The cardiac localization of metastases is a rare condition, most often found on autopsy. Lymphoma is among the primary cancers often involved, as was the case for our patient in whom cardiac involvements were discovered during the extension assessment by imaging. Clinically asymptomatic in the majority of cases, we mainly find general symptoms related to the primary disease. Because histological diagnosis is rarely possible by biopsy, confirmation is made by imaging in the context of disseminated disease. The treatment of cardiac involvements of lymphomatous origin is often medical with a poor prognosis.
Cor triatriatum sinister is a rare congenital cardiac anomaly in which the pulmonary venous confluence is separated from "true" left atrium by fibro-muscular septum. Cor triatriatum can persist unrecognized into adult life if large opening or several fenestrations are present. Late onset of symptoms is usually caused by increased pulmonary pressure, development of atrial arrhythmias or mitral valve abnormalities. Non obstructive cor triatriatum may be an incidental finding. We describe a case of an adult woman who had known cor triatriatum (but not being actively followed) who presented in palpitation acces table due to atrial fibrillation.Copy Right, IJAR, 2020,. All rights reserved.
…………………………………………………………………………………………………….... Introduction:-Cor triatriatum sinister is a rare congenital defect in which the left atrium is divided into two chambers by a membrane. Cor triatriatum comprises approximately 0.4% of congenital heart disease at autopsy [1]. It is found in less than 0.1% of clinically diagnosed cardiomyopathies [2]. It is typically identified in children and is a particularly rare new diagnosis in adults [3]. Atrial fibrillation has been described in 30% of published cases on adults with cor triatriatum.
Case Report:A 36-year-old woman presented to the emergency department in palpitation acces table and progressive dyspnea over the past week. He had a blood pressure of 130/70 mmHg and an irregular rapid pulse rate of 156 beats/minute. He had a respiratory rate of 23 breaths/minute and an oxygen saturation of 98%. Physical examinations found mitral focal diastolic bearing associated with a systolic murmur of tricuspid insufficiency. The results of the remainder of his physical examination were not remarkable.Electrocardiogram showed atrial fibrillation with rapid ventricular response (Fig. 1). Laboratory studies were all within normal limits.
Historically, the black Moroccan population is heterogeneous, originating from Arab and sub-Saharan immigration, and Amazighs, an indigenous population. This study, first of its kind, allows to determine the peculiarities of hypertension in this population, in particular the response to the different therapeutic classes, which makes it possible to compare the results found with those of the studies carried out on the sub-Saharan or American black population.
Behcets disease (BD) is a multi-systemic inflammatory disorder characterized by a recurrent oral and genital aphthosis associated with multiple organ disorders: ophthalmic, neurological, vascular, and digestive.Cardiac involvement in BD especially Intra-cardiac thrombus (ICT) is extremely rare only 50 cases have been registered worldwide [1-5]. We report a rare case of two patients aged respectively 18-year-old and 50-year-old who are diagnosed with Behcets disease complicated by right-sided heart thrombi extended to the pulmonary artery.
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