(I-1C.O) 57-year-old patient with a coronary arteries anomaly Monika Smaś-Suska MD, Lidia Tomkiewicz-Pająk MD, PhD, Assoc. Prof. Piotr Musiałek MD, PhD, Natalia Dłużniewska MD, Prof. Maria Olszowska MD, PhD, Prof. Piotr Podolec MD, PhD
EXPERTISE 1 EXPERTISE 2 “Development of the European Network in Orphan Cardiovascular Diseases” “Rozszerzenie Europejskiej Sieci Współpracy ds. Sierocych Chorób Kardiologicznych”
(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-1B.3) Vascular ring in adult patient Prof. Grażyna Bochenek MD, PhD Marek Przybyszowski MD, PhD
BRIEF COMMENTS EXPERT: Prof. Grażyna Bochenek, MD, PhD Affiliation: Department of Pulmonology, Jegiellonian University, Krakow, Poland COMMENT It is difficult to evaluate direct association between severity of asthma and coexisting vascular ring. There is a positive allergic history. Due to the esophagus compression, the patient has difficulties with swallowing. Chocking with food can increase bronchi reactivity. Currently pulmonologic management is being optimized. EXPERT: Assoc. Prof. Jacek Kołcz, MD, PhD Affiliation: Department of Pediatric Cardiac Surgery, Jagiellonian University Medical College, …
(II-1C.O) What is the coincidence of pulmonary arterial hypertension associated with congenital cardiac shunt and hypertrophic cardiomyopathy in patient with trisomy 21 Wojciech Wróbel MD, PhD, Prof.Katarzyna Mizia-Stec MD, PhD
BRIEF COMMENTS EXPERT: Prof. Janusz Skalski MD, PhD Affiliation: Department of Pediatric Cardiac Surgery, Jagiellonian University Medical College, Krakow COMMENT Diagnosis of cardiomyopathy needs closer evaluation. Ventricular hypertrophy and pulmonary arterial hypertension might be consequences of congenital heart defect, not necessarily cardiomyopathy. It is not clear why the patient wasn’t operated in the past? EXPERT: Prof. Katarzyna Mizia-Stec MD, PhD Affiliation: 1st Department of Cardiology, Medical University of Silesia, Katowice,Poland COMMENT Ventricle hypertrophy was first noticed in 2005. Question …
(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-O) Multilevel atherosclerosis in 56 years old famale dr n. med. Hanna Dziedzic-Oleksy dr n. med. Monika Komar dr n. med. Łukasz Tekieli prof. dr hab. med. Piotr Pieniążek prof. dr hab. med. Piotr Podolec
BRIEF COMMENTS EXPERT: Prof. Egle Ereminiene MD, PhD Affiliation: Hospital of Lithuanian University of Health Sciences, Kaunas COMMENT At this point further conservative treatment seems the right choice. After intervention on carotid artery clopidogrel should be administered. Scintigraphy is essential to estimate ischemic region in the heart. Considering peripheral artery disease – exercise training aimed at improving the walking distance is necessary. Cilostazol do not improve prognosis, only symptoms, but our experience with this treatment is limited. EXPERT: Prof. …
(I-1B.3) Adult patient with vascular ring Lidia Tomkiewicz-Pająk MD PhD, Natalia Dłużniewska MD, Leszek Drabik MD PhD, Prof Maria Olszowska MD, PhD, Prof Piotr Podolec MD PhD
Experts: Prof Piotr Pieniążek MD PhD, Jacek Pajak MD PhD, Anna Prokop-Staszecka Prof. Piotr Podolec MD, PhD
BRIEF COMMENTS EXPERT: Prof. Roland Hetzer, MD PhD, cardiac surgeon Affiliation: Deutsches Herzzentrum, Berlin, Germany COMMENT This rare condition is called arteria subclavia lusoria. It may cause stridor due to compression. Dilated proximal segment of descending aorta – so called Diverticulum, is the place where the aneurysm develops. Obstruction of trachea might in this case be caused as well by Diverticulum not artery itself. Operation should be performed: reduction of Diverticulum and transposition of artery to the proper position. …
(I-1B.3) Adult patient with vascular ring Prof. Piotr Podolec MD, PhD, Lidia Tomkiewicz-Pająk MD, PhD, Leszek Drabik MD, Henryk Olechnowicz MD PhD, Prof. Maria Olszowska MD, PhD
Background Vascular ring is rare congenital malformation, it accounts for less than 1% of all congenital heart problems. The condition occurs as often in males as females. Some infants with vascular ring also have another congenital heart problem. With vascular ring, some of the arches and vessels that should have changed into arteries or disappeared are still present when the baby is born. The primary symptomatology associated with vascular rings relates to the structures that are encircled by the ring, …
(I-1C.O) 28 -year – old man with anomalous origin of the right coronary artery from the ascending aorta. Sylwia Wiśniowka-Śmiałek MD, Agata Leśniak-Sobelga MD, Paweł Rubiś MD, Ph.D, Maciej Krupiński MD.
Background Coronary artery anomalies (CAAs) are a diverse group of congenital malformations, which clinical manifestations and pathology are highly variable . Being rare, they are recognized cause of myocardial ischemia and occasionally sudden cardiac death . The frequency of anomalous aortic origin of the coronary arteries is noted in 0,6 to 1,2 % of patients (based on coronary angiography), with significant higher incidence in young victims of sudden cardiac death in comparison to adults (4-15% versus 1% respectively). There is …
(I-1B.6) Adult patient with coarctation of the aorta Lidia Tomkiewicz-Pająk MD, PhD, Justyna Błaut-Jurkowska MD , Maria Olszowska MD, PhD, Prof. Piotr Podolec MD, PhD, Prof. Tadeusz Przewłocki MD, PhD, Jakub Stpniewski MD, PhD
Background Coarctation of the aorta accounts for 5–8% of all congenital heart defects. The male-to-female ratio is 2:1. It is defined as a narrowing of the aorta, typically located in the area where the ductus arteriosus inserts.Coarctation of the aorta may occur as an isolated form or in association with various other cardiac and non-cardiac lesions. Signs and symptoms depend on the severity of CoA. Patients with serious CoA exhibit signs and symptoms early in life, while particularly mild cases …