Rare form of large pericardial cyst in 73 years old with atypical chest pain

We are reporting a case of 73 year- old gentleman with atypical chest pain and history of hypertension who underwent clinical evaluation at our center. He was ultimately diagnosed with rare presentation of pericardial cyst .His echocardiographic data and Chest CT scan data were unique because most pericardial cysts are seen in right side of the heart unlike our patient who had suffered from large left sided form of the disease which is very rare

[Comparison of diagnostic value of intrarenal doppler indices and microalbuminuria for detection of diabetic nephropathy in type II diabetic patients]

Background and Aims: Diabetes is the most common cause of renal insufficiency throughout the world. The main cause of renal failure in diabetic patients is microvascular endothelial injuries that is secondary to atherosclerosis and ischemia. The efficacy of renal Doppler indices such as resistive index [RI] and pulsetile index [PI] for the evaluation of intrarenal arteries has been shown. This study was done to determine the accuracy of RI and PI indices in earlier detection of renal involvement in type II diabetes

Method: Sixty diabetic patients were divided into two groups of with microalbuminuria and without microalbuminuria. After determinig RI and PI, the two groups were compared by using independent t-test, fisher exact test and Pearson correlation and through SPSS 15

Results: A statistically significant correlation was found between RI and positivity of microalbuminuria [P= 0.013]. There was no correlation between RI and variables of age, sex and duration of diabetes. Moreover, 60% of cases without microalbuminuria had RI>0.7 that shows the diagnostic value of RI in earlier detection of renal failure in comparison to microalbuminoria test

Conclusion: Further studies for proving the efficacy of RI as the screening test for earlier detection of renal involvement in diabetes are recommended

Diffuse arterial ectasia in Marfan Syndrome

A 22 year old male referred with palpitation. General appearance and physical exam impressed us in that the patient has Marfan syndrome. Cardiac catheterization showed diffuse arterial ectasia. We found no previous report of this generalized diffuse ectasia

Diffuse coronary arterial ectasia with hypertrophic cardiomyopathy

A 40 year old male, a known case of hypertrophic cardiomyopathy, was admitted for catheterization. At catheterization and angiography, septum was hypertrophied to about 5cm and diffuse coronary artery aneurysm was revealed. We found no previous report of coronary artery aneurysm in hypertrophic cardiomyopathy