Ziad R Affas

26-CCC-18033-ACC THE AMPLIFIER EFFECT: GASTROENTERITIS TRIGGERED COMPLICATED MYOCARDITIS POST-TAVR

John Bajouka, Leonardo S. Romero-Barajas, Syed Badshah, Johnathan Stephan et autres

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Reperfusion Pulmonary Hemorrhage Following Mechanical Thrombectomy for Sub-massive Pulmonary Embolism

John Bajouka, Ghaid G Touza, Keyur Patel, Ziad R Affas et autres

Mechanical thrombectomy is an increasingly utilized intervention for patients with intermediate-risk pulmonary embolism who demonstrate right ventricular strain. While effective at reducing clot burden and improving hemodynamic parameters, the procedure carries a risk of rare post-interventional complications. This case report describes a …

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Rapid Bioprosthetic Valve Degeneration in Carcinoid Heart Disease

Everett Woods, Ziad R Affas, Souheil E. Saba

BACKGROUND: Carcinoid heart disease frequently necessitates right-sided valve replacement, but prosthesis choice remains debated. CASE SUMMARY: A 66-year-old woman with carcinoid heart disease underwent tricuspid and pulmonic valve replacement. Within 6 months, she developed severe bioprosthetic stenosis and regurgitation, far earlier than …

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Acute ST-Elevation Myocardial Infarction (STEMI) Diagnoses in a Biventricular-Paced ECG

Dhruva Govil, Ziad R Affas, Chad K. Nicholson, Christopher Bradley et autres

Diagnosing acute ST-elevation myocardial infarction (STEMI) in patients with ventricular pacing is difficult due to abnormal activation patterns that can mask ischemic changes on ECG. Unlike traditional right ventricular pacing, biventricular (BiV) pacing produces a better physiologic depolarization, improving detection. A 69-year-old …

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LIMA-LAD Steal Syndrome as a Cause of Post-CABG Angina

Naveen S Multani, Ziad R Affas, Patrick B. Alexander

BACKGROUND: Coronary steal from unligated side branches of the left internal mammary artery (LIMA) after coronary artery bypass grafting may lead to recurrent angina. CASE SUMMARY: A 64-year-old man presented with recurrent angina 2 years after coronary artery bypass grafting. Imaging showed …

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Most Common Risk Factors Associated with Peripartum Cardiomyopathy amongst Kurdish Population

Shwan Othman Amen, Banan Qasim Rasool, Dena Shehata, Ban Tareq Al-Hadeethi et autres

Background: Peripartum cardiomyopathy (PPCM) is idiopathic cardiomyopathy that presents during the last trimester or the first several months after delivery and it is a serious complication of pregnancy. Objectives: The aim was to assess the most common risk factors seen among pregnant …

A Meta-Analysis Comparing Venoarterial (VA) Extracorporeal Membrane Oxygenation (ECMO) to Impella for Acute Right Ventricle Failure

Ziad R Affas, Ghaid G Touza, Saif Affas

The right ventricular complication happens when the right ventricle (RV) fails to move sufficient blood through the pulmonary circle to enable enough left ventricular pumping. A significant pulmonary embolism/right-sided myocardial infarction may cause this to develop suddenly in a previously healthy heart, …

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