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61	Acute-Onset Heart Failure Secondary to Biventricular Non-Compaction Cardiomyopathy and Atrial Septal Defect in a Woman Presenting in the Seventh Decade Sharma, Purva, Jobanputra, Yash, Chait, Robert, Ghumman, Waqas 28 February 2022 (has links) We present a case of a previously asymptomatic 63-year-old woman who presented with worsening dyspnoea for 3 weeks. Initial transthoracic and later transoesophageal echocardiography confirmed biventricular non-compaction cardiomyopathy and a large secundum atrial septal defect (ASD) measuring 1.4 cm. Additionally, there was a haemodynamically significant left to right shunt causing acute decompensated systolic heart failure. She eventually underwent closure of the septal defect using a AMPLATZER Septal Occluder device. Decision to close the defect was made as the left to right shunt was causing severe pulmonary hypertension and acute heart failure. Since most heart failure treatments involve lowering of the LV afterload there was consideration that this could cause right to left shunting and could cause an Eisenmenger physiology. Hence the AMPLATZER Septal Occluder device was placed to eliminate the shunt through the ASD. The ASD combined with the non-compaction posed significant treatment challenge in this case. interventional cardiology cardiac catheterization cardiomyopathies (complications diagnostic imaging) echocardiography transesophageal female heart failure (complications) heart septal defects atrial (complications diagnostic imaging surgery) humans middle aged septal occluder device treatment outcome Internal Medicine
62	Ultrasound-Guided Percutaneous Thrombin Injection for Femoral Artery Pseudoaneurysms McCoy, Dana W., Scharfstein, B, Walker, W., Evans, J. 01 October 2000 (has links) We reviewed 13 cases of ultrasound-guided thrombin injection of femoral pseudoaneurysms. All cases occurred within a 17-month period from January 1998 through May 1999 and were complications of femoral artery puncture. Immediate total thrombosis occurred in nine of 13 patients. Twenty-four-hour follow-up ultrasound in seven patients revealed no recurrence of pseudoaneurysm. Two of 13 patients required operative repair. One pseudoaneurysm thrombosed with 15 minutes of compression after injection and one case required a second injection. No cases of arterial thrombosis were noted. Ultrasound-guided thrombin injection for femoral artery pseudoaneurysm represents a safe and effective alternative to operative repair. aged aged 80 and over aneurysm false (diagnostic imaging drug therapy etiology) angioplasty balloon coronary cardiac catheterization female femoral artery (diagnostic imaging) humans iatrogenic disease injections intralesional male middle aged thrombin (administration & dosage) treatment outcome ultrasonography doppler color Surgery

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Acute-Onset Heart Failure Secondary to Biventricular Non-Compaction Cardiomyopathy and Atrial Septal Defect in a Woman Presenting in the Seventh Decade

Ultrasound-Guided Percutaneous Thrombin Injection for Femoral Artery Pseudoaneurysms