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1.
Turk Kardiyol Dern Ars ; 51(1): 69-71, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36689286

RESUMO

A bicuspid aortic valve (BAV) is one of the most congenital anomalies of the heart in adults. It is also associated with a higher-than-expected incidence of coronary artery anomalies. We present a rare case of congenital BAV associated with anomalous origin of the left main coronary artery (LMCA) from the posterior left coronary sinus of Valsalva in young symptomatic athlete.


Assuntos
Doença da Válvula Aórtica Bicúspide , Anomalias dos Vasos Coronários , Seio Aórtico , Adulto , Humanos , Valva Aórtica/anormalidades , Anomalias dos Vasos Coronários/complicações , Aorta , Doença da Válvula Aórtica Bicúspide/complicações
2.
Cardiovasc Revasc Med ; 40S: 243-245, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-34433522

RESUMO

Transradial (TR) approach demonstrates a significant reduction in vascular complication rates when compared with femoral approach. Nevertheless, minor kinking during this approach is not rare and in most of time can be resolved with a gentle opposite rotation maneuver. Sometimes a kinking is more severe and results in catheter entrapment in narrow radial or brachial artery. There are some documented rescue techniques described in the literature. Some of these techniques include the BP cuff technique, the femoral snare technique, the long sheath technique and the balloon retrieval technique. We report a case of a 55-years old man with stable angina pectoris who underwent coronary angiography at our hospital. During the procedure severe catheter kinking was noted. An opposite rotation maneuver failed to rescue the catheter. Then balloon rescue technique was attempted and catheter was safely extracted from radial artery. This technique can be an option during severe catheter kinking when conventional rescue maneuvers fail.


Assuntos
Catéteres , Artéria Radial , Artéria Braquial/diagnóstico por imagem , Artéria Braquial/cirurgia , Angiografia Coronária , Artéria Femoral , Humanos , Masculino , Pessoa de Meia-Idade , Artéria Radial/diagnóstico por imagem , Resultado do Tratamento
3.
J Electrocardiol ; 61: 37-40, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32504901

RESUMO

Conventionally, His bundle pacing (HBP) is achieved using specially designed pacing leads and delivery sheaths. This paper describes the feasibility of permanent HBP with a pre-shaped simple stylet and a standard active-fixation electrode, through axillary vein access, without using dedicated delivery tools. This method may be a feasible and safe alternative to the only commercially available system.


Assuntos
Fascículo Atrioventricular , Estimulação Cardíaca Artificial , Eletrocardiografia , Eletrodos , Humanos , Resultado do Tratamento
5.
J Arrhythm ; 36(1): 209-210, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32071649

RESUMO

Differential diagnoses of regularly irregular narrow QRS tachycardias are AV re-entrant tachycardia (AVRT) with alternating antegrade AVN pathways, atypical AV nodal re-entrant tachycardia (AVNRT) with alternating antegrade AVN pathways, and atrial tachycardia (AT) with alternating antegrade AVN pathways or with Wenckebach periodicity.

13.
J Arrhythm ; 35(2): 314-316, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31007802

RESUMO

Entrainment is an important tool for the diagnosis and location of reentry. The usefulness of this maneuver requires that, prior to cessation of ventricular pacing, the atrial rate accelerates to the ventricular pacing rate. Moreover, it is important to verify the continuation of the tachycardia following cessation of entrainment. The recognizing the last entrained atrial beat is utmost important to avoid erroneous A-A-V labeling.

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