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Avoh AEM, N'goran YNK, N'cho-Mottoh MP, Traore DF, Tano-Akoto M, Doh CZ, Vy L, Anzouan KJB, Kramoh KE. [Contribution of cardiac CT in the management of congenital heart disease : experience of the Abidjan cardiology institute in 27 cases]. Ann Cardiol Angeiol (Paris) 2024; 73:101739. [PMID: 38430813 DOI: 10.1016/j.ancard.2024.101739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Revised: 01/25/2024] [Accepted: 02/09/2024] [Indexed: 03/05/2024]
Abstract
INTRODUCTION AND OBJECTIVES In contrast to developed countries, cardiac CT is not widely used in West Africa for the assessment of congenital heart disease, and has only recently been introduced in Côte d'Ivoire. The lack of data prompted this study, the aim of which was to describe our experience of the contribution of CT to the management of congenital heart disease in the Ivorian cardiology setting. PATIENTS AND METHOD This was a prospective study which took place in the pediatric cardiology department over a period of 9 months (September 2022 to June 2023) which included all patients with congenital heart disease explored by echocardiography and cardiac scan. RESULTS The average age was 5.7 ± 4.7 years with extremes of 5 months and 16 years. We noted a female predominance with a sex ratio of 0.52. The main heart diseases were: tetralogy of Fallot (37.1%), followed by pulmonary atresia with open septum (18.52%). The assessment of the anatomy of the pulmonary arteries (81.48%), the search for aortopulmonary collaterals (59.63%) and finally the assessment of the anatomy of the aorta (18.52%) were the main indications. The practice of cardiac CT scanning has enabled better accuracy in the diagnosis and management of congenital heart disease in several cases: an interruption of the aortic arch was found in 1 case initially suspected of hypoplasia of the aortic arch, three cases of partial abnormal pulmonary venous return and one case of total abnormal pulmonary venous return. Also, agenesis of the left pulmonary artery with birth anomaly of the right coronary artery in the assessment of tetralogy of Fallot was found in 1 case. The CT scan made it possible to specify the exact topography of the aortopulmonary collaterals in four cases of pulmonary atresia with an open septum. CONCLUSION CT has enabled better visualization of the arterial and venous pulmonary tree, identification and exact localization of aorto-pulmonary collaterals, precise description of the three-dimensional anatomy of the coronary arteries, and better precision of congenital anomalies of the aorta.
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Affiliation(s)
- Ami Echua Manzan Avoh
- Service de Cardiologie pédiatrie ; Institut de Cardiologie d'Abidjan, Côte d'Ivoire.
| | | | | | | | - Micesse Tano-Akoto
- Service de Cardiologie pédiatrie ; Institut de Cardiologie d'Abidjan, Côte d'Ivoire
| | - Cedrick Zole Doh
- Service de soins intensifs chirurgicaux ; Institut de Cardiologie d'Abidjan, Côte d'Ivoire
| | - Legre Vy
- Service de Cardiologie pédiatrie ; Institut de Cardiologie d'Abidjan, Côte d'Ivoire
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2
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Pasteur-Rousseau A, Souibri K, Smaali I, Wong T, Paul JF. [Heart imaging by CT-scan and MRI in cardiac tumors]. Ann Cardiol Angeiol (Paris) 2022; 71:325-330. [PMID: 35940969 DOI: 10.1016/j.ancard.2022.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 06/30/2022] [Accepted: 07/10/2022] [Indexed: 06/15/2023]
Abstract
The etiology of cardiac masses is often oncological or thrombotic, rarely inflammatory. Among heart tumors, the vast majority are metastatic. We describe the most frequent benign primary cardiac tumors and the most frequent malignant primary cardiac tumors and give information about the advantages of using a multi-modality approach for the accurate diagnosis of a cardiac mass using Computed Tomography Scanner and Magnetic Resonance Investigation.
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Affiliation(s)
- Adrien Pasteur-Rousseau
- Institut Cœur Paris Centre (ICPC) - 31 rue du Petit Musc, 75004 Paris, France; Clinique Turin, 9 rue de Turin, 75008 Paris, France; Clinique du Parc Monceau, 21 rue de Chazelles, 75017 Paris, France; Clinique Floréal, 40 rue Floréal, 93170 Bagnolet, France; Clinique de l'Alma, 166 rue de l'Université, 75007 Paris, France.
| | - Karam Souibri
- Institut Cœur Paris Centre (ICPC) - 31 rue du Petit Musc, 75004 Paris, France; Clinique Turin, 9 rue de Turin, 75008 Paris, France.
| | - Ibtissem Smaali
- Institut Cœur Paris Centre (ICPC) - 31 rue du Petit Musc, 75004 Paris, France; Clinique Floréal, 40 rue Floréal, 93170 Bagnolet, France.
| | - Tatiana Wong
- Institut Mutualiste Monsouris (IMM), 42 Boulevard Jourdan, 75014 Paris, France.
| | - Jean-François Paul
- Institut Mutualiste Monsouris (IMM), 42 Boulevard Jourdan, 75014 Paris, France.
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3
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Pasteur-Rousseau A, Paul JF. [Artificial Intelligence and teleradiology in cardiovascular imaging by CT-Scan and MRI]. Ann Cardiol Angeiol (Paris) 2021; 70:339-347. [PMID: 34517978 DOI: 10.1016/j.ancard.2021.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Accepted: 08/01/2021] [Indexed: 12/12/2022]
Abstract
Cardiac CT-Scan and cardiac magnetic resonance imaging (MRI) are two booming cardiac imaging modalities especially in chest pain screening for CT-Scan and in surveillance of patients with known coronary artery disease for MRI. Artificial Intelligence is already of great help in radiologic diagnosis and its use should widen in the next few years. Teleradiology allows remote interpretation of all radiology exams and should develop in cardiac imaging. Expert radiology diagnosis centers should develop gathering cardiologists and radiologists with great experience in the field of cardiac imaging interpretation. Peripheral acquisition radiology centers would be disseminated all across the country without a need for a local expert and would send their images to the expert center for interpretation. The expert center would be the middle of this spider web, sending back the report and the selected images to the peripheral center, allowing optimal care for all patients nationwide. Artificial Intelligence would be a major asset of these expert centers, improving through the years. This operating mode would allow the onset of systematic screening for coronary artery disease in the global population and the surveillance of known coronary artery disease treated patients.
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Affiliation(s)
- Adrien Pasteur-Rousseau
- Clinique Turin : 9 rue de Turin, 75008, PARIS; Clinique du Parc Monceau : 21 rue de Chazelles, 75017 PARIS; Clinique Floréal : 40 rue Floréal, 93 Bagnolet.
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4
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Pasteur-Rousseau A, Sebag F. [Cardiac CT-Scan: Utility for the management of chest pain, cardiovascular screening and before atrial fibrillation ablation procedure]. Ann Cardiol Angeiol (Paris) 2020; 69:276-288. [PMID: 33071021 DOI: 10.1016/j.ancard.2020.09.028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 09/18/2020] [Indexed: 01/22/2023]
Abstract
Cardiac CT-scan is recommended for sorting patients presenting with stable or acute chest pain with low to intermediate risk of coronary artery disease (CAD). Recent studies have shown its reliability for diagnosing CAD in high-risk patients, notably those with acute coronary syndrome (ACS) without ST-elevation. Coronary CT-scan also represents a great opportunity for the screening of atherosclerosis in patients at risk and allows a better prevention of coronary artery disease by introduction of preventive treatments in patients with abnormal coronary CT-scan, especially statins. It is useful for the follow-up of patients who underwent a coronary arteries revascularization with either stents or bypasses. Coronary arteries calcium scoring appears to be an independent predictive factor of cardiovascular and total mortality and its use is recommended for stratifying the cardiovascular risk. However, its interpretation remains unobvious and the patient management is poorly improved by the results. Anyway, if the score is above zero, atherosclerosis is present and therefore a lipid lowering treatment should be discussed. Cardiac CT-scan has become the Gold Standard exam before an aortic valve replacement, for the measurement of the aortic root notably, allowing the best prothesis selection. Before atrial fibrillation ablation procedure by pulmonary vein isolation, the cardiac CT-scan allows a 3-D visualization of the two atria, especially the left atrium, and rules out any suspicion of cardiac thrombus. It allows the research of an anomalous pulmonary venous connection. The 3-D support will also enable the operator to navigate in the heart during the ablation procedure.
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Affiliation(s)
- A Pasteur-Rousseau
- Institut Cœur Paris Centre, clinique Turin, Clinique internationale du Parc Monceau, clinique Floréal, 31, rue du Petit-Musc, 75004 Paris, France.
| | - F Sebag
- Institut mutualiste Montsouris, Clinique Turin, Paris, France.
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5
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Trimech T, Ajlani B, Cohen S, Chérif G, Chavelas C, Nistor M, Nay L, Chérif M, Gilbault Genty G, Dorgeret S, Convers R, Chayeb S, Baron N. Scimitar syndrome with bicuspid aortic valve. A case report of cross-sectional non- invasive imaging allowing a complete anatomical and functional assessment. Ann Cardiol Angeiol (Paris) 2020; 69:317-22. [PMID: 33069384 DOI: 10.1016/j.ancard.2020.09.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2020] [Accepted: 09/18/2020] [Indexed: 12/22/2022]
Abstract
Scimitar syndrome is a variant of partial anomalous pulmonary venous return with an aberrant vein, the Scimitar vein, draining the right lung to the inferior vena cava instead of the left atrium, resulting in a left-to-right shunt. The classic frontal radiographic finding, designated as "the scimitar sign", is of a scimitar (a Turkish sword) shaped density along the right cardiac border. The diagnosis can be made by echocardiography, and cardiac catheterisation remains the gold standard to assess the left-to-right shunt. However, the place of multimodal cardiac imaging by computed tomography and magnetic resonance imaging is increasing. We report the case of a 26 year-old man presenting with chest pain during a brief panic attack, in whom scimitar syndrome was associated with a bicuspid aortic valve, a clinical association rarely reported in the literature. CT and MRI cardiac imaging was as accurate as echocardiography and hemodynamics, particularly for shunt quantification.
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Nejjari M, Cacoub L, Digne F. [Management of non-rhythmic complications of TAVI procedures]. Ann Cardiol Angeiol (Paris) 2019; 68:439-442. [PMID: 31676032 DOI: 10.1016/j.ancard.2019.09.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Accepted: 09/20/2019] [Indexed: 12/20/2022]
Abstract
Transcatheter aortic valve (TAVI) is the treatment of choice in patients with severe symptomatic aortic stenosis at high surgical risk. Recent data have also shown favorable results in patients considered to have an intermediate operative risk, which broadens the application of this new technology. Despite its success, the TAVI procedure has been associated with life-threatening complications. Advances in preoperative screening and patient selection have reduced the incidence of these complications. When these complications occur, early recognition and rapid management are essential. The purpose of this review is to describe non-rhythmic mechanical complications attributable to TAVI procedures with their predictive factors, how to prevent and manage them.
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Affiliation(s)
- M Nejjari
- Département d'hémodynamique, centre cardiologique du Nord, 32, rue des Moulins-Gémeaux, 93200 Saint-Denis, France.
| | - L Cacoub
- Département d'hémodynamique, centre cardiologique du Nord, 32, rue des Moulins-Gémeaux, 93200 Saint-Denis, France
| | - F Digne
- Département d'hémodynamique, centre cardiologique du Nord, 32, rue des Moulins-Gémeaux, 93200 Saint-Denis, France
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7
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Pichard S, Grinda JM, Duclos F. [Contained rupture of the non-coronary sinus of Valsalva aneurysm into the right atrium (Sakakibara type IV) treated by surgery]. Ann Cardiol Angeiol (Paris) 2018; 67:388-393. [PMID: 30201181 DOI: 10.1016/j.ancard.2018.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Accepted: 08/06/2018] [Indexed: 10/28/2022]
Abstract
A 26-year-old woman of Cap Verdean origin was admitted to emergency unit with chest pain and dyspnea. Because of sinus tachycardia without any other electrocardiogram abnormalities, high NT-pro BNP level, and weakly positive cardiac troponin I and D-dimer levels, an aortic and pulmonary non ECG-gated CT-angiography was performed that excluded pulmonary embolism and aortic dissection. Transthoracic echocardiography (TTE) showed a contained rupture of the non-coronary sinus of Valsalva aneurysm sized 23 to 24mm into the right atrium. According to the high rupture risk, patient had been immediately transferred in a cardiologic surgical center where transesophageal echocardiography (TEE) and thoracic angiography ECG-gated Multiple Detector Computerized Tomography (ECG-gated MDCT) reinforced the diagnosis. Patient underwent surgical repair resection of the aneurysmal sac, which was described as "tissue paper thin" and at risk for impending rupture, without evidence of communication between the aorta and the right atrium. Anatomopathological examination described a thick sclerotic and oedematous aneurysm wall without inflammation, and bacteriological examination was negative. It is a rare case of contained rupture of the congenital non-coronary sinus of Valsalva aneurysm into the right atrium (Type IV of Sakakibara classification), with a high rupture risk. This case shows that the use ECG-gated-MDCT is more appropriate when aortic dissection is suspected, allowing a detailed analysis of aorta, especially the proximal portion which is more susceptible to motion artifacts.
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Affiliation(s)
- S Pichard
- Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, centre hospitalier d'Argenteuil, hôpital Victor Dupouy, 69, rue du Lieutenant Colonel Prudhon, 95100 Argenteuil, France.
| | - J-M Grinda
- Service de chirurgie cardiaque, clinique Ambroise Paré, 92200 Neuilly-sur-Seine, France
| | - F Duclos
- Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, centre hospitalier d'Argenteuil, hôpital Victor Dupouy, 69, rue du Lieutenant Colonel Prudhon, 95100 Argenteuil, France
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8
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Sizarov A, Raimondi F, Bonnet D, Boudjemline Y. Cardiovascular anatomy in children with bidirectional Glenn anastomosis, regarding the transcatheter Fontan completion. Arch Cardiovasc Dis 2017; 111:257-269. [PMID: 29146107 DOI: 10.1016/j.acvd.2017.08.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Revised: 05/14/2017] [Accepted: 08/07/2017] [Indexed: 11/25/2022]
Abstract
BACKGROUND Transcatheter stent-secured completion of total cavopulmonary connection (TCPC) after surgical preparations during the Glenn anastomosis procedure has been reported, but complications from this approach have precluded its clinical acceptance. AIMS To analyse cardiovascular morphology and dimensions in children with bidirectional Glenn anastomosis, regarding the optimal device design for transcatheter Fontan completion without special surgical "preconditionings". METHODS We retrospectively analysed 60 thoracic computed tomography and magnetic resonance angiograms performed in patients with a median age of 4.1 years (range: 1.8-17.1 years). Additionally, we simulated TCPC completion using different intra-atrial stent-grafts in a three-dimensional model of the representative anatomy, and performed calculations to determine the optimal stent-graft dimensions, using measured distances. RESULTS Two types of cardiovascular arrangement were identified: left atrium interposing between the right pulmonary artery (RPA) and inferior vena cava, with the right upper pulmonary vein (RUPV) orifice close to the intercaval axis (65%); and intercaval axis traversing only the right(-sided) atrial cavity, with the RUPV located posterior to the atrial wall (35%). In the total population, the shortest median RPA-to-atrial wall distance was 1.9mm (range: 0.6-13.8mm), while the mean intra-atrial distance along the intercaval axis was 50.1±11.2mm. Regardless of the arrangement, 83% of all patients required a deviation of at least 5.9±2.4mm (range: 1.2-12.7mm) of the stent-graft centre at the RUPV level anteriorly to the intercaval axis to avoid covering or compressing this vein. Fixing the anterior deviation of the curved stent-graft centre at 10mm significantly decreased the range of bend angle per every given RUPV-RPA distance. CONCLUSIONS For both types of cardiovascular arrangement, after conventional bidirectional Glenn anastomosis, the intra-atrial curved stent-graft seemed most suitable for achieving uncomplicated TCPC completion percutaneously without previous surgical "preconditionings" in the majority of children. Experimental study is necessary to validate this conclusion.
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Affiliation(s)
- Aleksander Sizarov
- Service de cardiologie pédiatrique, centre de référence malformations cardiaques congénitales complexes - M3C, hôpital universitaire Necker-Enfants-Malades, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris cedex, France
| | - Francesca Raimondi
- Service de cardiologie pédiatrique, centre de référence malformations cardiaques congénitales complexes - M3C, hôpital universitaire Necker-Enfants-Malades, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris cedex, France; Service de radiologie pédiatrique, hôpital universitaire Necker-Enfants-Malades, Assistance publique-Hôpitaux de Paris, 75015 Paris, France
| | - Damien Bonnet
- Service de cardiologie pédiatrique, centre de référence malformations cardiaques congénitales complexes - M3C, hôpital universitaire Necker-Enfants-Malades, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris cedex, France; Université Paris V Descartes, 75006 Paris, France
| | - Younes Boudjemline
- Service de cardiologie pédiatrique, centre de référence malformations cardiaques congénitales complexes - M3C, hôpital universitaire Necker-Enfants-Malades, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris cedex, France; Université Paris V Descartes, 75006 Paris, France.
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9
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Pichard S, Gibault-Genty G, Vienet-Legue A, Baron N, Convers-Domart R, Georges JL, Livarek B. [Complicated transcatheter aortic-valve endocarditis with abscess and pseudoaneurysm: Value of the ECG-gated multidetector computed tomography angiography]. Ann Cardiol Angeiol (Paris) 2017; 66:338-342. [PMID: 29050736 DOI: 10.1016/j.ancard.2017.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Accepted: 09/12/2017] [Indexed: 06/07/2023]
Abstract
A 80-year-old man was admitted to catheterization room for an acute infero-lateral ST-elevation myocardial infarction (STEMI). Coronary angiography showed a thrombotic occlusion of the second left marginal branch, and normal other coronary arteries. The thrombo-embolic mechanism of the STEMI, and the infectious context in this patient who had had a transcatheter aortic valve implantation (TAVI) two months earlier, led us to suspect a bioprosthesis endocarditis. It was confirmed by transthoracic and transoesophageal echocardiography, which showed an aortic-mitral curtain abscess and aortic bioprosthesis vegetations, associated to Enterococcus faecalis bacteriemia. In order to specify the diagnosis, an ECG-gated multidetector CT angiography (MDCTA) had been performed. Additionally to echocardiographic findings, MDCTA showed a pseudo-aneurysm, sized 20 to 22mm, beginning from the outflow tract of the left ventricle to end on the antero-lateral face of the aorta. The patient was referred for emergency aortic bioprosthesis removal and replacement. Through this case, MDCTA showed its importance for the diagnosis and the prognostic evaluation of cardiac prosthesis endocarditis. MDCTA provided additional informations that echocardiography could not detect, because of artifacts caused by the prosthetic material and calcifications, frequent in elderly patients with comorbidities.
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Affiliation(s)
- S Pichard
- Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital Victor-Dupouy, centre hospitalier d'Argenteuil, 95100 Argenteuil, France
| | - G Gibault-Genty
- Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le-Chesnay, France.
| | - A Vienet-Legue
- Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le-Chesnay, France
| | - N Baron
- Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le-Chesnay, France
| | - R Convers-Domart
- Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le-Chesnay, France
| | - J L Georges
- Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le-Chesnay, France
| | - B Livarek
- Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le-Chesnay, France
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10
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Leddet P, Couppié P, De Poli F, Uhry S, Hanssen M. [Intracardiac mass: Why not a liquefaction necrosis of a mitral annulus calcification?]. Ann Cardiol Angeiol (Paris) 2015; 64:390-3. [PMID: 26482628 DOI: 10.1016/j.ancard.2015.09.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2015] [Accepted: 09/03/2015] [Indexed: 11/26/2022]
Abstract
We report the case of an asymptomatic 70-year-old woman with a liquefaction necrosis of mitral annulus calcification. This mass was discovered incidentally during an echocardiographic examination. Additional treatment was not performed because liquefaction necrosis of mitral calcification usually has a benign prognosic. A scheduled clinical review with an echocardiographic examination and cardiac MRI was planified. The patient is actually healthy without any complication.
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Affiliation(s)
- P Leddet
- Service de cardiologie interventionnelle, centre hospitalier de Haguenau, 64, avenue du Pr-Leriche, 67504 Haguenau cedex, France.
| | - P Couppié
- Service de cardiologie interventionnelle, centre hospitalier de Haguenau, 64, avenue du Pr-Leriche, 67504 Haguenau cedex, France
| | - F De Poli
- Service de cardiologie interventionnelle, centre hospitalier de Haguenau, 64, avenue du Pr-Leriche, 67504 Haguenau cedex, France
| | - S Uhry
- Service de cardiologie interventionnelle, centre hospitalier de Haguenau, 64, avenue du Pr-Leriche, 67504 Haguenau cedex, France
| | - M Hanssen
- Service de cardiologie interventionnelle, centre hospitalier de Haguenau, 64, avenue du Pr-Leriche, 67504 Haguenau cedex, France
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11
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Hovasse T, Lefevre T. [Transcatheter aortic valve implantation]. Ann Cardiol Angeiol (Paris) 2014; 63:422-7. [PMID: 25450991 DOI: 10.1016/j.ancard.2014.09.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
As the French population is aging, a growing number of elderly patients with symptomatic severe aortic stenosis are going to require therapeutic management. Approximately 30 to 40 % of these patients do not undergo surgical treatment and a high proportion is considered to be at high risk for surgery. The transluminal aortic valve implantation technique has been increasingly used over the past few years, thus providing a solution to a major therapeutic issue in our industrialized countries. Thanks to major randomized studies such as the PARTNER US trial, this treatment has been approved for high-risk patients. Expertise and new devices are now opening the way to intermediate risk population.
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12
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Pesenti-Rossi D, Baron N, Allouch P, Convers R, Gibault-Genty G, Aubert S. [Cardiac CT: new applications]. Ann Cardiol Angeiol (Paris) 2014; 63:362-8. [PMID: 25261169 DOI: 10.1016/j.ancard.2014.08.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2014] [Accepted: 08/24/2014] [Indexed: 10/24/2022]
Abstract
Since the introduction of the 64-generation scanners, the accuracy and robustness of the diagnosis of coronary artery disease has progressed. The main advantage of cardiac CT is the exclusion of coronary artery disease by its excellent negative predictive value. Currently, cardiac CT applications extend thanks to innovations both in terms of technological development systems scanner or stents implanted, that the evolution of surgical procedures such as TAVI.
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Affiliation(s)
- D Pesenti-Rossi
- Service de cardiologie, hôpital André-Mignot, Versailles Hospital, 177, rue de Versailles, 78150 Le Chesnay, France; Department of Cardiology, Ambroise Paré Clinic, 92200 Neuilly-sur-Seine, France.
| | - N Baron
- Service de cardiologie, hôpital André-Mignot, Versailles Hospital, 177, rue de Versailles, 78150 Le Chesnay, France
| | - P Allouch
- Department of Cardiology, Ambroise Paré Clinic, 92200 Neuilly-sur-Seine, France
| | - R Convers
- Service de cardiologie, hôpital André-Mignot, Versailles Hospital, 177, rue de Versailles, 78150 Le Chesnay, France
| | - G Gibault-Genty
- Service de cardiologie, hôpital André-Mignot, Versailles Hospital, 177, rue de Versailles, 78150 Le Chesnay, France
| | - S Aubert
- Department of Cardiology, Ambroise Paré Clinic, 92200 Neuilly-sur-Seine, France
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13
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Charbonnel C, Convers-Domart R, Pesenti-Rossi D, Baron N, Deleuze P, Georges JL, Livarek B. [Undifferentiated sarcoma: usefulness of multimodality cardiac imaging in characterizing a rare intracardiac mass]. Ann Cardiol Angeiol (Paris) 2013; 62:347-350. [PMID: 24112712 DOI: 10.1016/j.ancard.2013.08.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2013] [Accepted: 08/12/2013] [Indexed: 06/02/2023]
Abstract
We report the case of a man presenting with a Pierre Marie-Bamberger syndrome. This paraneoplastic syndrome revealed an undifferentiated intracardiac sarcoma. This case emphasizes the need for multimodality imaging to characterize intracardiac tumor.
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Affiliation(s)
- C Charbonnel
- Service de cardiologie, centre hospitalier de Versailles, 177, rue de Versailles, 78157 Le Chesnay, France.
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Gerbaud E, Cailliez H, Montaudon M. Giant thrombosed aneurysm of the right coronary artery. Arch Cardiovasc Dis 2013; 107:69-71. [PMID: 23791586 DOI: 10.1016/j.acvd.2012.03.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2012] [Revised: 03/21/2012] [Accepted: 03/23/2012] [Indexed: 11/20/2022]
Affiliation(s)
- Edouard Gerbaud
- Soins intensifs cardiologiques - plateau de cardiologie interventionnelle, CHU de Bordeaux, 5, avenue de Magellan, 33604 Bordeaux Pessac cedex, France.
| | - Hélène Cailliez
- Unité d'imagerie thoracique et cardiovasculaire, CHU de Bordeaux, 5, avenue de Magellan, 33604 Bordeaux Pessac cedex, France
| | - Michel Montaudon
- Unité d'imagerie thoracique et cardiovasculaire, CHU de Bordeaux, 5, avenue de Magellan, 33604 Bordeaux Pessac cedex, France
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