(II-1A.5) 41-year-old patient with chronic thromboembolic pulmonary hypertension Marcin Waligóra MD, Agnieszka Sarnecka MD, Grzegorz Kopeć MD, PhD, Prof. Piotr Podolec MD, PhD
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Background Acute pulmonary embolism is rarely complicated by development of pulmonary hypertension (PH) with estimated incidence rate of 0,5-2%. It is almost impossible to determine the overall prevalence of chronic thromboembolic pulmonary hypertension (CTEPH) since not all of these patients have a history of acute pulmonary embolism. For patients after acute pulmonary embolism, diagnosis can be made after 3 months of effective anticoagulation, and remaining signs of PH. Final diagnosis can be made after confirming pre-capillary PH during right heart …
(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, …
(IV-2A.1) Patient with Tetralogy of Fallot after surgery with VSD, pulmonary hypertension and symptoms of heart failure Lidia Tomkiewicz-Pająk MD, PhD, Leszek Drabik MD. PhD, Prof. Maria Olszowska MD. PhD, Prof. Piotr Podolec MD, PhD.
Background Tetralogy of Fallot is a congenital cardiac malformation that consists of an interventricular communication, also known as a ventricular septal defect, obstruction of the right ventricular outflow tract, override of the ventricular septum by the aortic root, and right ventricular hypertrophy. Case presentation A 40-year-old woman after correction of tetralogy of Fallot (ToF) was admitted to hospital due to deterioration in exercise tolerance (NYHA functional class III). Surgical correction was performed at the age of 3 years. She was …
(II-1A.4b) Pulmonary arterial hypertension associated with HIV and HCV infection Michał Furdal, Ewa Mroczek, Jakub Stępniewski
Background Pulmonary arterial hypertension (PAH) is a rare, but one of the most frequent complications of HIV infection. 3- year survival of patients with HIV related PAH (HIV-PAH) remaining in functional class III or IV by WHO (FC WHO) reaches approximately 20-30%. It is believed that highly active antiretroviral therapy (cART) or dysfunction of immune system and CD4 lymphocytes has less likely influence on the occurrence or the course of PAH. There is still limited data on the utilization of …
(VIII-3) 24-year-old patient with the eosinophilic myocarditis in the course of the ascariasis. D. Kudliński MD, G. Kopeć MD, PhD, Sylwia Wiśniowska-Śmiałek MD, M. Urbańczyk MD, M. Krupiński MD, P. Rubiś MD, PhD, A. Leśniak-Sobelga MD, PhD, Prof. M. Kostkiewicz MD, PhD, Prof. P. Podolec MD, PhD
Background Ascariasis is the most frequent parasitic disease in the world. It is caused by Ascaris lumbricoides, the human roundworm which can reach a length of up to 45 cm with a diameter of 5 mm. In the course of ascariasis the reactive eosinophilia is usually present. Cardiac disease is the major cause of death in the course of sustained eosinophilia, whether reactive or clonal. Eosinophilic myocarditis is a rare, potentially fatal disease. Cardiac involvement does not correlate with the …
(IV-3B) 58-year-old patient with DILV after Waterstone procedure Katarzyna Mizia-Stec MD, PhD, Joanna Wieczorek, MD
Background Nowadays we can observe increasing number of grown-up congenital heart diseases, due to remarkable improvement in survival of pediatrics patients. Most of adult patients have undergone palliative operation in first years of life. Patients with univentricular heart present a multiple variety of malformations: missing or hypoplastic left or right ventricle, connected with corresponding valvular and great vessels anomalies. In such cases, most patients have restricted pulmonary blood flow, palliatively treated in childhood by surgically made systemic-to-pulmonary shunts. Examples of …