http://comum.rcaap.pt/handle/123456789/1871 2013-05-25T18:20:48Z http://comum.rcaap.pt/handle/123456789/4090 Title: Takotsubo cardiomyopathy: a rare, but serious, complication of epileptic seizures Authors: Rocha, J; Gonçalves, E; Vieira, C; Almeida, F; Pereira, J 2013-01-01T00:00:00Z http://comum.rcaap.pt/handle/123456789/3820 Title: A rare cause of pericardial disease Authors: Ramos, V; Vieira, C; Fernandes, N; Nunes-Gonçalves, N; Salgado, A; Correia, A Abstract: Among cardiovascular diseases, pericardial disease has specific characteristics. Its etiology, diagnosis and medical management are not as well understood as in coronary and valvular heart disease. In most cases, its cause is benign, although the proportion decreases with more severe clinical presentation. The authors present the case of a 35-year-old man with no relevant past medical history, who went to the emergency department with what appeared to be an idiopathic case of acute pericarditis. However, over the following five months, there was an unfavorable evolution to constrictive pericarditis, requiring pericardiectomy. The final diagnosis was only made following surgery - a rare case of a primary pericardial tumor, a mesothelioma. 2013-01-01T00:00:00Z http://comum.rcaap.pt/handle/123456789/3819 Title: Ischemic rupture of the anterolateral papillary muscle Authors: Vieira, C; Gaspar, A; Álvares-Pereira, M; Salomé, N; Almeida, J; Amorim, MJ Abstract: We describe the case of a 59-year-old man who presented with chest pain and ST-segment elevation in the inferior leads, R>S in V1 and ST depression in the anterior leads due to proximal occlusion of the first obtuse marginal. Primary coronary angioplasty and stenting of this artery were performed. Twelve hours later the patient became hemodynamically unstable and severe mitral regurgitation due to rupture of one of the heads of the anterolateral papillary muscle was diagnosed. Emergency surgery was performed (papillary muscle head reimplantation, mitral annuloplasty with a rigid ring, tricuspid annuloplasty and coronary artery bypass grafting). On surgical inspection, it was observed that the detached muscle head had become trapped in the left ventricle by a secondary cord attached to the other head. This case is unusual in presenting two uncommon features of ischemic papillary muscle: rupture of the anterolateral muscle in myocardial infarction involving the inferoposterior walls, and the fact that the ruptured muscle head did not prolapse because it had become trapped in the left ventricle by secondary cord attachment. 2013-01-01T00:00:00Z http://comum.rcaap.pt/handle/123456789/3589 Title: Images in cardiovascular medicine. Accessory mitral valve with cordal attachments to mitral and aortic valves: an unusual cause of left ventricular outflow tract obstruction and both mitral and aortic insufficiencies Authors: Gaspar, A; Almeida, J; Marinho, B; Monteiro, V; Abreu, A; Pinho, P 2011-01-01T00:00:00Z