(I-1C.4) Overlap cardiomyopathy – coexistence of hypertrophic and restrictive cardiomyopathy phenotypes in one patient Sylwia Wiśniowska-Śmałek MD, Paweł Rubiś MD, PhD, Monika Dzieciuch- Rojek, Dawid Kudliński MD, Agata Leśniak-Sobelga MD, PhD, Magdalena Kostkiewicz MD, PhD Prof. Piotr Podolec MD, PhD
BRIEF COMMENTS EXPERT: Prof. Roland Hetzer, MD, PhD Affiliation: German Heart Instiute, Berlin, Germany COMMENT Considering clinical data and results of the medical tests the patient is likely a future heart transplantation candidate. No relevant ventricular arrhythmias were detected and I would not recommend ICD implantation. However due to coexistent scoliosis the patient should undergo lung function tests and pulmonological consultation to plan the best possible post-op management. The scoliosis itself is not a contraindication to HTx. EXPERT: Assoc. …
(I-1C.4) 44-year-old patient with anomalous circumflex artery shunt to the right atrium and moderate mitral regurgitation Podolec J. MD PhD, Nosal M. MD, Górkiewicz-Kot I. MD PhD, Sobczyk D. MD PhD, Kopec G. MD, PhD, prof. Sadowski J. MD, PhD, prof. Zmudka K. MD, PhD
BRIEF COMMENTS EXPERT: Prof. Henryk Siniawski MD, PhD Affiliation: Deutsches Herzzentrum, Berlin, Germany COMMENT Surgery seems essential – it’s young patient with large ischemic area and LV dilatation. He has limited quality of life. Perhaps microreconstruction might be feasible. In case of patients disagreement for surgical treatment, I suggest exercise test 3 times a year – positive test with chest pain may motivate patient to agree for the operation.. Mitral regurgitation may have ischemic origin and may progress very …
(I-1C.4) Patient with coronaro-pulmonary fistula Justyna Błaut-Jurkowska MD, Leszek Drabik MD, Piotr Musiałek MD, PhD Lidia Tomkiewicz-Pająk MD, PhD, Bartosz Laskowicz MD, Prof. Maria Olszowska MD, PhD, Prof. Piotr Podolec MD, PhD, Prof. Tadeusz Przewłocki MD, PhD
Background Coronary artery anomalies affect about 1% of the general population. The definition of the abnormal versus the normal coronary anatomy presents a complex problem. Defect may affect number of ostia, proximal course or termination. Many coronary anomalies don’t cause symptoms and remain undetected. However, they can be associated with chest pain, sudden death, cardiomyopathy, arrythmias and myocardial infarction. Case presentation We report a case of a 61-year-old Caucasian man referred to our Clinic. He had a history of coronary …