International journal of cardiology
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Letter Case Reports
Acute superior vena cava and right atrial tamponade in an infant after open heart surgery.
Early postoperative localized cardiac tamponade occurred in a 4-month old infant after ventricular septal defect repair. The clinical findings were as for acute superior vena cava syndrome. The diagnosis was accurately made using echocardiography and measurement of the superior vena cava and right atrial pressure. Surgical revision was necessary to remove a large clot from the superior vena cava-right atrium junction.
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This study was to evaluate the clinical effects of percutaneous balloon angioplasty of Budd-Chiari syndrome (BCS) caused by inferior vena cava (IVC) obstruction. Between 1993 and 1999, 28 men and 14 women with mean age of 44+/-12 years underwent percutaneous balloon angioplasty for primary BCS. Color Doppler ultrasound and venography showed membranous and segmental obstruction of IVC in 29 and 13 patients, respectively. ⋯ No specific attempt was made to treat the occluded left- and/or mid-hepatic vein due to the presence of potent right hepatic vein. Over the follow-up period of 32+/-12 months, restenosis of IVC occurred in only one patient (2.4%), which was redilated successfully. Percutaneous balloon angioplasty is a safe and effective therapy for Budd-Chiari syndrome caused by IVC obstruction, therefore should be the first choice of treatment for this condition.
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Letter Case Reports
Acute myocardial infarction secondary thrombosis associated with ovarial hyperstimulation syndrome.
Ovarian hyperstimulation syndrome (OHSS) is one of the most serious complication of controlled ovarian stimulation. Cerebral infarction, myocardial infarction, death and vascular thrombotic events associated with OHSS had been reported. We report a case of a patient with myocardial infarction associated with OHSS.