ABSTRACT
Cocaine is a potent sympathomimetic drug usually associated with cardiotoxicity, including ventricular arrhythmia, systemic hypertension and acute myocardial infarction. It constitutes the most frequent cause of drug-related death reported by medical examiners in the US, and these events are most often related to the cardiovascular manifestations of the drug. However; to the best of our knowledge; cocaine induced acute myocarditis has very rarely been reported. We describe the case of a 19 year-old male regular user of marijuana and cocaine who was admitted for a suspicion on an acute lateral-wall myocardial infarction and in whom the final diagnosis of acute cocaine myocarditis has been made. We report diagnosis modalities and evolution.
Subject(s)
Cocaine-Related Disorders/complications , Myocarditis/etiology , Acute Disease , Humans , Male , Young AdultABSTRACT
Renal carcinoma is an aggressive cancer with a high metastatic tendency. It may invade the renal vein, inferior vena cava and potentially extend in some cases to the right heart cavities. We report a case of a 71-year-old male presenting with an impressive polylobular tissular mass inside the right atrium and the right ventricle revealing an aggressive renal carcinoma extending through the inferior vena cava.
Subject(s)
Carcinoma, Renal Cell/pathology , Heart Atria , Heart Neoplasms/pathology , Heart Ventricles , Kidney Neoplasms/pathology , Vascular Neoplasms/pathology , Vena Cava, Inferior , Aged , Humans , Male , Neoplasm InvasivenessABSTRACT
Posterior mediastinal hematoma in a rare and potentially lethal disease and is frequently consecutive to a traumatism. We report the original case of a 88-year-old male admitted to our department for lipothymia and syncope related to a severe compression of the left atrium by an important mediastinal hematoma mimicking in transthoracic echocardiography an obstructive intraatrial mass.
Subject(s)
Atrial Appendage/diagnostic imaging , Echocardiography , Hematoma/diagnostic imaging , Mediastinal Diseases/diagnostic imaging , Aged, 80 and over , Anticoagulants/administration & dosage , Anticoagulants/adverse effects , Calcinosis/diagnostic imaging , Constriction, Pathologic , Diagnosis, Differential , Dilatation, Pathologic/diagnostic imaging , Hematoma/chemically induced , Hematoma/therapy , Hematoma, Subdural/complications , Hematoma, Subdural/diagnostic imaging , Humans , Long-Term Care , Magnetic Resonance Imaging , Male , Mediastinal Diseases/chemically induced , Mediastinal Diseases/therapy , Spinal Fractures/complications , Spinal Fractures/diagnostic imaging , Syncope/etiology , Thoracic Vertebrae/diagnostic imaging , Thoracic Vertebrae/injuries , Watchful WaitingABSTRACT
Cor triatrium is a rare congenital heart disease typically diagnosed amongst very young patients. Delayed diagnosis in the elderly is much more unusual. We report the case of a 59-year-old male with unremarkable medical history in whom we have discovered, on an echocardiography performed for an exploration of transient ischemic accident with atrial fibrillation, a particular form of an isolated cor triatrium dextrum investigated with multimodality imaging.
Subject(s)
Cor Triatriatum/diagnosis , Delayed Diagnosis , Atrial Fibrillation/diagnosis , Atrial Fibrillation/etiology , Echocardiography , Humans , Male , Middle Aged , Multimodal ImagingABSTRACT
Pheochromocytoma is a rare tumor potentially life-threatening and associated with non specific and diverse symptomatology. Cardiac symptoms may mislead diagnosis; they could manifest as myocardial sideration concomitant to a hypertensive peak or supraventricular arythmia. We report a case of pheochromocytoma associated with hypokaliemia revealed by a myocardial ischemia with acute cardiac failure and severe left ventricular depression and complete reversal after surgery.
