Cor et Vasa, 2024 (vol. 66), issue 3

Original research articles

(Mid-term results of dynamic aortic root remodeling - a single center study)

Adrián Kolesár, Tomáš Toporcer, Tomáš Molnár, Lukáš Vajda, Martina Polačková, Jana Jevčáková, Lucia Mistríková, Štefánia Mižáková, Štefan Lukačin

Cor Vasa 2024, 66(3):302-306 | DOI: 10.33678/cor.2024.021

Aortic root remodeling was first published in the 1980s. Today's aortic root remodeling is geometrically precisely defined and indicated in every patient with aortic valve regurgitation in aortic root aneurysm. The aim of the work is to evaluate the medium-term results of aortic root remodeling in our conditions and the risk factors that have an impact on this stability. The work included 103 patients undergoing aortic root remodeling from January 2011 to December 2013. Patient follow-up was performed by echocardiographic control in correlation with the recommendations of the international AVIATOR registry. The analysis of patient survival focused...

Predictors of major adverse cardiovascular events in patients with coronary artery perforation treated with covered stents

Umeyir Savur, Aysel Akhundova, Başak Çatalbaş, İbrahim Oguz Karaca

Cor Vasa 2024, 66(3):307-311 | DOI: 10.33678/cor.2024.002

Background: Coronary artery perforation (CAP) is a rare, life-threatening complication of percutaneous coronary intervention (PCI). PTFE-coated stents are highly successful and lifesaving in the treatment of coronary perforation. The incidence of thrombosis and restenosis in the PTFE-covered stent is higher than in standard stents. The aim of this study was to evaluate the clinical outcomes of PTFE-covered stents for CAP. Materials and methods: We evaluated a total of 38 patients who were treated with PTFE-coated stents for coronary perforation from January 2012 to January 2022 at a single high-volume center, Medipol University Hospital in Turkey....

Prognostic importance of the hemoglobin, albumin, lymphocyte, and platelet (HALP) score in patients with acute pulmonary embolism

Ekrem Taha Sert, Kamil Kokulu, Hüseyin Mutlu, Mustafa Önder Gönen

Cor Vasa 2024, 66(3):312-317 | DOI: 10.33678/cor.2023.099

Objective: To investigate the prognostic value of the hemoglobin, albumin, lymphocyte, and platelet (HALP) score in acute pulmonary embolism (APE). Methods: We retrospectively evaluated patients aged 18 years and over who were diagnosed with APE by computed tomography pulmonary angiography at the emergency department (ED) between January 2019 and January 2023. The patients' clinical and demographic data were evaluated, and their simplified pulmonary embolism severity index values were calculated. The HALP score was obtained using the first blood sample measured after the patients were admitted to the ED. The HALP score was calculated according to the...

Cancer Diagnosis in Hypertensive Heart Disease Population: A Cross Sectional Study in Soetomo General Hospital

Meity Ardiana, Wynne Widiarti, Chaq El Chaq Z. Multazam, Hanif Ardiansyah Sulistya

Cor Vasa 2024, 66(3):318-322 | DOI: 10.33678/cor.2024.003

Hypertension as a global concern remains inadequately controlled, ultimately leading to cardiac structural and functional changes associated with hypertensive heart disease (HHD). Simultaneously, cancer, characterized with abnormal cell proliferation, exhibits diverse behaviours and responses to treatment strategies. Despite extensive efforts, certain type of cancers remains incurable, making both cardiovascular diseases and cancer the leading causes of non-communicable disease mortality in the world. To investigate this association, we conducted a cross-sectional study, reporting the incidence of cancer in the HHD population at Soetomo General Hospital....

Early-LVT Risk Score - A new Clinical Risk Score for Early Left Ventricular Thrombus Prediction Following AnteriorST-Segment Elevation Myocardial Infarction

Joana Laranjeira Correia, Vanda Devesa Neto, João Gouveia Fiuza, Luísa Gonçalves

Cor Vasa 2024, 66(3):323-327 | DOI: 10.33678/cor.2024.004

Background: Despite advancements in the management of ST-segment elevation myocardial infarction (STEMI), the risk of left ventricular thrombus (LVT) remains a significant concern due to its potential for embolic complications. Early identification of patients at high risk for LVT is crucial for guiding therapeutic interventions and improving clinical outcomes. Aim: This study aimed to develop a practical and clinically applicable risk score (Early-LVT Risk Score) that integrates readily available demographic, clinical, and echocardiographic parameters to predict the likelihood of early LVT formation post anterior STEMI. Methods: A sub-analysis of...

The role of neutrophil-to-lymphocyte ratio in left ventricular hypertrophy development in patients with comorbid course of hypertension, diabetes mellitus, and obesity

Oleksandra Babycheva, Olga Sadovenko, Iulia Rodionova, Inna Kutia, Anton Bilchenko, Borys Shelest, Nataliia Sukhonos, Yuliia Kovalova

Cor Vasa 2024, 66(3):328-334 | DOI: 10.33678/cor.2024.008

Objective: The patients with concurrent hypertension, diabetes mellitus (DM), and obesity are among the most common associated conditions in contemporary clinical practice. It is of crucial importance to investigate the development of left ventricular hypertrophy (LVH) in above mentioned complicated comorbid patients. The association of neutrophil-to-lymphocyte ratio (NLR) with the development of LVH is not researched enough. The aim of the work was to study the role of NLR in the development of LVH in hypertensive patients burdened with type 2 diabetes and obesity. Methods: 297 hypertensive patients with diabetes mellitus type 2 and obesity were enrolled...

Review articles

(The inferior vena cava filter and complications associated with its use)

Marek Hudák, Martin Koščo, Lucia Dekanová, Veronika Pavlíková, Eva Szabóová, Mária Rašiová

Cor Vasa 2024, 66(3):335-343 | DOI: 10.33678/cor.2024.015

The inferior vena cava filter prevents pulmonary embolism by mechanically trapping the embolus in the inferior vena cava. It should be strictly indicated and implanted only in a selected group of patients with deep vein thrombosis. However, the introduction of a plenty relative indications significantly increased the rate of caval filter implantation in the last decade and it led consequently to dramatic increase of complications rate, too. The purpose of this article is to summarize the possible complications related to the use of the caval filter, to present the reader clinical manifestation of these complications, as they are often overlooked, and...

(Ambulatory blood pressure monitoring, sleep quality, and reliability of night hypertension)

Samuel Genzor, Eva Kociánová, Ladislav Stanke, Michal Štýbnar, Jan Mizera, Martin Vykopal

Cor Vasa 2024, 66(3):345-348 | DOI: 10.33678/cor.2023.087

Nocturnal hypertension is a significant risk factor for cardiovascular mortality and morbidity. Its determination requires the use of 24-hour blood pressure monitoring (ABPM). However, the examination results can be less reliable in patients with insomnia, habitual short sleep or other sleep disorders. In these patients, it is possible to detect falsely high values of blood pressure in the night interval. At the same time, the treatment of sleep disorders itself could adjust the nighttime values of blood pressure and thus prevent unreasonably intensive treatment of high blood pressure. The article summarizes current knowledge about the effect of sleep...

(Traditional risk factors and chronic diseases associated with an increased risk of coronary artery disease. Risk stratification and intervention from childhood)

Veronika Urbanová, Jakub Mrakava, Karel Koubský, Irena Aldhoon-Hainerová, Kristina Rücklová

Cor Vasa 2024, 66(3):349-364 | DOI: 10.33678/cor.2023.100

Coronary artery disease risk not only in adults but also in children is predominantly related to risk factors associated with atherosclerosis. These traditional cardiovascular risk factors include hypercholesterolaemia, obesity, diabetes mellitus, hypertension and smoking. Another high risk group for coronary artery disease are individuals with cardiac, vascular or other chronic diseases. These include chronic kidney diseases, chronic inflammatory diseases, malignancies, certain congenital heart defects, inborn or acquired coronary anomalies including interventions on coronary arteries, Kawasaki disease and cardiac allograft vasculopathy in heart transplant...

Case reports

Sinus of Valsalva aneurysm - myocardial infarction perpetrator or silent bystander?

Martin Jedlička, Michal Fikrle, Roman Panovský, Lucia Masárová

Cor Vasa 2024, 66(3):366-369 | DOI: 10.33678/cor.2023.074

Background: In some cases myocardial infarction is not associated with atherothrombotic coronary artery dis- ease and can be caused by many different mechanisms. One of these situations is a coronary artery embolism. This case report discusses the possibility of coronary embolism from newly diagnosed sinus of Valsalva aneurysm (SOVA), which is a rare clinical abnormality that can be clinically silent or symptomatic in varied ways. Case presentation: A 54-year-old woman presented with ST-segment elevations myocardial infarction of left ventricle inferior wall. We performed emergent coronary angiography where occlusion of the posterior descending artery...

Venous Thromboembolism, an Unusual Complication of Infective Endocarditis Caused by Moraxella species: a Case Report

Meity Ardiana, Tita Rif'atul Mahmudah, Bambang Herwanto, Inna Maya Sufiyah

Cor Vasa 2024, 66(3):370-374 | DOI: 10.33678/cor.2024.009

Background: Septic embolism is a relatively common and potentially severe complication of infective endocarditis (IE), and most often are found in the brain, solid organs (e.g. spleen, kidney, lungs), and lower extremity. Interestingly, we found an acute venous thromboembolic event in IE patient with septicemia. Case illustration: A 42-year-old male was referred from neighboring island to our hospital for IE and septic shock. On admission he complained of shortness of breath during heavy activity, with fatigue and fever for seven days. He also presented with acute onset of left upper extremity pain for three days. The pain was increased over time with...

A patient with Duchenne muscular dystrophy and complete AV block undergoing a successful left bundle area pacing implantation

Ramazan Gündüz, Bekir Serhat Yildiz, Su Ozgur

Cor Vasa 2024, 66(3):375-377 | DOI: 10.33678/cor.2024.014

The use of septal pacing, a novel pacemaker technique, is particularly recommended for patients with heart failure and a pacing requirement of ≥40% within a 24-hour period. The feasibility and effectiveness of left bundle area pacing remain unknown in Duchenne muscular dystrophy patients. Our case represents the first instance in Duchenne muscular dystrophy patients demonstrating the applicability of conduction system pacing.

A case of Turner's syndrome, factor 5 Leiden, and fibrinogen deficiency associated with congenital aortic stenosis complicated by aortic aneurysm and aortic regurgitation

Emre Oteyaka, Leylagül Kaynar, Hasan Erdem Murat Ugurlucan, Halil Turkoglu

Cor Vasa 2024, 66(3):378-379 | DOI: 10.33678/cor.2024.011

The combination of Turner's syndrome, factor 5 Leiden and fibrinogen 1 deficiency is extremely rare. The modified Bentall procedure is a viable option for the management of aortic aneurysms and bicuspid aortic valves in Turner's syndrome to minimise the risks associated with high-risk surgical interventions. We report details of the successful implementation of the Bentall operation in a patient with Turner's syndrome complicated by aortic aneurysm, bicuspid aorta, factor 5 Leiden and fibrinogen deficiency.