Elastopathies and Other Genetic Syndromes Predisposing to Aortic Pathology

Aortic diseases and their complications are related to high mortality. Genetic disorders of the elastic components of the aorta (elasthopaties) cause earlier manifestation and worse prognosis of the aortic pathology among the affected subjects. Early diagnosis of such genetic disorders can lead to better control and preventive medical and surgical treatment in order to prevent complications and improve prognosis....

Correlation of Myocardial Bridging to Regional Hypo-, A- or Dyskinesis of Left Ventricular Function in Takotsubo Cardiomyopathy

The causes of regional hypo-, a- or dyskinesis of left ventricular function in takotsubo cardiomyopathy remains unclear. These changes are transient in many cases, but a chronic takotsubo cardiomyopathy exist in a few cases [1]. A couple of explanations for regional contraction abnormalities exist: spasm, myocardial bridging and recurrent segment of the left anterior descending coronary artery (LAD). The ECG chang...

Electrocardiographic Signs of Right Ventricular Hypertrophy in Desmoglein-2 and Plakophilin-2 Related Arrhythmogenic Cardiomyopathy

Desmoglein-2 mutations in arrhythmogenic cardiomyopathy produce myocyte ventricular hypertrophy due to necrosis and severe calcification. This study aimsto investigate the presence of electrocardiographic signs of right ventricular hypertrophy in patients with desmoglein-2 mutations. Method: The electrocardiographic signs of right ventricular hypertrophy (RVH) were anaylzed in the ECG 0f 21 patients with desmoglei...

Clinical Cure of Fulminant Myocarditis Associated to Chlamydophila Pneumoniae and Parvovirus B19 Superinfection

Fulminant myocarditis is superacute myocarditis, rapidly lethal or curable. The authors report the first case of FM with concomitant Chlamydophila pneumoniae and Parvovirus B19 superinfection, proved by positive serology tests. The patient was rapidly asymptomatic.

Macrophages as the Homeostasis Regulators in the is chemically Damaged Myocardiumin Condition of the Use of Allogenic Biomaterial

Macrophages as the effector cells play a key role in initiating the inflammatory process and they predetermine the manifestation of the post infarction cardiosclerosis. The population of these cells is heterogeneous and it is mainly represented by M1 and M2 phenotypes. Alloplant Biomaterial (ABM) is reabsorbed by the macrophages, which became the regulators of the cellular interaction in tissues. Aim: The aim of t...

Yes, We Can Prevent Peripartum Cardiomyopathy, but…

Definition: Peripartum cardiomyopathy is the onset of heart failure with no identifiable cause within the last month of pregnancy or within 5 months after delivery. Aims: To understand the unequal incidence of this peripartum cardiomyopathy in the world, to identify populations at risk and their way of life, to propose prevention. Methods: Systematic analysis of medical publications reporting clinical cases of per...

Step-by-Step Double Coronary Sinus Cannulation Approach as a Landmark for Difficult Cardiac Resynchronization Therapy Implantation

An 84-year-old male patient, with highly symptomatic ischemic cardiomyopathy, LBBB (QRS= 160 ms) and LVEF 30 %, was admitted for CRT implantation. Using three separate (ultrasound-guided) axillary vein punctures, the right atrial and ventricular leads were easily positioned, but it was not possible to catheterize the coronary sinus (CS). After about 50minutes, a decision was made to cannulate the CS through the fe...

Outpatient Coronary Angioplasty: Feasibility, Safety and Cost for the Creation of a Day Hospital Unit

Same-day discharge after Percutaneous Coronary Intervention is a marginalized strategy mainly because of hemorrhagic and vascular risks, but also represents a topical approach by its ambulatory nature. Objective of the study: Study the feasibility, safety and cost of ambulatory coronary angioplasty and to propose a plan for the creation of a day hospital unit at Mohammed VI University Hospital Center of Marrakech....

Impact of Hemodialysis on Echocardiographic Indices of Left Ventricular Function: Comparative Study Before and After Dialysis

Objectives: Hemodialysis in patients with renal insufficiency may affect cardiac function due to acute changes in blood volume, blood pressure, electrolytes and sympathico-vagal balance. The purpose of this study is to describe and analyze the impact of the hemodialysis on echocardiographic indices of left ventricular function. Patients and methods: This is a prospective descriptive and analytical study including...

Wang Procedure for Treatment of Pectus Excavatum

Nuss procedure is currently the most popular operation for pectus excavatum, but it is not suitable for pectus excavatum patients with low age. In order to get these patients managed satisfactorily, we designed a novel technique with a new principle. We placed a metal bar on the surface of bony structures of the chest wall, rather than under these structures during Nuss procedure. After lifting with steel wires, t...

Successful Closure of Subclavian Artery with Vasculature Closure Device

A 57-year-old female patient was referred to our clinic for cardiac defibrillator (ICD) insertion. During procedure, arterial hemorrhage was seen when the dilator was pulled to place the ICD lead and it was realized that the access site was the left subclavian artery. Subclavian artery cannulation which was done inadvertently was succeeded in management with 6-French Perclose Proglide® vascular closure device.

Reverse Controlled antegrade and Retrograde subintimal tracking for Chronic total occlusion Intervention: My approach in 2017

Chronic total occlusion remains one of the most challenging subsets for percutaneous coronary in tervention. After initial reports of retrograde cases, important changes have occurred that resulted in faster and more successful procedures. Reverse controlled antegrade and retrograde subintimal tracking is the most commonly used retrograde technique. In this review, the author sheds light on step-by-step approach t...