Cardiology
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Chemotherapy-induced pericarditis has been reported in a limited number of case series. Furthermore, the management of acute pericarditis associated with chemotherapy is not standardized. In a few case reports, pericarditis associated with chemotherapy has been treated with pericardiocentesis or anti-inflammatory drugs such as steroid or nonsteroidal anti-inflammatory drugs. ⋯ We maintained colchicine when the patient required repeated chemotherapy for relapsed leukemia. And the concomitant use of colchicine prevented the patient from the full development of acute pericarditis. Colchicine may be effective in the treatment and prevention not only of idiopathic recurrent pericarditis but also of acute pericarditis associated with chemotherapy as in this case.
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Case Reports
Unplanned staged hybrid management of postmyocardial infarction ventricular septal defect.
Ventricular septal defect (VSD) is an uncommon but potentially deadly complication of transmural myocardial infarction (MI). Emergency surgical treatment has traditionally offered the best chance for survival. ⋯ Percutaneous catheter-based closure techniques can be used to treat these critically ill patients, offering a less invasive and less morbid technique. This case demonstrates the successful application of an unplanned, staged hybrid approach utilizing initial percutaneous and subsequent surgical repair after recovery of tissue integrity.
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Women undergoing isolated coronary artery bypass graft (CABG) surgery have been previously shown to be at an independently increased risk for post-operative morbidity and mortality. However, there are considerably less data on whether this trend remains true in patients undergoing concomitant aortic valve replacement (AVR) and CABG surgery. The aim of our study was to investigate this pertinent issue. ⋯ Female gender is not associated with poorer short- or long-term outcomes after concomitant CABG and AVR surgery.