Takayasus arteritis, or pulseless disease is a rare, idiopathic, chronic granulomatous vasculitis that affects aorta and its major branches. This report describes a 57- year-old man who presented with gradual loss of vision, syncopal attack and arm claudication. His ocular findings suggested bilateral ocular ischemic syndrome. He was later diagnosed as having Takayasus disease.DOI: http://dx.doi.org/10.3329/medtoday.v24i2.15013 Medicine Today 2012 Vol.24(2): 79-81
Abstract:We report the case of a 25-year-female presented with dyspnea & chest pain on exertion. The ECG showed signs of right ventricular overload. The chest X-ray showed an enlargement of central pulmonary arteries, pulmonary plethora and a small aortic knuckle. Atrial septal defect (ASD) was suspected and transthoracic echocardiography (TTE) subsequently confirmed the presence of a large ostium secundum ASD. A surgical closure with an equine pericardium patch was performed. Two months after the surgical repair, the ECG and TTE showed the regression of signs of right ventricular overload.
Peripartum cardiomyopathy (PPCM) is an idiopathic cardiomyopathy that presents with heart failure secondary to left ventricular systolic dysfunction. Onset is from the last trimester of pregnancy to 5 months postpartum. Diagnosis in the last trimester is complicated by the fact that the early symptoms of this disorder may mimic the symptoms of normal pregnancy. However, it is essential for the practitioner dealing with such population to have a high degree of clinical suspicion for early diagnosis and management. Echocardiography is used to diagnose this entity and monitor the therapy. We present a case report of a 40-year-old woman who presented two days post-partum with respiratory distress and early echocardiography helped in diagnosing PPCM. The aim of this report is to make health professionals aware of the possibilities of PPCM in a woman with dyspnoea in the postpartum period.
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