ABSTRACT
A 23-year-old man sustained blunt cardiac injury after a motor vehicle collision resulting in left ventricular septal avulsion, ruptured chordae tendineae, and moderate to severe tricuspid regurgitation that necessitated operative intervention. The patient underwent successful resection of a prolapsed avulsed septal wall segment and concomitant tricuspid valve repair.
Subject(s)
Heart Injuries , Myocardial Contusions , Tricuspid Valve Insufficiency , Male , Humans , Young Adult , Adult , Chordae Tendineae/surgery , Tricuspid Valve Insufficiency/surgery , Tricuspid Valve/surgery , Heart Injuries/diagnosis , Heart Injuries/diagnostic imaging , Myocardial Contusions/complicationsABSTRACT
Pulmonary vein atrial tachycardia (PVAT) is a rare arrhythmia that accounts for 3% of all atrial tachycardia types. On electrocardiogram, fast PVATs may be misinterpreted as atrial fibrillation at first glance. We present a case of PVAT refractory to pharmacological intervention in a 31-year-old, requiring ablation to terminate the arrhythmia.
Subject(s)
Atrial Fibrillation , Catheter Ablation , Pulmonary Veins , Adult , Atrial Fibrillation/diagnosis , Atrial Fibrillation/surgery , Electrocardiography , Humans , Male , Pulmonary Veins/surgery , Tachycardia , Treatment OutcomeABSTRACT
Acute respiratory distress syndrome, characterized by the Berlin criteria, is associated with a high mortality rate. Its treatment includes addressing the underlying etiology, general supportive measures, and achievement of effective oxygenation. New key data indicates that in a subset of patients, noninvasive ventilation techniques can be a therapeutic and equivalent alternative to traditional invasive ventilation. We present a rare case of ARDS triggered by nasal bupropion inhalation and effectively treated with noninvasive positive pressure ventilation resulting in complete resolution.
