[Catecholaminergic polymorphic ventricular tachycardia in adult: a case report]

Catecholaminergic polymorphic ventricular tachycardia [CPVT] is a primary electrical myocardial disease characterized by exercise- and stress-related ventricular tachycardia manifested as syncope and sudden death usually in child and teenager and was rarely described in adults. The management includes betablockade, with the use of implantable cardioverter defibrillators if medical treatment is insufficient. Report a new case of CPVT. We report a case of a 43 years old patient in whom CPVT diagnosis was made during his exploration for palpitations occurring with the effort. Registration Holter ECG revealed several episodes of supraventricular tachycardia and episodes of nocturnal sino-atrial block. The patient had an ICD and betablockade treatment. The TVPC in adult can manifest with attenuated symptoms that can be summarized with palpitations with the exertion. The supraventricular arrhythmias and sinus dysfunction may be at the forefront of Electrocardiographic manifestations. The prognosis of this form seems better than the TVPC of the child. Treatment with betablockade appears to be effective but existing dysfunction sinus facilitates decision to implant the ICD

[Ascending aortic aneurysm developing late after surgical repair of aortic coarctation]

We report the case of a 44 years old women who had successful operative repair of simple coarctation of the aorta at the age of 18 years. An associated bicuspid aortic valve with normal function was respected. Long-term ealuation demonstrated aortic root aneurysm that occurred in the absence of hypertension, recoarctation or deterioration of the bicuspid aortic valve and that was subjected to corrective surgery. Two years later, this patient died after a myocardial infarction the result. found in many studies published in the literature, demonstrate that since surgical repair of aortic coarctation became available, life expectancy of patients has improved but is not as normal as in unaffected pees because of a high rate of cardiovascular complications. Aneurysm in the ascending aorta [type A aneurysm] is a rare complication after surgical correction of aortic coarctation but this condition carries a high risk of dissection, rupture and death that justifies regular follow-up imaging. Bicuspid aortic valve, when associated to coarctation of the aorta, is an independent predictor of type A aneurismal formation and should be considered as a disease of the entire aortic root

Les endocardites mycosiques: a propos de deux cas et revue de la litterature

The authors report two cases of mycotic endocarditis, one on a prothetic valve, and the other on a native one. Of course we don't pretend drawing statistial conclusions considering the very few number of cases; but on diagnosing the second case in our department, we try to assess this affection. The candidoes are the most frequent involved fungus. The diagnosis is often labourious and delayed the diagnostic roamings are fr‚quent and implicate prescriptions which are sometimes aggravating. The clinical picture is generally similar to the common one. The same diagnosing-like may come up, to which proprer difficulties are added. The favorable ground for the mycotic infestation, the embolism of the big arterial truncks, the culture of a bit of the embolectomy, other mycotic localisations, the no-response to a wide spectrum antibiotherapy must draw our attention. The cultures in Sabouroud medium and the candidasic reactions must be much more used. The treatment is triple: Preventive, medical and surgical. The latter is no more controversial. The healing time-proof, is difficult to affirm and a prolonged observation is necessary