A 56-year-old male former smoker with a history of diabetes mellitus developed flu-like symptoms (cough, fever, and myalgia) that worsened after nine days (dyspnea and asthenia) sought medical attention in an emergency care unit. He was hospitalized with novel coronavirus (sudden acute respiratory syndrome coronavirus 2) infection confirmed by polymerase chain reaction testing. His condition progressed with sudden pain in the left lower limb, toe coldness and paresthesia without motor changes, and pain in the third finger of the left […]

Intermittent mechanical prosthesis dysfunction is a rare and potentially serious complication1 – 4 that can affect prostheses in the aortic5 or mitral position. It causes obstruction or intermittent central regurgitation depending on the phase of the cardiac cycle in which the disk becomes stuck.3 The most common cause of this dysfunction is pannus formation,3 , 4 which may also occur due to thrombosis, mitral subvalvular tissue, suture material, vegetations, ventricular myocardium,3 or mechanical failure.2 Left untreated, transient mobility loss leads […]

A 49-year-old woman presented with a progressive history of bilateral buttock and calf intermittent claudication, reaching a walking distance of 10 m. She was a smoker and had hypertension. She had no history of venous thrombosis, leg edema, varicose veins, or signs of chronic venous disease. Her femoral pulses were absent. Computed tomography angiography showed occlusion of the infrarenal aorta with recanalization of both iliac arteries. Interestingly, the right common iliac artery compressed the left common iliac vein, which was […]

Unusual presentation of Takayasu’s disease A 21-year-old woman was admitted with heart failure and chest pain. Echocardiography revealed a tricuspid aortic valve with severe regurgitation (A), a thickened and deformed right coronary cusp with a linear image (B), and severe left ventricular dilation. Angio-computed tomography showed continuous and concentric thickening of the aortic wall (C) with a penetrating ulcer and dissection of the descending aorta (D) and superior mesenteric and left renal arterial occlusion (E). Takayasu aortitis type V was […]

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