Abstract Intracardiac masses are a diagnostic challenge since their symptoms can be common to cardiovascular pathologies. Some methods, whether invasive or not, enable differential diagnosis, histological confirmation, and adequate treatment. To better understand the importance of imaging multimodality and the approach to managing cardiac tumors, we investigated a case of a primary cardiac lymphoma in which the multidisciplinary approach allowed rapid diagnosis and treatment, including of intercurrences, with a promising initial response despite fatal progression due to severe acute respiratory […]

Introduction Congenital coronary artery anomaly (CCAA) is a relatively rare condition with an estimated population prevalence of 0.21–5.79%. CCAA presents a wide spectrum of variations and can be classified into origin and course, intrinsic, and termination anomalies. , The CCAA with the highest prevalence is the anomalous origin of the circumflex artery (CxA) from the right coronary sinus (RCS) with an estimated prevalence of 0.3–0.8%. CCAA usually travels along a retroaortic course and may present different originations, such as from […]

Introduction After acute myocardial infarction (AMI), some cases progress with deep T wave inversions on electrocardiogram (ECG). This electrocardiographic abnormality can continue for a prolonged period, even if a coronary intervention within a short time of AMI progression results in successful myocardial reperfusion. However, these deep T wave inversions can raise management questions when the patient is already being followed up in an outpatient clinic, particularly in the absence of relevant symptoms to support the resurgence of an ischemic process. […]

Introduction Libman-Sacks endocarditis (LSE), also known as marantic or verrucous endocarditis, is a form of non-bacterial thrombotic endocarditis (NBTE) that involves the presence of sterile vegetations in the heart valves. These vegetations may be associated with malignancy, systemic lupus erythematosus (SLE), or antiphospholipid syndrome (APS), and although they are more commonly found in the mitral and aortic valves, other valves may be involved. Diagnosis requires high clinical suspicion when evaluating specific populations. […]

Introduction Double aortic arch is the main cause of vascular ring in cardiovascular surgical case series records. This rare anomaly, caused by the non-involution of one of the embryonic aortic arches, is a challenge for the pediatric echocardiographer, often requiring other imaging methods such as computed tomography or cardiac magnetic resonance. This case report aimed to systematize echocardiographic findings to help diagnose double aortic arch. […]

Abstract Background Primary cardiac neoplasms are rare, and a correct diagnosis is essential to planning the most appropriate treatment. Objective To demonstrate the role of cardiac magnetic resonance imaging (CMR) in the assessment, diagnosis, and follow-up of cardiac fibroma. Case report Female 21-year-old patient with a myocardial mass detected on echocardiogram. CMR confirmed a diagnosis of cardiac fibroma. The patient chose to be followed up, and her condition remained stable after six years. Discussion Cardiac fibromas are the second most […]

Abstract Amyloidosis is a rare heterogeneous group of disorders that occur with the extracellular deposition of fibrillar protein aggregates in the tissues and organs. Here we report the case of a 76-year-old with a 2-month history of progressive dyspnea on minimal effort. In the investigation, a global cardiac increase was observed, and echocardiography showed infiltrative restrictive heart disease and a pericardial effusion. Cardiac magnetic resonance imaging findings were highly suggestive of cardiac amyloidosis. Thus, as reported here, cardiac involvement primarily […]

Introduction Left ventricular (LV) pseudoaneurysm consists of a free wall rupture contained by the adjacent pericardium. It is a severe pathology with high morbidity and mortality and usually a complication of acute myocardial infarction (AMI). Its clinical status may be nonspecific; in some situations, the patient is asymptomatic, which may hinder the diagnosis.– Surgical correction is the treatment of choice due to the high risk of rupture and cardiac tamponade., This is a case report of an asymptomatic diabetes mellitus […]

Introduction Atrial septal defect (ASD) is the most common congenital heart disease in adults; in specific cases, it has indications for treatment. The percutaneous approach has been highlighted as a less invasive method to close this defect, specifically in cases of ostium secundum ASD; however, it can have complications as described in the following report. […]

Introduction Mucopolysaccharidosis (MPS) belongs to the group of lysosomal storage diseases associated with the partial or total deficiency of 11 different lysosomal hydrolases responsible for glycosaminoglycan (GAG) degradation. GAG accumulation may affect the valves, myocardium, and coronary vessels. The forms that accumulate dermatan sulfate (MPS I, II, VI, and VII) are associated with valvular thickening (L > R). MPS is one of the most common causes of mitral annulus thickening in children. Cardiac involvement also includes hypertrophy, tendinous cord shortening, […]