Emil Missov
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View article: Missed Kawasaki Disease Mimicking as a Giant Coronary Aneurysm Mimicking an Intracardiac Mass
Missed Kawasaki Disease Mimicking as a Giant Coronary Aneurysm Mimicking an Intracardiac Mass Open
Kawasaki disease can have a late presentation and should be considered in the differential diagnosis of coronary aneurysms. A multimodal imaging approach is essential for accurate diagnosis and management of giant coronary aneurysms.
View article: Left Atrial-to-Coronary Sinus Shunting in Heart Failure With Mildly Reduced or Preserved Ejection Fraction
Left Atrial-to-Coronary Sinus Shunting in Heart Failure With Mildly Reduced or Preserved Ejection Fraction Open
In patients with HF and LVEF >40%, the APTURE shunt confirmed an acceptable safety profile with improvements in HF symptoms, quality of life, and functional capacity without negatively affecting right and left heart function after 2 years,…
View article: Acute Native Aortic Valve Thrombosis in the Setting of Extracorporeal Membrane Oxygenation
Acute Native Aortic Valve Thrombosis in the Setting of Extracorporeal Membrane Oxygenation Open
Aortic valve (AV) thrombosis is a rare but clinically significant condition with fewer than 80 cases of native AV thrombosis reported over the past 50 years. The clinical presentation varies widely, ranging from asymptomatic cases to acute…
View article: A self-flushing left atrial appendage: a case of a fenestrated left atrial appendage membrane
A self-flushing left atrial appendage: a case of a fenestrated left atrial appendage membrane Open
A left atrial appendage (LAA) membrane is a very rarely seen anatomical variant of undetermined clinical significance. There exists a scarcity of literature on this subject but remains an important structure to identify due to both a purpo…
View article: Left Atrial to Coronary Sinus Shunting for Treatment of Symptomatic Heart Failure
Left Atrial to Coronary Sinus Shunting for Treatment of Symptomatic Heart Failure Open
In this single-arm experience, the APTURE Transcatheter Shunt System in patients with symptomatic HF was observed to be safe and resulted in reduction in pulmonary capillary wedge pressure and clinically meaningful improvements in HF sympt…
View article: A Diagnostic Pitfall of Transthoracic Echocardiography: A Case of a Missed Large Mitral Valve Thrombus in the Setting of Suspected Nonbacterial Thrombotic Endocarditis
A Diagnostic Pitfall of Transthoracic Echocardiography: A Case of a Missed Large Mitral Valve Thrombus in the Setting of Suspected Nonbacterial Thrombotic Endocarditis Open
Transthoracic echocardiography (TTE) is frequently utilized in the initial evaluation of cardioembolic stroke. However, the diagnostic utility of TTE is often operator-dependent, and in conjunction with anatomical limitations, there is a r…
View article: Aerococcus urinae Infective Endocarditis
Aerococcus urinae Infective Endocarditis Open
Aerococcus urinae is a gram-positive organism frequently found in the urinary tract. It is often mistaken for Streptococcus and Enterococcus based on its appearance. It commonly causes urinary tract infections but has rarely been associate…
View article: Tricuspid valve arrest
Tricuspid valve arrest Open
A young woman with a medical history of endocarditis status postporcine tricuspid valve replacement, intravenous drug abuse and seizures presented to the hospital with shortness of breath. The patient reported progressively worsening dyspn…
View article: Cardiac amyloid presenting as cardiogenic shock: case series
Cardiac amyloid presenting as cardiogenic shock: case series Open
Background Amyloidosis is a systemic infiltrative disease that can affect nearly every organ in the human body. It is characterized by the deposition of misfolded protein within various tissues and organs. Once there is cardiac involvement…
View article: Cardiac papillary fibroelastoma.
Cardiac papillary fibroelastoma. Open
Papillary fibroelastoma (PFE) is a primary, histologically benign endocardial neoplasm. Though PFE has long been reported as the second most common primary cardiac neoplasm, it has since pulled ahead of cardiac myxomas, largely due to evol…
View article: Cardioembolic stroke in the setting of multiple left ventricular thrombi
Cardioembolic stroke in the setting of multiple left ventricular thrombi Open
A 78-year-old man with a known ischaemic cardiomyopathy presented with hypoxaemic respiratory failure and undifferentiated shock. CT head revealed a large middle cerebral artery territory infarct. Transthoracic echocardiography revealed a …
View article: Right Atrial Appendage Thrombus in Atrial Fibrillation: A Case Report and Review of the Literature
Right Atrial Appendage Thrombus in Atrial Fibrillation: A Case Report and Review of the Literature Open
Atrial fibrillation (Afib) is the most common abnormal heart rhythm in adults and has become a significant public health concern affecting 2% to 3% of the population in Europe and North America. Left atrial appendage (LAA) thrombi is the s…
View article: A case report of an unusual left atrial mass
A case report of an unusual left atrial mass Open
Background Cardiac foreign bodies (FBs) are rare findings that may present as cardiac masses initially. Here, we present an exceptional and rare case of a hypodermic needle FB that transmigrated to the left atrium and presented as a left a…
View article: Renal Cell Carcinoma with Right Ventricular Metastatic Spread: An Unusual Finding with Poor Prognosis
Renal Cell Carcinoma with Right Ventricular Metastatic Spread: An Unusual Finding with Poor Prognosis Open
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View article: <i>Serratia marcescens</i> Endocarditis with Perivalvular Abscess Presenting as Atrioventricular Block
<i>Serratia marcescens</i> Endocarditis with Perivalvular Abscess Presenting as Atrioventricular Block Open
Serratia marcescens is an aerobic, Gram-negative bacillus first identified in 1819 (Yeung et al. 2018). S. marcescens infective endocarditis is extremely rare accounting for only 0.14% of all cases (Phadke and Jacob 2016, Hadano et al. 201…
View article: Head and Neck Pain in Patients Presenting with Acute Aortic Dissection
Head and Neck Pain in Patients Presenting with Acute Aortic Dissection Open
Background Head and neck pain is an atypical presentation of acute aortic dissection. Classic teaching associates this pain with proximal dissections, but this has not been extensively studied. Methods Patients enrolled in the Internationa…
View article: Lifetime Risk and Risk Factors for Abdominal Aortic Aneurysm in a 24-Year Prospective Study
Lifetime Risk and Risk Factors for Abdominal Aortic Aneurysm in a 24-Year Prospective Study Open
Objective— Abdominal aortic aneurysm (AAA) is an important vascular disease in older adults, but data on lifetime risk of AAA are sparse. We examined lifetime risk of AAA in a community-based cohort and prospectively assessed the associati…
View article: Minnesota Resuscitation Consortium's Advanced Perfusion and Reperfusion Cardiac Life Support Strategy for Out‐of‐Hospital Refractory Ventricular Fibrillation
Minnesota Resuscitation Consortium's Advanced Perfusion and Reperfusion Cardiac Life Support Strategy for Out‐of‐Hospital Refractory Ventricular Fibrillation Open
Background In 2015, the Minnesota Resuscitation Consortium (MRC) implemented an advanced perfusion and reperfusion life support strategy designed to improve outcome for patients with out‐of‐hospital refractory ventricular fibrillation/vent…
View article: Left ventricular-assist device arrest: total thrombosis of a continuous flow left ventricular-assist device
Left ventricular-assist device arrest: total thrombosis of a continuous flow left ventricular-assist device Open
A 46-year-old man with a continuous flow left ventricular-assist device implanted as destination therapy 2 years ago (CF-LVAD; HeartMate II, Thoratec Corporation, Pleasanton, CA, USA) presented with syncope, low flow device alarms, and sev…