic mechanical complication. We describe a patient, who survived after rending of IVS from left ventricular inferoposterior wall after acute myocardial infarction. This complication was diagnosed using transthoracic and transesophageal echocardiography and confirmed by 64 MSCT. The patient underwent successful IVS repair plus three coronary artery bypass grafts and inferoposterior wall aneurysm plasty.
Kardiologia polska 12/2010; 68(12):1380-3; discussion 1384. · 0.51 Impact Factor
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ABSTRACT: In a 37 year-old woman with Takayasu's arteriopathy angiography revealed occlusion of right coronary artery (RCA), brachiocephalic trunk and left carotid artery (LCA), as well as aortic regurgitation. She underwent a complex cardiovascular surgery consisting of aortic valve implantation, RCA grafting and implantation of vascular bifurcated graft anastomosed between ascending aorta and brachiocephalic trunk and LCA. The multi-slice computed tomography performed two weeks after the operation revealed preserved grafts patency.
Kardiologia polska 10/2010; 68(10):1189-91. · 0.51 Impact Factor
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ABSTRACT: A case of a 50-year-old man admitted to the cardiology department due to massive infective endocarditis is presented. Diagnosis was confirmed by further investigations and patient was referred to cardiosurgery department. The surgery revealed destruction of mitral, tricuspid and aortic valve, thus three bioprostheses were implanted. The treatment was successful and six months after surgery patient was in good overall condition.
Kardiologia polska 03/2010; 68(3):322-5; discussion 326. · 0.51 Impact Factor
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ABSTRACT: Subacute ascending aortic dissection following open heart surgery is a rare but potentially fatal complication. It is associated with dilatation of the aortic root or cystic medial necrosis. We present associated a case of a 65-year old patient with non-fatal ascending aortic dissection after coronary artery bypass grafting using extracorporeal circulation.
Kardiologia polska 01/2010; 68(1):105-7. · 0.51 Impact Factor
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ABSTRACT: A case of 44-year-old female, with an isolated mitral cleft, a rare congenital cause of mitral insufficiency is presented. The echocardiogram showed the presence of mild mitral regurgitation and a cleft of the anterior mitral valve leaflet was evident. Transesophageal echocardiography confirmed those findings. There were no other anomalies.
Kardiologia polska 12/2009; 67(12):1403-5. · 0.51 Impact Factor
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ABSTRACT: Non-compaction myocardium of the left ventricle (LVNC) is a genetically heterogeneous congenital cardiomyopathy characterised by excessive prominent trabeculations and deep intertrabecular recesses which communicate with the left ventricular cavity. Echocardiography plays a pivotal role as a first line diagnostic tool of this rare abnormality. We presented a case of 64-year-old male with LVNC and with papillary muscle involvement.
Kardiologia polska 11/2009; 67(11):1285-6. · 0.51 Impact Factor
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ABSTRACT: We report a case of a 33-year-old man with infective endocarditis of both atrioventricular valves coexisting with a congenital heart defect: atrioventricular canal defect. Transthoracic and transesopageal echocardiography showed complete atrioventricular canal defect and vegetations affecting both the normal mitral and tricuspid valves. The patient received a combined antibiotic therapy and was qualified for cardiosurgical correction.
Kardiologia polska 09/2009; 67(9):1004-6. · 0.51 Impact Factor
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ABSTRACT: A case of acute severe mitral regurgitation with serious hemodynamic impairment in the setting of an inferior ST-elevation myocardial infarction is presented. Both transthoracic and transesophageal echocardiography demonstrated a posteriorly directed eccentric jet of severe mitral regurgitation with flail anterior mitral valve leaflet. The rupture of the postero-medial papillary muscle attached via chords to the anterior mitral valve leaflet was found. The direction and eccentricity of the mitral regurgitant jet on transthorasic and transesophageal echocardiography helped to point the leaflet involved, but not necessarily the coexisting papillary muscle pathology.
Kardiologia polska 07/2009; 67(6):687-9. · 0.51 Impact Factor
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ABSTRACT: Mitral valve annuloplasty is frequently performed because of favourable postoperative quality of life, and improved cardiac function. The Carpentier-Edwards mitral annuloplasty ring is implanted to correct annular dilatation, improve cooptation of the valve leaflets and prevent further annular dilatation. We present two cases of mitral annuloplasty complication in the form ring detachment leading to haemolytic anaemia in the first case.
Kardiologia polska 04/2009; 67(3):322-5. · 0.51 Impact Factor
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ABSTRACT: We reported a rare case of acute thrombosis of mechanical mitral prosthesis. A 58-year-old man underwent mitral valve replacement using St. Jude Medical mechanical valve prosthesis because of rheumatic heart disease 3 years ago. On admission he presented symptoms and signs of heart failure (NYHA class IV). Transthoracic transesophageal echocardiogram revealed mixed prosthetic mitral valve dysfunction. Disturbances of discs movements caused by thrombosis were observed. After unsuccessful thrombolytic treatment patient underwent biological mitral valve replacement.
Kardiologia polska 02/2009; 67(1):58-60; discussion 61. · 0.51 Impact Factor
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Kardiologia polska 07/2007; 65(6):717-9. · 0.51 Impact Factor
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ABSTRACT: We report a patient with a large, asymptomatic left atrial myxoma detected by transoesophageal echocardiography. The tumour filled the great part of the left atrium cave and led to mitral valve obstruction. Surgical management gave an excellent result.
Kardiologia polska 03/2007; 65(2):201-4. · 0.51 Impact Factor
