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  • ISSN: 2333-6676
    Volume 5, Issue 5
    Case Report
    Scott Lundgren*, Chetaj Arun Mahabir, and Samer Sayyed
    The left internal mammary artery is commonly used during coronary artery bypass grafting to provide direct revascularization for arteries, typically left anterior descending artery, with significant coronary atherosclerosis. In the world medical literature, we identified only 3 cases of well-documented anomalous origin of the left internal mammary artery from the aortic arch identified following coronary artery bypass grafting surgery. Herein, we describe the case of a 63-year-old man who presented with chest pain.
    Jahangir A. Khan*, Juha E. Hautalahti, and Jari O. Laurikka
    Surgical embolectomy for pulmonary embolism and intracardiac thrombus is a rare but occasionally required procedure that should be considered when anticoagulation and/or thrombolytic therapy is contraindicated or failed. We describe a patient with massive pulmonary embolism and a large, mobile, snake-like thrombus in the right atrium, as well as a patent foramen ovale, treated successfully by surgery.
    Ricardo Mori Junco*, Danielle Gemma, Juan Caro Codon, Nieves Montoro Lopez, and Raul Moreno Gomez
    Takotsubo cardiomyopathy is a heart syndrome associated with transient contractile dysfunction. Although several mechanisms have been proposed, the pathophysiology is not yet fully understood. However, emotional and physical stress followed by excessive release of catecholamine’s might play a pivotal role in the development of this syndrome. We report the case of a 76-year-old woman who developed a Takotsubo syndrome after a neurosurgery. The coronary angiography revealed the imaging of a circumflex coronary artery constriction during the systole. This milking-like effect was described in relation to compression of the artery during systolic ventricular filling due the apical ballooning with no myocardial bridging (MB).
    Letter to the Editor
    Marcio Galindo Kiuchi*
    Recently, we evaluated patients who had received a dual chamber pacemaker implant due to sinus node disease or 3rd/2nd degree type 2 atrioventricular block in chronic kidney disease (CKD) stages 2, 3 and 4. We observed that the sustained ventricular tachycardia episodes only occurred in patients with CKD stage 4, suggesting that the most advanced the stage of CKD, greater the incidence of malignant arrhythmias [1].
    Guoliang Shen*, Yige Wu, Jianye Bian, and Yong hong Zhang
    We present a thirty-six year old woman, referred herself into our hospital for a drug induced Kounis Syndrome, who suffered from twice severe cardiac shocks after taking 1.5g Cefuroximeaxetil by intravenous infusion. This patient showed allergic symptoms, changes those are relatively insensitive but potentially significant in echocardiographic images and electrocardiogram with high cardiac enzymes. Kounis syndrome caused by Cefuroximeaxetilin intravenous infusion and intramuscular administration has been described in [1, 2]
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