Research
Pulmonary Vein Thrombosis Complicating Lung Cancer , Case Report and Literature Review
Background: Pulmonary vein thrombosis (PVT) is a rare clinical entity. The aetiologies are very diverse ranging from malignancy, to hyper-viscosity syndromes and other etiologies. the diagnosis is difficult because the patients may present with dyspnea, cough or hemoptysis which may be confused with an etiology of the pulmonary parenchyma. Case Report: We present a case of a 40-year-old man with a history of metastatic lung cancer diagnosed with PVT through CT scan showing the mass compressing along the right lower pulmonary vein. Transthoracic echocardiography revealed a left atrium compressed by a mediastinal tissue mass with acceleration of pulmonary venous flow on doppler, this patient was treated with low molecular weight heparin associated with palliative treatment of his cancer. Conclusions: Patients with PVT often may often have a nonspecific clinical presentation. Anticoagulation should be considered in patients with PVT given the life-threatening complications such as peripheral embolization.
Cardiac Lymphoma Revealed by a Pulmonary Embolism Case Report and Literature Review
Background: Cardiac lymphoma is one of the rarest tumors involving the heart that have polymorphous and non-specific clinical symptomatology (1); it’s preferential location is rather the right-sided cardiac chambers. Echocardiography and MRI are the diagnosis methods of choice for this location. The tumor is rapidly fatal unless diagnosed and treated in time. Case Presentation: A 65 year old woman was referred for worsening exertional dyspnea , primary examination revealed a stable patient, Unilateral edema was noted with decreased sloshing of the left calf. The electrocardiogram showed a sinus tachycardia and the transthoracic echo revealed the presence of multiple intra cardiac masses (RA, RV, LV), with pericardial thickening and minimal pericardial effusion. Cardiac MRI showed a pericardial thickening extending to the basal vessels associated with several masses at the expense of the lateral wall of the RA, RV, LV. An attempted echo-guided biopsy of the mediastinal lymphadenopathy was performed but the patient did not support the procedure.
Severe Iatrogenic Lutembacher Syndrome in a Young Male: Case Report and Literature Review
Iatrogenic Lutembacher's syndrome is a rare combination of acquired Atrial Septal Defect (ASD) after percutaneous mitral commissurotomy (PMC), and Mitral stenosis (MS) (usually of rheumatic nature). Here we discuss the case of a 46 years old male with MS who had undergone successful PMC seven years ago, who complained from gradually progressive exertional dyspnea, fatigue and palpitations. On detailed examination and investigation, he was found to be having Lutembacher's syndrome confirmed by echocardiography. After concertation with the heart team, the patient was managed by valvular surgery. Keeping in mind this syndrome rare occurrence, we are presenting an overview of this syndrome, through a literature review, including its various aspects and the challenges faced by the patients and the physicians in the context of developped countries.
