John Bajouka

Spontaneous Bacterial Peritonitis as a Rare Complication of a Pancreatic Duct Leak in a Patient Without Cirrhosis: A Case Report

Rana Afram, John Bajouka, Fred Ahmadi, Pooja Mude et autres

Spontaneous bacterial peritonitis (SBP) is classically associated with liver cirrhosis and portal hypertension.Its occurrence in non-cirrhotic patients is rare and poorly characterized.Pancreatic ascites, resulting from disruption of the pancreatic duct (PD) or leakage from a pseudocyst, is an unusual cause of ascites …

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Loeffler's Endomyocarditis With Embolic Stroke Secondary to Chronic Eosinophilic Leukemia With Therapy-Related Molecular Features

Sushmithaa Ramesh, Nadia Yousif, Ziad Affas, John Bajouka et autres

BACKGROUND: Loeffler's endomyocarditis is a severe manifestation of hypereosinophilia characterized by eosinophil-mediated myocardial injury, mural thrombus formation, and endomyocardial fibrosis. While often idiopathic, it may arise from clonal eosinophilic disorders carrying higher risk of end-organ damage. CASE SUMMARY: /L) with cytopenias prompted …

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Quadrivalvular Enterococcus faecalis Infective Endocarditis in a Patient With Complex Comorbidities

John Bajouka, C Matti, Ghaid Touza, Ziad Affas et autres

BACKGROUND: Panvalvular infective endocarditis (IE) involving all 4 cardiac valves is extremely rare, with a high mortality. Management is complex when surgical intervention is precluded by severe comorbidities. CASE SUMMARY: An 81-year-old woman with end-stage renal disease and metastatic bronchial carcinoma presented …

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Percutaneous Retrieval Strategies Following Left Atrial Appendage Occluder and Peri-Device Leak Closure Embolization

Wadie David, Ziad Affas, John Bajouka, Keyshla Pagán Morales et autres

BACKGROUND: Percutaneous LAAO is an established stroke-prevention strategy in atrial fibrillation patients unsuitable for long-term anticoagulation. Device embolization is uncommon but can cause severe complications requiring urgent intervention. ABSTRACT OF THE CASE: We report 2 related cases of device embolization associated with …

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The Hemodynamics of Grief: Emotional Distress as a Precipitant for Ischemia in Moyamoya Syndrome

John Bajouka, Dylan Vonderhuevel, Neil Al-Saidi, Ahmad Baiyasi et autres

Moyamoya syndrome (MMS) is a rare cerebrovascular condition characterized by progressive stenosis of the distal internal carotid arteries. While often presenting as a spontaneous stroke, physiological stressors, including emotional distress, can trigger ischemic events through hypocapnia-induced vasoconstriction. A 30-year-old female with type …

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Multifactorial Pulmonary Hypertension: Converging Roles of Sarcoidosis, Heart Failure With Reduced Ejection Fraction, and Chronic Thromboembolic Disease

John Bajouka, Christopher Matti, Ghaid Touza, Keyur Patel et autres

Pulmonary hypertension (PH) is a multifactorial condition associated with elevated pulmonary arterial pressures. Treatment focuses on the identification and treatment of underlying causes. Here, we present the case of a 50-year-old man with advanced pulmonary sarcoidosis, recent pulmonary embolisms, and heart failure …

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Beyond National Averages: Assessing the Applicability of a National Rapid Response Registry to a Mid-sized Urban Community Teaching Hospital

John Bajouka, Keyur Patel, Rana Afram, Jessica Lavoie et autres

Rapid response teams (RRTs) manage deteriorating patients. National benchmarks, like the GWTG-R-MET (Get With The Guidelines-Resuscitation - Medical Emergency Team) registry, guide RRT practices, but their applicability to diverse settings like mid-sized community teaching hospitals is unclear. This study compares RRT characteristics …

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A Hidden Shunt Behind Post-COVID-19 Dyspnea: Partial Anomalous Pulmonary Venous Connection

John Bajouka, Ziad R Affas, Johnathan Stephan, Patrick Alexander

Persistent exertional dyspnea following SARS-CoV-2 infection is frequently attributed to post-viral pulmonary pathology. When symptoms are accompanied by right ventricular (RV) dilation and pulmonary hypertension without elevated left-sided filling pressures, alternative etiologies including congenital heart disease must be considered. A 52-year-old man …

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Trapped in the Trabeculae: A Rare Case of Noncompaction Cardiomyopathy and Large Left Ventricular Thrombus

John Bajouka, Christopher Matti, Ghaid Touza

Left ventricular noncompaction (LVNC) is a rare primary cardiomyopathy characterized by a failure of myocardial morphogenesis, resulting in a prominent, characteristic "sponge-like" trabeculated endocardial layer. Clinical presentation is classical for heart failure, ventricular arrhythmias, and systemic thromboembolism, which defines its severity. Here, …

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26-CCC-18406-ACC LATE-ONSET LOEFFLER’S ENDOMYOCARDITIS PRESENTING AS LV THROMBUS AND ATRIAL FIBRILLATION IN A LYMPHOMA SURVIVOR

Sushmithaa Nivethitha Dhanasekar Ramesh, Nadia Yousif, John Bajouka, Marcel Zughaib

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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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A Small Mass Causing a Big Problem: Severe Aortic Regurgitation Induced by a Papillary Fibroelastoma

John Bajouka, Rana Afram, Rahul V. Deshmukh

Papillary fibroelastoma (PFE) is a benign primary cardiac tumor arising from the endocardial surface, most commonly affecting the valvular endocardium. Although often incidental, PFEs may lead to serious complications, including systemic embolization, valvular obstruction, or regurgitation. Aortic valve fibroelastoma resulting in severe …

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