ABSTRACT
We report the case of a man admitted for massive pulmonary embolism. Transthoracic echocardiography showed a serpentine thrombus in the right atrium across the foramen oval. Because of an acute worsening of the circulatory insufficiency, an intravenous thrombolysis was prescribed and the patient recovered progressively. An early control echocardiography showed the disappearing of the intracardiac thrombus and no evidence of abnormality of interatrial septum. While there was no evidence of venous thrombosis in legs, a renal cancer was diagnosed by echography. Silent stroke were highlighted at the scanner. This clinical case leads to discuss the origin of thrombus (in situ formation or thrombus migration) as well as the treatment (heparinotherapy, thrombolysis, surgical embolectomy, definitive closure of the foramen oval).
Subject(s)
Heart Diseases/complications , Heart Septum , Pulmonary Embolism/etiology , Stroke/etiology , Thrombosis/complications , Aged, 80 and over , Anticoagulants/therapeutic use , Echocardiography, Transesophageal , Heart Diseases/diagnostic imaging , Heart Diseases/drug therapy , Heart Septum/diagnostic imaging , Humans , Kidney Neoplasms/complications , Kidney Neoplasms/diagnostic imaging , Kidney Neoplasms/drug therapy , Male , Pulmonary Embolism/diagnostic imaging , Pulmonary Embolism/drug therapy , Stroke/diagnostic imaging , Stroke/drug therapy , Thrombosis/diagnostic imaging , Thrombosis/drug therapy , Treatment OutcomeABSTRACT
Pheochromocytoma can induce a adrenergic cardiomyopathy. This one occurs sometimes clinical, biological or and electrocardiographic signs of an acute coronary syndrome. We report two cases of rudimentary necrosis due to a pheochromocytoma: the first one after tumorectomy, the second one has revealed the disease in a patient who was suffering from high blood pressure for many years. The coronarography was in each case normal.
Subject(s)
Adrenal Gland Neoplasms/complications , Angina, Unstable/etiology , Myocardial Infarction/etiology , Pheochromocytoma/complications , Acute Disease , Female , Humans , Middle Aged , SyndromeABSTRACT
Plasma-derived products are often used in cardiac surgery. We report the case of a patient developing an infection due to Parvovirus B19 after coronary artery bypass. Symptoms were fever, asthenia, anemia, and pancreatitis. This infection can be transmitted from plasma-derived product, like fibrin sealant (used for hemostasis during surgery). Parvovirus B19 is resistant to existing virus-inactivating techniques. The patient had to leave our hospital after symptomatic treatment which has significantly increased the length to stay.
