1
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Lahmouch N, Britel D, Mouine N, Asfalou I, Lakhal Z, Benyass A. Rare case of cardiac angiosarcoma and alveolar hemorrhage in an adolescent patient initially suspected COVID19 infection: A case report and literature review. Radiol Case Rep 2024; 19:1722-1728. [PMID: 38384711 PMCID: PMC10877114 DOI: 10.1016/j.radcr.2024.01.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Revised: 01/11/2024] [Accepted: 01/18/2024] [Indexed: 02/23/2024] Open
Abstract
Primary cardiac tumors are a rarity, and sarcomas emerge as the prevailing form of primary malignant cardiac tumors across age groups, encompassing both children and adults. Within this category, angiosarcoma stands out, constituting around 31% of all primary malignant cardiac tumors. Primary cardiac angiosarcoma displays a notably aggressive nature, characterized by early systemic metastasis, and is accompanied by a generally unfavorable prognosis. We describe a case concerning a previously healthy teenage girl who displayed persistent constitutional symptoms and hemoptysis for 15 days. Subsequent investigation uncovered alveolar hemorrhage, ultimately linked to a cardiac angiosarcoma. The difficulty in this instance arose from the vague nature of the initial symptoms, posing a challenge to promptly and accurately diagnose the condition. This case highlights the aggressive nature of primary cardiac angiosarcoma. The vague initial symptoms underscore the need for early detection and optimized treatment to improve the generally unfavorable prognosis associated with this condition. Increased awareness and a multidisciplinary approach are crucial in addressing the diagnostic and therapeutic challenges posed by primary cardiac angiosarcoma.
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Affiliation(s)
- Nouhaila Lahmouch
- Department of Cardiology, Mohammed V University, Faculty of Medicine and Pharmacy in Rabat Morocco, Mohammed V Military Hospital, Morocco
| | - Driss Britel
- Department of Cardiology, Mohammed V University, Faculty of Medicine and Pharmacy in Rabat Morocco, Mohammed V Military Hospital, Morocco
| | - Najat Mouine
- Department of Cardiology, Mohammed V University, Faculty of Medicine and Pharmacy in Rabat Morocco, Mohammed V Military Hospital, Morocco
| | - Ilyasse Asfalou
- Department of Cardiology, Mohammed V University, Faculty of Medicine and Pharmacy in Rabat Morocco, Mohammed V Military Hospital, Morocco
| | - Zouhair Lakhal
- Department of Cardiology, Mohammed V University, Faculty of Medicine and Pharmacy in Rabat Morocco, Mohammed V Military Hospital, Morocco
| | - Aatif Benyass
- Department of Cardiology, Mohammed V University, Faculty of Medicine and Pharmacy in Rabat Morocco, Mohammed V Military Hospital, Morocco
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2
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Addou AY, El Mire W, Doghmi N, Benyass A. The role of cardiac imaging in assessing the cardiac involvement of type 1 Gaucher disease: a case report with review of literature. Egypt Heart J 2024; 76:35. [PMID: 38523185 PMCID: PMC10961294 DOI: 10.1186/s43044-024-00465-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2023] [Accepted: 03/13/2024] [Indexed: 03/26/2024] Open
Abstract
BACKGROUND Gaucher disease (GD) is a lysosomal storage disease that leads to the accumulation of glucocerebroside within reticuloendothelial cells, haematological, neurological, skeletal and abdominal organs. These clinical manifestations are common to all types of GD, but categorization depends on the absence of neurological involvement (type I) or its presence (type II and III). Cardiac involvement is rare and only reported in few cases, where valvular and aortic calcifications were associated with type IIIc. Other cardiac manifestations, such as constrictive pericarditis, pulmonary hypertension, myocardial infiltration, and restrictive cardiomyopathy, had also been reported. CASE PRESENTATION We report a case of a 72-year-old patient with known type 1 GD who presented with a sudden syncope during exercise. He reported also an exercise intolerance evolving for three months. Echocardiography found concentric left ventricular hypertrophy with segmental hypokinesis, bi-atrial enlargement, and mildly reduced ejection fraction. Mitral flow was in favour of grade II diastolic dysfunction with elevated filling pressure. Cardiac magnetic resonance (CMR) showed interstitial fibrosis in the basal infero-septal wall, probably due to the myocardial infiltration of GD. Due to the lack of echocardiographic and CMR hallmarks of cardiac GD, we conducted a literature review on similar findings. CONCLUSION This case illustrates the importance of non-invasive cardiac imaging in the diagnosis, prognosis and management of cardiac manifestations of GD.
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Affiliation(s)
- Ahmed Youssouf Addou
- Department of Cardiology, Cheikh Zaid International University Hospital, Rabat, Morocco.
- Abulcasis International University of Health Sciences, Rabat, Morocco.
| | - Wafa El Mire
- Department of Cardiology, Cheikh Zaid International University Hospital, Rabat, Morocco
- Abulcasis International University of Health Sciences, Rabat, Morocco
| | - Nawal Doghmi
- Cardiology B Department of CHU Ibn Sina, Mohammed V University, Rabat, Morocco
| | - Aatif Benyass
- Abulcasis International University of Health Sciences, Rabat, Morocco
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3
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Diallo TH, Nana Yeboah F, Djafarou Boubacar R, Faraj R, Boui-Issoui K, sidi Mhamed ES, El Ghiati H, Diallo ID, Mouine N, Benyass A. Severe pulmonary hypertension associated with hypothyroidism and mixed aortic valve disease: A case report. SAGE Open Med Case Rep 2024; 12:2050313X241237405. [PMID: 38476569 PMCID: PMC10929027 DOI: 10.1177/2050313x241237405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 02/19/2024] [Indexed: 03/14/2024] Open
Abstract
Pulmonary hypertension is a condition characterised by elevated pulmonary arterial pressures secondary to various aetiologies; the most common ones are left heart diseases. Similarly, an association between thyroid diseases and pulmonary hypertension has been reported in some cases, but the pathophysiological relationship has not been fully elucidated. Etiological investigation is an important step in the management of pulmonary hypertension and determines the appropriate treatment. In this report, we present a case of severe pulmonary hypertension in a 57-year-old woman, in which mixed aortic valve disease and hypothyroidism were involved.
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Affiliation(s)
- Thierno Hamidou Diallo
- Ibn Sina University Hospital Center, Rabat, Morocco
- Clinical cardiology department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Rabat, Morocco
| | - Frederick Nana Yeboah
- Ibn Sina University Hospital Center, Rabat, Morocco
- Clinical cardiology department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Rabat, Morocco
| | - Raynatou Djafarou Boubacar
- Ibn Sina University Hospital Center, Rabat, Morocco
- Clinical cardiology department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Rabat, Morocco
| | - Raid Faraj
- Ibn Sina University Hospital Center, Rabat, Morocco
- Clinical cardiology department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Rabat, Morocco
| | - Keltoum Boui-Issoui
- Ibn Sina University Hospital Center, Rabat, Morocco
- Clinical cardiology department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Rabat, Morocco
| | - Ely Sidi sidi Mhamed
- Ibn Sina University Hospital Center, Rabat, Morocco
- Clinical cardiology department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Rabat, Morocco
| | - Hanaa El Ghiati
- Ibn Sina University Hospital Center, Rabat, Morocco
- Clinical cardiology department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Rabat, Morocco
| | - Ibrahima Dokal Diallo
- Ibn Sina University Hospital Center, Rabat, Morocco
- Department of Radiology, Ibn Sina University Hospital Center, Rabat, Morocco
| | - Najat Mouine
- Ibn Sina University Hospital Center, Rabat, Morocco
- Clinical cardiology department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Rabat, Morocco
| | - Aatif Benyass
- Ibn Sina University Hospital Center, Rabat, Morocco
- Clinical cardiology department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Rabat, Morocco
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Faraj R, Nguadi J, Fagouri J, Malki M, Chmali O, Ben El Mekki A, Kheyi J, Asfalou I, Bouzelmat H, Benyass A. Pre-excitation Syndrome Unveiling Ebstein Anomaly at an Exceptionally Advanced Age. CJC Open 2024; 6:577-581. [PMID: 38559330 PMCID: PMC10980918 DOI: 10.1016/j.cjco.2023.12.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2023] [Accepted: 12/12/2023] [Indexed: 04/04/2024] Open
Affiliation(s)
- Raid Faraj
- Rhythmology Department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University of Rabat, Rabat, Morocco
| | - Jaouad Nguadi
- Rhythmology Department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University of Rabat, Rabat, Morocco
| | - Jihane Fagouri
- Noninvasive Cardiac Explorations Department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University of Rabat, Rabat, Morocco
| | - Mohamed Malki
- Noninvasive Cardiac Explorations Department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University of Rabat, Rabat, Morocco
| | - Oumaima Chmali
- Rhythmology Department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University of Rabat, Rabat, Morocco
| | - Abdelilah Ben El Mekki
- Rhythmology Department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University of Rabat, Rabat, Morocco
| | - Jamal Kheyi
- Rhythmology Department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University of Rabat, Rabat, Morocco
| | - Iliyasse Asfalou
- Noninvasive Cardiac Explorations Department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University of Rabat, Rabat, Morocco
| | - Hicham Bouzelmat
- Rhythmology Department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University of Rabat, Rabat, Morocco
| | - Aatif Benyass
- Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University of Rabat, Rabat, Morocco
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Boumaaz M, Lahjouji MR, Faraj R, Mouine N, Asfalou I, Benyass A. Rare complications of infective endocarditis in marfan-like morphotype: diagnosis of multiple mitral valve aneurysms and aortic root abscess using three-dimensional transesophageal echocardiography. BMC Cardiovasc Disord 2024; 24:51. [PMID: 38221637 PMCID: PMC10788978 DOI: 10.1186/s12872-024-03715-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Accepted: 01/05/2024] [Indexed: 01/16/2024] Open
Abstract
Mitral valve aneurysm (MVA) is characterized by a saccular outpouching of the mitral leaflet, and it represents a rare condition typically associated with aortic valve endocarditis. Three-Dimensional Transesophageal Echocardiography (3D-TEE) serves as an effective tool for detecting the presence of MVA and its potential complications. In this report, we present a case involving a young man with striking images of bicuspid aortic valve endocarditis complicated by an aortic root abscess and multiple perforated mitral valve aneurysms, diagnosed using 3D TEE. This case suggests the uncommon coexistence of Marfan like morphotype, bicuspid aortic valve, and infective endocarditis as a triple mechanism in the occurrence of MVA. It underscores the significance of early and accurate imaging diagnosis for facilitating prompt surgical intervention.
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Affiliation(s)
- Meriem Boumaaz
- Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco
| | - Mohamed Reda Lahjouji
- Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco
| | - Raid Faraj
- Department of Cardiology B, Ibn Sina University Hospital, Mohammed V University, Rabat, Morocco.
| | - Najat Mouine
- Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco
| | - Iliyasse Asfalou
- Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco
| | - Aatif Benyass
- Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco
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6
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Bouchaala A, Khalek I, Kerrouani O, Mouine N, Lakhal Z, Benyass A. Pulmonary tumor embolism secondary to urothelial carcinoma of urinary bladder: case report and literature review. Egypt Heart J 2023; 75:93. [PMID: 38010529 PMCID: PMC10682423 DOI: 10.1186/s43044-023-00422-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Accepted: 11/22/2023] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND Tumor embolism is the least well-described cause of pulmonary embolism, taking into account the non-specificity of radiographic and nuclear imaging results, the necessity of anatomopathological evidence and the frequency of deep venous thrombosis in the course of solid tumors, suggesting thus thromboembolism. CASE PRESENTATION We report a rare case of urothelial carcinoma of the urinary bladder associated with persistent pulmonary embolism despite being on different anticoagulation regimens, the patient was ultimately found to have tumor thrombus in the pulmonary trunk secondary to tumoral extension. We provide a literature review as well about the diagnosis, evaluation and prognosis and of this rare clinical entity. CONCLUSIONS Our case highlights the importance of keeping this unusual etiology in mind, particularly when faced with pulmonary embolism occurring in the context of a solid tumor and the ineffectiveness of various anticoagulation protocols. Furthermore, it emphasizes the pivotal role of cytology in confirming diagnosis and guiding therapy.
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Affiliation(s)
- Abderrahmane Bouchaala
- Clinical Cardiology Department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Mohammed Belarabi Elalaoui Av., B.P.6203, 10000, Rabat, Morocco.
| | - Ihssane Khalek
- Clinical Cardiology Department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Mohammed Belarabi Elalaoui Av., B.P.6203, 10000, Rabat, Morocco
| | - Oualid Kerrouani
- Clinical Cardiology Department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Mohammed Belarabi Elalaoui Av., B.P.6203, 10000, Rabat, Morocco
| | - Najat Mouine
- Clinical Cardiology Department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Mohammed Belarabi Elalaoui Av., B.P.6203, 10000, Rabat, Morocco
| | - Zouhair Lakhal
- Cardiac Intensive Care Unit, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Rabat, Morocco
| | - Aatif Benyass
- Head of Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Rabat, Morocco
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7
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Soufiani A, Chraibi H, Asfalou I, Ouafi NE, Hattaoui ME, Habbal R, Chaib A, Fellat R, Akoudad H, Benyass A, Cherti M, Abouqal R, Bendagha N, Ztot S. The national moroccan registry of ST-elevation myocardial infarction (MR-MI). BMC Cardiovasc Disord 2023; 23:419. [PMID: 37620762 PMCID: PMC10464033 DOI: 10.1186/s12872-023-03458-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 08/19/2023] [Indexed: 08/26/2023] Open
Abstract
BACKGROUND MR-MI is the first national Moroccan ST-elevation myocardial infarction (STEMI) registry. Its objectives are to assess patient management modalities and highlight the clinical and therapeutic characteristics of this pathology in all cardiology centres on a national scale. METHODS Adult patients presenting with STEMI within 5 days of symptoms onset were enrolled over a period of 18 weeks from April to August 2018. 57 cardiology centres distributed in 22 cities in Morocco participated in the study, including 5 university hospitals, representing 70% of Moroccan centres managing STEMI patients. A case report form was sent to the investigators in both electronic and paper forms. Sociodemographic, clinical, management, revascularization, and follow-up data were collected. RESULTS A total of 809 patients were recruited. The population was mostly male (74.8%) with an average age of 62.6 ± 11.6 years. The most common risk factors were smoking (38.3%) arterial hypertension (30.7%), and diabetes (28%). 30% of patients were admitted within the first 6 h of symptoms onset and early revascularization was performed on 49.6%. Mortality rate was 5.2% in-hospital and 3.2% at the one-month follow-up. CONCLUSION MR-MI is the first Moroccan STEMI registry on a national scale. Relevant management delays are much longer than other countries, and less than 50% of the patients that present on time benefit from early revascularization. Efforts remain to be done on the optimal diagnosis and treatment of STEMI.
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Affiliation(s)
- Aida Soufiani
- Cardiology A Department, Ibn Sina Hospital University Centre, Mohammed V University, Rabat, Morocco
| | - Hamza Chraibi
- Cardiology A Department, Ibn Sina Hospital University Centre, Mohammed V University, Rabat, Morocco.
| | - Ilyasse Asfalou
- Cardiology Department, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morocco
| | - Noha El Ouafi
- Cardiology Department, Mohammed VI Hospital University Centre, Mohamed Premier University, Oujda, Morocco
| | - Mustapha El Hattaoui
- Cardiology Department, Mohammed VI Hospital University Centre, Cadi Ayyad University, Marrakesh, Morocco
| | - Rachida Habbal
- Cardiology Department, Ibn Rochd Hospital University Centre, Hassan II University, Casablanca, Morocco
| | - Ali Chaib
- Cardiology Department, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morocco
| | - Rokya Fellat
- Cardiology A Department, Ibn Sina Hospital University Centre, Mohammed V University, Rabat, Morocco
| | - Hafid Akoudad
- Cardiology Department, Hassan II Hospital University Centre, Sidi Mohamed Ben Abdellah University, Fez, Morocco
| | - Aatif Benyass
- Cardiology Department, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morocco
| | - Mohamed Cherti
- Cardiology B Department, Ibn Sina Hospital University Centre, Mohammed V University, Rabat, Morocco
| | - Redouane Abouqal
- Medical Emergencies Department, Ibn Sina Hospital University Centre, Mohammed V University, Rabat, Morocco
| | - Nesma Bendagha
- Cardiology A Department, Ibn Sina Hospital University Centre, Mohammed V University, Rabat, Morocco
| | - Samir Ztot
- Cardiology Department, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morocco
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Lahmouz Y, Ahchouch S, El Mangoub F, Zaimi A, Mouine N, Asfalou LI, Kouach J, Benyass A. Congenitally uncorrected transposition of the great arteries in a pregnant woman 26-year-old: Description and literature review. Radiol Case Rep 2023; 18:2154-2157. [PMID: 37089976 PMCID: PMC10120370 DOI: 10.1016/j.radcr.2023.02.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Revised: 02/20/2023] [Accepted: 02/22/2023] [Indexed: 04/25/2023] Open
Abstract
Complex congenital heart disease and pregnancy are a challenge and delicate medical situation. We describe a first-time pregnancy of a woman living with an uncorrected d-transposition of the great arteries (TGA) with serious fetal complications required multidisciplinary assessment. Twenty-six years old primigravida referred to our cardiology center in 34 weeks of gestation with peripheral cyanosis. The patient was stable hemodynamically and the room air oxygen was at 82%. A continuous murmur systolic and diastolic at second left intercostals space was found. The transthoracic echocardiographic showed an uncorrected TGA with a large atrial defect and patent ductus arteriosus. Obstetrical ultrasonography showed severe intrauterine growth restriction. The patient was delivered by caesarean section under epidural anesthesia with good outcome. This is a case report with discussion of the maternal-fetal outcome of pregnant women with asymptomatic uncorrected TGA. Coordinated care by an informed obstetrician and cardiologist should be the aim.
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Affiliation(s)
- Youssef Lahmouz
- Clinical cardiology department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Morocco
- Corresponding author.
| | - Sara Ahchouch
- Department of gynecology and obstetrics, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Morocco
| | - Fatima El Mangoub
- Non invasive cardiac explorations department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Morocco
| | - Achraf Zaimi
- Clinical cardiology department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Morocco
| | - Najat Mouine
- Clinical cardiology department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Morocco
| | - lIiyasse Asfalou
- Department of gynecology and obstetrics, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Morocco
| | - Jaouad Kouach
- Non invasive cardiac explorations department, Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Morocco
| | - Aatif Benyass
- Head of Cardiology Center, Mohammed V Military Instruction Hospital of Rabat, Mohammed V University, Morocco
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Mouine N, Zaimi A, Loudiy N, Bouzelmat H, Lakhal Z, Chaib A, Benyass A. Evaluation of treatment adherence and lifestyle modification of moroccan patients with chronic heart failure in cardiac rehabilitation. Eur J Prev Cardiol 2022. [DOI: 10.1093/eurjpc/zwac056.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Introduction
Cardiac rehabilitation consists of measures that allow patients to recover their functional capacity through physical exercise and therapeutic education. The aim of our study is to evaluate the treatment adherence and lifestyle modification of patients with chronic heart failure in Cardiac Rehabilitation.
Materials and methods
It’s a prospective study included 50 patients with chronic heart failure with reduced ejection fraction (HFrEF), admitted in Cardiac Rehabilitation Unit, Cardiology Centre. All of them had clinical evaluation, echocardiography, cardio respiratory evaluation and Education Program.
Results
The average age of patients was 68, 36±9,3 years with male predominance, they have more than three cardiovascular risk factors dominated by smoking and hypertension, coronary artery disease is the most frequent etiology, they had reduced ejection fraction (EF: 31±6,2%), 53% of patients respect dietary rules and adhere totally to treatment, 34% of patients don't respect diet rules and stopped treatment itself and 13% take irregularly treatment.
After 20 sessions of Exercise training and Education Program; patients have a good quality of life, they become less symptomatic (from dyspnea class III to II of NYHA), they adhere more to diet rules and take regularly their treatment.
Conclusion
This study demonstrated that Cardiac Rehabilitation help patients with Chronic Heart Failure to modify their lifestyle, to respect diet rules and adhere more to treatment.
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Affiliation(s)
- N Mouine
- Military Hospital Mohammed V, cardiac rehabilitation unit, cardiology centre, Rabat, Morocco
| | - A Zaimi
- Military Hospital Mohammed V, cardiac rehabilitation unit, cardiology centre, Rabat, Morocco
| | - N Loudiy
- Military Hospital Mohammed V, cardiac rehabilitation unit, cardiology centre, Rabat, Morocco
| | - H Bouzelmat
- Military Hospital Mohammed V, Cardiology centre, Rabat, Morocco
| | - Z Lakhal
- Military Hospital Mohammed V, Cardiology centre, Rabat, Morocco
| | - A Chaib
- Military Hospital Mohammed V, Cardiology centre, Rabat, Morocco
| | - A Benyass
- Military Hospital Mohammed V, Cardiology centre, Rabat, Morocco
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10
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Machraa A, El Ghiati H, Fehri ZF, Mbida C, Chahdi H, Nya F, Moutakillah Y, Lakhal Z, Mouine N, Benyass A. A case report of a primary pericardial leiomyosarcoma: An extremely rare cardiac neoplasm. Ann Med Surg (Lond) 2022; 77:103701. [PMID: 35638054 PMCID: PMC9142710 DOI: 10.1016/j.amsu.2022.103701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Revised: 04/22/2022] [Accepted: 04/25/2022] [Indexed: 11/25/2022] Open
Abstract
Introduction and importance Primary malignant pericardial tumors are an entity that is infrequently encountered and may be a cause of pericardial effusion. Primary pericardial leiomyosarcoma are even rarer, and highly aggressive tumors, with no more than 200 cases reported in the literature. In this case report, we are presenting a rare case of a primary pericardial leiomyosarcoma that was diagnosed at our institution. We discuss the available diagnostic modalities and also shed light on alternative therapies when patients are not ideal surgical candidates. Case presentation A 27-year-old male patient was admitted with a gradually worsening dyspnea associated with a deterioration of general condition. Echocardiography examination showed a circumferentiel pericardial effusion with significant fibrin deposits and pericardial thickening. An open surgical biopsy of the pericardium was indicated which was in favor of the diagnosis of pericardial leiomyosarcoma. Unfortunately, the patient died during the procedure. Clinical discussion Despite its rarity, primary pericardial leiomyosarcoma should be considered as a differential diagnosis in the assessment of a pericardial effusion of an unknown etiology. Cardiac magnetic resonance imaging is considered to be the reference standard technique for evaluation of a suspected pericardial tumor. Surgical biopsies provide the best odds for detection of the cell of origin, but it's fought with periprocedural risks depending on the site of the tumor. Conclusion Primary pericardial leiomyosarcomas appear to have a poor prognosis. Surgical approach is the primary modality of treatment. Chemotherapy and radiotherapy should be offered to patients who are not ideal surgical candidates. Pericardial leiomyosarcomas are rare and highly aggressive tumors. The prognosis is poor with 5-year survival rate of 14%. Multimodality imaging has enabled identification of the etiology of pericardial tumors in many cases. Surgical approach remains the gold standard of the therapy. Chemotherapy and radiotherapy are suitable alternatives.
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11
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Laktib N, Mahtat EM, Lahlafi Z, Mouine N, Asfalou I, Aghoutane N, Chaib A, Lakhal Z, Doghmi K, Benyass A. Essential thrombocythemia and aortic dissection,causal or incidental association? J Med Vasc 2022; 47:39-42. [PMID: 35393092 DOI: 10.1016/j.jdmv.2022.01.136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 01/12/2022] [Indexed: 06/14/2023]
Abstract
Only few cases of vascular dissection and essential thrombocythemia association have been reported. To the best of our knowledge, we reported the second case of aortic dissection and essential thrombocythemia association in a 60-year-old man with positive JAK2V617F mutation who had no history of hypertension or connective tissue disorders. Through this case, we discussed the eventual existence of a causal relationship between the two conditions. We also suggested the use of hydroxyurea as a prevention treatment of thrombosis in myeloproliferative neoplasms.
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Affiliation(s)
- Nabil Laktib
- Department of Cardiology Intensive Care Unit, Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco.
| | - El Mehdi Mahtat
- Department of Hematology, Mohammed V Military Training Hospital, Rabat, Morocco
| | - Zakaria Lahlafi
- Catheterization laboratory, Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco
| | - Najat Mouine
- Department of Clinical Cardiology, Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco
| | - Iliyasse Asfalou
- Department of non-Invasive Cardiac Explorations, Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco
| | - Nabil Aghoutane
- Department of Vascular Surgery, Mohammed V Military Training Hospital, Rabat, Morocco
| | - Ali Chaib
- Department of Rhythmology, Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco
| | - Zouhair Lakhal
- Department of Cardiology Intensive Care Unit, Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco
| | - Kamal Doghmi
- Department of Hematology, Mohammed V Military Training Hospital, Rabat, Morocco
| | - Aatif Benyass
- Cardiology Center of Mohammed V Military Training Hospital, Rabat, Morocco
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12
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Mouine N, Zaimi A, Loudiy N, Asfalou I, Bouzelmat H, Chaib A, Lakhal Z, Benyass A. Effect of sacubitril/valsartan in Moroccan patients with Chronic Heart Failure. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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13
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Mouine N, Hilmani A, Maizate A, Mahmoudi C, Benyass A. Design of an E-Health platform using artificial intelligence technologies for the surveillance and prevention of patients with cardiovascular diseases against covid19. Eur J Prev Cardiol 2021. [PMCID: PMC8136046 DOI: 10.1093/eurjpc/zwab061.433] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Introduction
Covid-19 disease is caused by SARS-CoV-2.The symptomatology is variable, it can range from a common cold to a severe acute respiratory distress. Severe forms are mainly seen in patients with cardio vascular disease, they are at very high risk of mortality. The aim of our project is to design and producean E-Health platform to enable telemedicine acts such as telemonitoring and assistance of patients with cardio vascular disease to prevent covid 19 infection
Materials and methods
It is an e-health platform that uses digital technologies associated with artificial intelligence to provide remote monitoring and assistance to patients; It consists of two parts: the acquisition of patient data, a gateway and a central system. Acquisition of patient data by sensors equipped with a wireless data transmission device allowing the recovery of patient health indices such as heart rate, respiratory rate ..., a mobile application which allows to acquire data emitted by the sensors placed on the patient, which includes an AI module that analyzes the data in real time in order to send alerts to the patient Expected results
Through telemedicine, patients with cardiac diseases will be under continuous monitoring of hemodynamic parameters: Temperature, Arterial oxygen saturation, Heart Rate, Blood Pressure, Electrocardiogram ...,,these data will be processed by an AI module which will analyze the results and will detect anomalies. The latter will give recommendations and immediately alert the patient
Conclusion
Telemedicine is a new and innovative concept, it will improve the health care and will have a great socio-economic impact on bothpatient andhealth services. it"s can help to fight against Covid 19 infection.
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Affiliation(s)
- N Mouine
- Military Hospital Mohammed V, cardiac rehabilitation unit, cardiology centre , Rabat, Morocco
| | - A Hilmani
- Hassan II University, RITM-ESTC / CED-ENSEM, Casablanca, Morocco
| | - A Maizate
- Hassan II University, RITM-ESTC / CED-ENSEM, Casablanca, Morocco
| | - C Mahmoudi
- Hassan II University, RITM-ESTC / CED-ENSEM, Casablanca, Morocco
| | - A Benyass
- Military Hospital Mohammed V, cardiac rehabilitation unit, cardiology centre , Rabat, Morocco
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Mouine N, El Malki Berrada N, Asfalou I, Bouzelmat H, Raissouni M, Chaib A, Lakhal Z, Benyass A. Evaluation of management of Moroccan women in cardiac rehabilitation. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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15
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Nguadi J, Bennani M, Mouine N, Kheyi J, Bouzelmate H, Lakhal Z, Benyass A, Chaib A. Benefit of telemedicine by simple means in Africa: PR INR management by telephone follow up. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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16
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Chraibi H, El Yousfi Z, Mouine N, Lakhal Z, Benyass A. Cerebellar stroke complicating coronary catheterization: a case report. Pan Afr Med J 2021; 40:172. [PMID: 35018205 PMCID: PMC8720227 DOI: 10.11604/pamj.2021.40.172.32031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Accepted: 11/01/2021] [Indexed: 11/11/2022] Open
Abstract
Cerebrovascular events are rare but devastating events that can complicate any coronary intervention. In the vast majority of cases, they involve major cerebral arteries. We report the case of a 56-year-old woman admitted for unstable angina associated with severe left systolic dysfunction. She developed moderate cerebellar stroke while undergoing percutaneous coronary intervention, with a national institutes of health stroke scale score of 5. Immediate systemic thrombolysis was performed, but her neurological status deteriorated. A large hemorrhagic transformation was then diagnosed, and she died despite surgical intervention. Periprocedural strokes are marred with high morbidity and mortality, therefore preventionis key, as many risk factors can be controlled or mitigated. Our patient presented many of these factors; they can be procedure-related (transfemoral approach, anticoagulation) or patient-related (age, diabetes mellitus, uncontrolled hypertension, diffuse atherosclerosis).
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Affiliation(s)
- Hamza Chraibi
- Cardiology Department, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morocco
- Corresponding author: Hamza Chraibi, Cardiology Department, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morocco.
| | - Zakia El Yousfi
- Radiology Department, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morocco
| | - Najat Mouine
- Cardiology Department, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morocco
| | - Zouhair Lakhal
- Cardiology Department, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morocco
| | - Aatif Benyass
- Cardiology Department, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morocco
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17
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Belharty N, Azouzi RE, Chafai Y, Mouine N, Benyass A. Concomitant in situ and in transit right heart thrombi: a case report. Pan Afr Med J 2020; 37:355. [PMID: 33796169 PMCID: PMC7992397 DOI: 10.11604/pamj.2020.37.355.27416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Accepted: 12/16/2020] [Indexed: 11/11/2022] Open
Abstract
Right heart thrombi can form in situ or lodge in the right cardiac chambers, originating from deep venous thrombosis. The latter carries a poor prognosis, taking into account the very high mortality rate. We herein report a case of an 83-year-old man who developed thrombus in the inferior vena cava that extended up to the right atrium, along with two distinct masses attached to the right ventricle wall.
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Affiliation(s)
- Najlaa Belharty
- Department of Cardiology, Mohamed V Military Hospital, Mohammed V University, Rabat, Morocco
| | - Rania El Azouzi
- Department of Cardiology, Mohamed V Military Hospital, Mohammed V University, Rabat, Morocco
| | - Yassmine Chafai
- Department of Cardiology, Mohamed V Military Hospital, Mohammed V University, Rabat, Morocco
| | - Najat Mouine
- Department of Cardiology, Mohamed V Military Hospital, Mohammed V University, Rabat, Morocco
| | - Aatif Benyass
- Department of Cardiology, Mohamed V Military Hospital, Mohammed V University, Rabat, Morocco
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18
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Boumaaz M, Asfalou I, Hamami A, Raissouni M, Lakhal Z, Benyass A. Myocardial Infarction Caused by an Enclosed Thrombus in a Patent Foramen Ovale. J Saudi Heart Assoc 2020; 32:204-207. [PMID: 33154917 PMCID: PMC7640573 DOI: 10.37616/2212-5043.1039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Revised: 03/03/2020] [Accepted: 03/09/2020] [Indexed: 11/20/2022] Open
Abstract
Paradoxical embolism in coronary artery is a rarely diagnosed clinical entity. In the majority of reported cases; the diagnostic of this pathology is « presumptive » based on certain criteria. It can be considered "proven" when the embolus is found lodged in the abnormal communication between the venous and arterial circulation; which is very rare. We herein report a case of myocardial infarction caused by a proven paradoxical coronary embolism through a patent foramen ovale. The authors highlight through this paper the contribution of echocardiography and particularly trans-esophageal echocardiography, especially if performed soon after presentation, for early diagnosis.
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Affiliation(s)
- Meriem Boumaaz
- Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco
| | - Iliyasse Asfalou
- Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco
| | - Amine Hamami
- Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco
| | - Maha Raissouni
- Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco
| | - Zouhair Lakhal
- Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco
| | - Aatif Benyass
- Department of Cardiology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco
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Boumaaz M, Asfalou I, Raissouni M, Benyass A, Zbir EM. Midaortic syndrome and hypertension in childhood revealed by enuresis: a case report. Int Arch Med 2018. [DOI: 10.3823/2577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Middle aortic syndrome (MAS) results from a diffuse narrowing of the distal thoracic or abdominal aorta commonly involving both the visceral and renal arteries. Congenital, acquired, inflammatory, and infectious etiologies have been described. Symptoms occur within the first three decades of life. Revelation modes are dominated by hypertension, lower extremity claudication, and mesenteric ischemia. We herein report a pediatric case of MAS with an original revelation mode that has never been described before in medical literature.
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Asfalou I, Mouine N, Raissouni M, Sabry M, Benyass A. Asymptomatic interventricular septal dissection and giant coronary artery aneurysms simulating cardiac cysts: Multi-modality imaging. J Saudi Heart Assoc 2017; 29:308-310. [DOI: 10.1016/j.jsha.2017.03.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2017] [Revised: 03/27/2017] [Accepted: 03/28/2017] [Indexed: 11/30/2022] Open
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21
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Mouine N, Loudiyi N, Asfalou I, Raissouni M, Sabry M, Lakhal Z, Berrada N, Benyass A, Zbir E. Creation of the first cardiac rehabilitation unit in Moroccan hospital. Archives of Cardiovascular Diseases Supplements 2017. [DOI: 10.1016/s1878-6480(17)30303-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Asfalou I, Boulaamayl S, Raissouni M, Mouine N, Sabry M, Kheyi J, Doghmi N, Benyass A. Left ventricular noncompaction-A rare form of cardiomyopathy: Revelation modes and predictors of mortality in adults through 23 cases. J Saudi Heart Assoc 2016; 29:102-109. [PMID: 28373784 PMCID: PMC5366664 DOI: 10.1016/j.jsha.2016.02.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2015] [Revised: 02/08/2016] [Accepted: 02/09/2016] [Indexed: 01/02/2023] Open
Abstract
Objectives To describe modes of clinical presentation and echocardiographic, angiographic, and rhythmic features, and prognostic characteristics of left ventricular noncompaction cardiomyopathy (LVNC) in North African adults, through one of the first series in Morocco. Background LVNC is a rare congenital disorder, described for the first time by Engberding in 1984. The suspected diagnosis in thromboembolic, hemodynamic, or rhythm events requires both echocardiography and cardiovascular magnetic resonance (CMR). Its therapeutic management is not yet well codified but akin to that proposed for dilated cardiomyopathy. Patients and design This study included a retrospective, descriptive, and analytical cohort of 23 cases of cardiomyopathy with LVNC diagnosed in the Noninvasive Explorations Laboratory at the Military Hospital of Rabat, Morocco, between January 2009 and October 2014. The echocardiographic criteria for LVNC include the absence of any coexisting cardiac anomalies. The characteristic appearance of numerous excessively prominent trabeculations and deep intertrabecular recesses and intertrabecular spaces filled by direct blood flow from the ventricular cavity, as visualized on color Doppler imaging with noncompacted/compacted ratio > 2 according to Jenni criteria. Twenty-three adults fulfilled the diagnostic criteria and were followed prospectively. Results At diagnosis, the mean age was 47 ± 13 years with a male predominance at 65.2%. Of them, 56.5% had a left bundle branch block and 21.7% were in atrial fibrillation. Left ventricular end-diastolic diameter was 67.7 ± 6.6 mm and ejection fraction was at 27 ± 8%. Apex and/or midventricular segments of both the inferior and lateral wall were involved in more than 80% of patients with an average of 4.8 noncompacted segments. CMR was performed in 12 patients and was decisive for the diagnosis. Major complications were heart failure in 31% of patients, ventricular tachycardia in three patients, and thromboembolic events in one patient. Twenty eight point six percent of patients started a long-term anticoagulant therapy. One patient underwent implantation of a double-room pacemaker. Automated defibrillators were implanted in two patients. There were three deaths: one sudden death and two end-stage heart failure. Conclusion LVNC should be looked for at any dilated cardiomyopathy particularly in young patients. It requires a careful echocardiographic examination and sometimes CMR to confirm the diagnosis. It is characterized by severe systolic and diastolic dysfunction that would provide poor prognosis.
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Affiliation(s)
- Iliyasse Asfalou
- Department of Cardiac Non-Invasive Explorations, Mohamed V Military Hospital, IBN SINA Hospital Center, Mohamed V University, Rabat, aMorocco
| | - Sanae Boulaamayl
- Department of Cardiac Non-Invasive Explorations, Mohamed V Military Hospital, IBN SINA Hospital Center, Mohamed V University, Rabat, aMorocco
| | - Maha Raissouni
- Department of Cardiac Non-Invasive Explorations, Mohamed V Military Hospital, IBN SINA Hospital Center, Mohamed V University, Rabat, aMorocco
| | - Najat Mouine
- Department of Cardiac Non-Invasive Explorations, Mohamed V Military Hospital, IBN SINA Hospital Center, Mohamed V University, Rabat, aMorocco
| | - Mohamed Sabry
- Department of Cardiac Non-Invasive Explorations, Mohamed V Military Hospital, IBN SINA Hospital Center, Mohamed V University, Rabat, aMorocco
| | - Jamal Kheyi
- Department of Cardiac Non-Invasive Explorations, Mohamed V Military Hospital, IBN SINA Hospital Center, Mohamed V University, Rabat, aMorocco
| | - Nawal Doghmi
- Department of Cardiology B, IBN SINA Hospital Center, Mohamed V University, Rabat, bMorocco
| | - Aatif Benyass
- Department of Cardiac Non-Invasive Explorations, Mohamed V Military Hospital, IBN SINA Hospital Center, Mohamed V University, Rabat, aMorocco
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Berrada NE, Asfalou I, Raissouni M, Moutakiallah Y, Benyass A. [A poly-embolism left atrial myxoma]. Pan Afr Med J 2015; 20:336. [PMID: 26175826 PMCID: PMC4491468 DOI: 10.11604/pamj.2015.20.336.6562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2015] [Accepted: 04/03/2015] [Indexed: 11/11/2022] Open
Affiliation(s)
| | - Iliyasse Asfalou
- Service de Cardiologie, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
| | - Maha Raissouni
- Service de Cardiologie, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
| | - Younes Moutakiallah
- Service de Chirurgie Cardiovasculaire, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
| | - Aatif Benyass
- Service de Cardiologie, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
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Ennibi K, El Kassimi I, Asfalou I, Chaari J, Benyass A. Pulmonary hypertension and von Recklinghausen's disease: association and therapeutic difficulties. Pneumologia 2015; 64:55-57. [PMID: 26738373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The neurofibromatosis type 1 (NF1) or Von Recklinghausen's disease is a genetic disorder. The café-au-lait spots and neurofibromas are the most common manifestations. Respiratory symptoms are rare in this disease, described as neurofibromas, infiltrative lesions, cysts, bubbles or emphysema. Pulmonary hypertension is rarely reported. It is due to the plexiform lesions in pulmonary arterioles or to parenchymal lung lesions reducing the vascular bed. We report a case of idiopathic precapillary pulmonary hypertension in a young patient with Von Recklinghausen's disease.
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Bouqata N, Kheyi J, Miftah F, Sabor H, Bouziane A, Bouzelmat H, Chaib A, Benyass A, Moustaghfir A. Epidemiological and evolutionary characteristics of heart failure in patients with left bundle branch block - A Moroccan center-based study. J Saudi Heart Assoc 2014; 27:1-9. [PMID: 25544816 DOI: 10.1016/j.jsha.2014.08.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2014] [Revised: 08/16/2014] [Accepted: 08/21/2014] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND In patients with heart failure, left bundle branch block (LBBB) seems to be associated with an increased risk of cardiovascular mortality. PURPOSE The purpose of this study is to determine the in-hospital outcome of congestive heart failure patients with LBBB versus those without. METHODS We conducted a prospective observational study at the Department of Intensive Care and Rhythmology at the Mohammed V Military Hospital of Rabat, where 330 patients were admitted for heart failure between January 2008 and September 2012. Screening out patients with missing data yielded a cohort of 274 patients. Among the 274 patients, only 110 had LBBB and a left ventricular ejection fraction lower than 50%. We randomly selected a subset of 110 patients diagnosed as non-LBBB to ensure a significant statistical comparison between LBBB and non-LBBB patients. We therefore considered two groups in our analysis: 110 heart failure (HF) patients with LBBB and 110 HF patients without LBBB. Patients with incomplete records were excluded. RESULTS Male gender was dominant in both groups (82.7% vs. 66.7%, p = 0.005). Patients with LBBB had a higher prevalence of idiopathic dilated cardiomyopathy (39.1% vs. 4.8%, p < 0.001); and a higher prevalence of previous hospitalization for heart failure (64.5% vs. 23.3%, p < 0.001). The left ventricular ejection fraction was significantly lower in the group with LBBB (25.49% vs. 39.53%, p < 0.001). Age, cardiovascular risk factors, rhythmic and thromboembolic complications did not significantly differ. In patients with LBBB, 61.8% received cardiac resynchronization therapy performed both during the index hospital stay (50.9%) and previously (10.9%). Hospital outcome was marked by 20 in-hospital deaths in the group with LBBB and eight deaths in the group without LBBB (p = 0.008). CONCLUSION Our analysis emphasizes increased in-hospital mortality and higher disease severity, over a short period of stay, in heart failure patients with left bundle branch block.
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Affiliation(s)
- N Bouqata
- Department of Intensive Care and Rhythmology, Mohammed V Military Hospital, Rabat, Morocco
| | - J Kheyi
- Department of Intensive Care and Rhythmology, Mohammed V Military Hospital, Rabat, Morocco
| | - F Miftah
- Department of Intensive Care and Rhythmology, Mohammed V Military Hospital, Rabat, Morocco
| | - H Sabor
- Department of Intensive Care and Rhythmology, Mohammed V Military Hospital, Rabat, Morocco
| | - A Bouziane
- Biostatistics Laboratory, Epidemiological and Clinical Research, Faculty of Medicine and Pharmacy, Rabat, Morocco
| | - H Bouzelmat
- Department of Intensive Care and Rhythmology, Mohammed V Military Hospital, Rabat, Morocco
| | - A Chaib
- Department of Intensive Care and Rhythmology, Mohammed V Military Hospital, Rabat, Morocco
| | - A Benyass
- Department of Non Invasive Cardiac Explorations, Mohammed V Military Hospital, Rabat, Morocco
| | - A Moustaghfir
- Department of Intensive Care and Rhythmology, Mohammed V Military Hospital, Rabat, Morocco
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Moutakiallah Y, Benzaghmout K, Aithoussa M, Atmani N, Amahzoune B, Hatim A, Drissi M, Benyass A, ElBekkali Y, Boulahya A. [Coronary surgery under cardiopulmonary bypass in patients with diabetes]. Pan Afr Med J 2014; 17:199. [PMID: 25396025 PMCID: PMC4229003 DOI: 10.11604/pamj.2014.17.199.2379] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2013] [Accepted: 12/05/2013] [Indexed: 11/11/2022] Open
Abstract
Nous rapportons les résultats de la chirurgie coronaire chez une population de coronariens diabétiques opérés sous circulation extra-corporelle dans le service de chirurgie cardiaque de l'hôpital militaire d'instruction Mohammed V de Rabat. C'est une étude rétrospective menée entre Janvier 2008 et Février 2012 (4 ans), portant sur 103 patients diabétiques consécutifs opérés pour pontage coronaire. L’âge moyen des patients était de 61±8,7ans (37-82ans) avec un sexe ratio (H/F) de 3,9. Tous les patients diabétiques de type 2 et sous traitement anti-diabétique ont été inclus dans cette étude. La sténose du tronc commun gauche était présente chez 26,2% des patients et 53,4% étaient tritronculaires. Quatre-vingt patients (78,6%) étaient insulino-nécessitant, l'Euro-score moyen était de 1,63±1% et le nombre moyen de pontage de 2,3±0,7. Les durées moyennes de la circulation extra-corporelle et du clampage aortique étaient respectivement de 134,4 ± 42 min et 76 ± 28 min. La mortalité hospitalière était de 2 décès (1,9%), les durées moyennes de ventilation artificielle, du séjour en réanimation et du séjour postopératoire étaient respectivement de 7h (5-16h), 48h (42-52h) et 15,6 ± 8,6 jours. Les complications postopératoires étaient l'infarctus du myocarde, l'infection de paroi, la médiastinite et le bas débit cardiaque chez respectivement 1,9%, 10,7%, 3,9% et 1,9% des patients. Il ressort de notre étude, que les facteurs prédictifs d'infection post opératoire étaient la durée de ventilation artificielle (p = 0,002), la durée de la circulation extra-corporelle (p < 0,001) en plus du tabac (p = 0,004) et de l'obésité (p = 0,005). Les patients ont été contactés par téléphone ou lors de la consultation régulière de contrôle. Le taux de suivi a atteint 92,1% et la survie à 2 ans était de 98,9% des patients contrôlés avec une mortalité tardive de 1% avec un décès suite à un accident vasculaire cérébral étendu. Le contrôle a montré un cas de ré-hospitalisation pour poussée d'insuffisance cardiaque mais aucun cas de récidive angineuse, d'infarctus du myocarde ou de besoin de revascularisation. La chirurgie coronaire chez le diabétique offre d'excellents résultats à court et à moyen terme au détriment d'une faible morbi-mortalité ce qui en fait le traitement de choix.
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Affiliation(s)
- Younes Moutakiallah
- Service de Chirurgie Cardiaque, Hôpital militaire d'instruction Mohammed V Rabat, Maroc
| | - Khadija Benzaghmout
- Service de Cardiologie, Hôpital militaire d'instruction Mohammed V Rabat, Maroc
| | - Mahdi Aithoussa
- Service de Chirurgie Cardiaque, Hôpital militaire d'instruction Mohammed V Rabat, Maroc
| | - Nourreddine Atmani
- Service de Chirurgie Cardiaque, Hôpital militaire d'instruction Mohammed V Rabat, Maroc
| | - Brahim Amahzoune
- Service de Chirurgie Cardiaque, Hôpital militaire d'instruction Mohammed V Rabat, Maroc
| | - Abdedaim Hatim
- Réanimation de Chirurgie Cardiovasculaire, Faculté de Médecine et de pharmacie. Université Mohammed V, Rabat, Maroc
| | - Mohamed Drissi
- Réanimation de Chirurgie Cardiovasculaire, Faculté de Médecine et de pharmacie. Université Mohammed V, Rabat, Maroc
| | - Aatif Benyass
- Service de Cardiologie, Hôpital militaire d'instruction Mohammed V Rabat, Maroc
| | - Youssef ElBekkali
- Service de Chirurgie Cardiaque, Hôpital militaire d'instruction Mohammed V Rabat, Maroc
| | - Abdelatif Boulahya
- Service de Chirurgie Cardiaque, Hôpital militaire d'instruction Mohammed V Rabat, Maroc
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Drissi S, Sabor H, Ounsy A, Mouine N, Sabry M, Benyass A, Zbir EM, Lassana K, Elhaithem N. Predictive factors of left atrial spontaneous echo contrast in patients with rheumatic mitral valve stenosis: a retrospective study of 159 patients. Int Arch Med 2014; 7:32. [PMID: 24995039 PMCID: PMC4081018 DOI: 10.1186/1755-7682-7-32] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2014] [Accepted: 06/20/2014] [Indexed: 11/10/2022] Open
Abstract
Background Mitral valve stenosis is a common manifestation of chronic rheumatic heart disease. The presence of spontaneous echo contrast in the left atrium and left atrial appendage has been reported to be an independent predictor of thrombo-embolic risk in patients with mitral stenosis. The objective of this study was to retrospectively investigate various clinical and echocardiographic variables to predict the spontaneous echo contrast in these patients. Methodology This is a bicentric retrospective study which includes 159 cases of symptomatic mitral stenosis from January 2011 to June 2012. All of the patients had transthoracic and transesophageal echocardiography. Patients who had significant mitral regurgitation (> Grade I), significant aortic valve disease, previous mitral valvulotomy and anticoagulation or antiplatelet therapy were excluded from the study. Our study population was divided into two groups based on the presence (Group I) or absence (Group II) of spontaneous echo contrast. Result Left atrial spontaneous contrast was present in 34.6% of cases. Patients in this group have more frequent atrial fibrillation (P = 0.001), larger left atrial area (P = 0.027) and diameter (P=0.023), smaller mitral valve area (P = 0.025), and higher mean transmitral diastolic gradient (p = 0.003) as compared to patients without spontaneous echo contrast. There were no significant differences in the mean age (p = 0.38), duration of symptoms (p = 0.4) and left ventricular ejection fraction (p = 0.7) between patients with and without spontaneous echo contrast. On multivariate analysis, only mitral valve area and transmitral diastolic gradient (OR: 18.753, 1.21, CI [1,838-191,332], [1,064-1,376], p: 0.013, 0.004, respectively) were found to be independently associated to the presence of spontaneous echo contrast. Conclusion Patients with severe rheumatic mitral stenosis in atrial fibrillation or sinus rhythm have a higher risk of developing spontaneous echo contrast. These patients might benefit from prophylactic anticoagulation. The long-term outcomes can be ascertained in a study over a longer period and with periodic follow-up.
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Affiliation(s)
- Sanaa Drissi
- Department of Cardiology, Mohammed V Military Teaching Hospital, Rabat, Morocco ; Department of Cardiology, Avicenne University Hospital, Rabat, Morocco
| | - Hicham Sabor
- Department of Cardiology, Mohammed V Military Teaching Hospital, Rabat, Morocco
| | - Ahlam Ounsy
- Department of Cardiology, Mohammed V Military Teaching Hospital, Rabat, Morocco ; Department of Cardiology, Avicenne University Hospital, Rabat, Morocco
| | - Najat Mouine
- Department of Cardiology, Mohammed V Military Teaching Hospital, Rabat, Morocco
| | - Mohamed Sabry
- Department of Cardiology, Mohammed V Military Teaching Hospital, Rabat, Morocco
| | - Aatif Benyass
- Department of Cardiology, Mohammed V Military Teaching Hospital, Rabat, Morocco
| | - El Mehdi Zbir
- Department of Cardiology, Mohammed V Military Teaching Hospital, Rabat, Morocco
| | - Konate Lassana
- Department of Cardiology, Avicenne University Hospital, Rabat, Morocco
| | - Naima Elhaithem
- Department of Cardiology, Avicenne University Hospital, Rabat, Morocco
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Mouine N, Raissouni M, Bouzerda A, Sabry M, Asfalou I, Lakhal Z, Boukili A, Zbir EM, Benyass A. Interest of study of left ventricular function by two-dimensional longitudinal strain in patients with acute coronary syndrome without ST elevation. Arch Cardiovasc Dis 2013. [DOI: 10.1016/j.acvd.2013.03.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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29
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Maazouzi W, Boutayeb A, Benyoussef H, Benyass A, Yakin H, Amar O. OP-019 THE FAST-TEC RING: TOWARDS A MORE PHYSIOLOGIC TRICUSPID VALVE REPAIR INITIAL RESULTS. Int J Cardiol 2012. [DOI: 10.1016/s0167-5273(12)70013-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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30
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Mouine N, Bouzerda A, Raissouni M, Sabry M, Chaib A, El Hankari T, Bouzelmat H, Moustaghfir A, Makhoukhi Boukili A, Benyass A, Nazzi M, Hamani A, Zbir EM. 082 Primary angioplasty versus thrombolysis in ST elevation myocardial infarction. Archives of Cardiovascular Diseases Supplements 2012. [DOI: 10.1016/s1878-6480(12)70478-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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31
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Mouine N, Raissouni M, Bouzerda A, Sabry M, Chaib A, Boukili A, Nazzi M, Benyass A, Zbir E. Primary angioplasty versus thrombolysis in ST elevation myocardial infarction. Journal of Men's Health 2011. [DOI: 10.1016/j.jomh.2011.08.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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32
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Mouine N, Raissouni M, Bouzerda A, Sabry M, Chaib A, Boukili A, Nazzi M, Benyass A, Zbir E. Evaluation of the management of hypertension: the experience of a Moroccan hospital. Journal of Men's Health 2011. [DOI: 10.1016/j.jomh.2011.08.075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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33
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Asfalou I, Miftah F, Kendoussi M, Raissouni M, Benyass A, Moustaghfir A, Zbir E, Hda A, Hamani A. Pancréatite aiguë compliquée d’infarctus du myocarde à coronaires normales. ACTA ACUST UNITED AC 2011; 30:77-9. [DOI: 10.1016/j.annfar.2010.11.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2010] [Accepted: 11/08/2010] [Indexed: 12/31/2022]
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34
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Benyass A, Bouzelmat H, Asfalou I, Chaib A, Raissouni M, Kendoussi M, Moustaghfir A, Zbir EM, Hda A, Boukili AM, Hamani A. 093 Look on the hold of heart failure management in Morocco, about 294 patient. Archives of Cardiovascular Diseases Supplements 2010. [DOI: 10.1016/s1878-6480(10)70095-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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35
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Benzarouel D, Benyass A, Rabhi M, Chaari J, Boukili A, Hamani A. [Silent myocardial infarction and antiphospholipid antibody syndrome]. Ann Cardiol Angeiol (Paris) 2007; 56:313-5. [PMID: 17573029 DOI: 10.1016/j.ancard.2007.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2006] [Accepted: 05/08/2007] [Indexed: 05/15/2023]
Abstract
We describe a case of 18-year-old woman followed for 3 years for systemic lupus erythematosis (SLE) complicated of a nephrectomy. Having like only factor of cardiovascular risk a balanced arterial hypertension. The patient was hospitalized because of choreo-athetosic's movement. We discovered fortuitously during this hospitalization an inferior myocardial necrosis as well as a mitral regurgitation. Coronary angiography was normal and the ventriculography showed an akinesy in the inferior territory. Biology made it possible to pose the diagnosis of antiphospholipid antibody syndrome (APS) on (SLE). We suppose that surgery started myocardial necrosis and underline through this case interest of early identification and appropriate treatment of APS as well as a narrow monitoring particularly in young patients candidates to surgery.
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Affiliation(s)
- D Benzarouel
- Service de cardiologie, hôpital militaire d'instruction des armées Mohammed-V, 11000 Rabat, Maroc.
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36
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Bendriss L, Bekkali Y, Mrani S, Chaib A, Wahid FA, Berrada N, Benyass A, Kendoussi M, Boulahya A, Kirat A. [Early surgery in infective endocarditis. Retrospective study apropos of 30 cases]. Ann Cardiol Angeiol (Paris) 2007; 56:111-6. [PMID: 17572170 DOI: 10.1016/j.ancard.2007.02.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2006] [Accepted: 02/19/2007] [Indexed: 11/27/2022]
Abstract
AIM The aim of this study is to stress the interest of the early surgery in infective endocarditis (IE), its indications and prognostic implications. METHODS It is a retrospective descriptive study of 30 cases (29 men and 1 woman with an average age of 35+/-12 years) with IE underwent surgery management in the acute phase between September 1993 and June 2005. RESULTS They were 25 rheumatic lesions, 2 aortic bicuspids and 3 mechanical valves prosthesis. Four twenty-six percent of the patients were operated for hemodynamic deterioration and 10% for embolic complication. We report 3 cases (that is to say 10%) of IE late form on prosthesis. Three patients died in the first post operative month by respectively total desinsertion of mitral prosthesis on peroperative, 1 septic shock at the 13th post operative day and 1 tamponade at the 14th postoperative day. On 72 months an average follow-up, 26 were controlled regularly: 25 evolved favourably and 1 died in third postoperative year (severe heart failure). CONCLUSION A high early surgery rate is related to good long term results and does not increase in hospital mortality. The reduced mortality was particularly evident among patients with moderate to severe congestive heart failure.
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Affiliation(s)
- L Bendriss
- Service de cardiologie, HMIMV, Rabat, Maroc.
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37
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Moustaghfir A, Hda A, Benyass A, Zahi M, Boukili A, Ohayon V, Hamani A, Archane MI. [Heart and sports: modifications of electrocardiogram, late potentials and echocardiography. Study of 75 sportsmen and 46 witnesses]. Ann Cardiol Angeiol (Paris) 2002; 51:188-92. [PMID: 12471796 DOI: 10.1016/s0003-3928(02)00100-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
Abstract
The authors report the results of prospective study, which compared 75 sports subjects and 45 witnesses. All subjects were male, the differentiating parameter being the type of sport practiced. This work analysed surface Electrocardiogramme, thransthoracic echocardiography and high amplification ECG. The statistical study used the student test t compare means and the Chi2 test for the percentages, the signification limit was fixed to 5%. Clinically, our two series didn't show a significant statistical difference, concerning: age, weight, height or arterial pressure. On the electrocardiographical level, the sport's men have a lower cardiac frequency (p = 0.005), a larger PR space (p = 0.05), an important Sokolow parameter (p < 0.005), and repolarisation disorders represented, essentially by negative T waves (p = 0.02) and an upper movement of ST segment in V2-V3 (p < 0.005). Echocardiography showed a dilatation of the right cavities: right auricular (p = 0.0125) and right ventricular (p = 0.025). Move over, it has been showed that the sport's men left ventricular walls were tabor (septal wall, p = 0.0125), (posterior wall, p = 0.025), despite a difference in the values of the left ventricular telediastolic diameter (4 mm average in the two series). The signification limit was not reached and it was also showed that the left auricular was also dilated (p = 0.025). The study of the delayed Potentials, tried to bring an explication to certain sudden deaths of sport's men which are to date unexplained and which could have a rhythmical origin? It is also to be noted that sport's men present more delayed ventricular Potentials. However, the statistical signification was not reached (p = 0.07).
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Affiliation(s)
- A Moustaghfir
- Service de cardiologie, hôpital militaire d'instruction Mohammed 5, Rabat, Maroc
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38
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Belmadani K, Dahreddine A, Benyass A, Hda A, Boukili MA, Ohayon V, Archane MI, Pavie A, Gandjbakhch I. [Endomyocardial fibrosis in Behcet's disease: a case report of a pseudo-tumoral form]. Arch Mal Coeur Vaiss 2001; 94:282-6. [PMID: 11387934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/16/2023]
Abstract
Endomyocardial fibrosis is very rare in Behcet's disease. The authors report the case of a 28 year old patient with Behcet's disease complicated by a pseudo-tumoral right ventricular formation on echocardiography. This misleading appearance suggested the diagnosis of cardiac thrombus or tumour and led to a surgical approach which revealed a fibrous moderator band suggesting endomyocardial fibrosis, confirmed by antomopathological analysis. Besides the originality of this case and the unusual pseudo-tumoral presentation, the authors underline the difficulties of establishing the diagnosis, despite the advances of medical imaging. The pseudo-tumoral intra-cardiac lesion in a suggestive clinical context (Behcet's disease) should raise suspicion of the diagnosis of endomyocardial fibrosis.
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Affiliation(s)
- K Belmadani
- Service de médecine B, hôpital militaire d'instruction Mohammed-V, Rabat, Maroc
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39
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Benyass A, Boubel K, Touati Z, Bekmadani K, Lakhal Z, Moustaghfir A, Hda A, Boukili MA, Ohayon V, Archane MI. [Papillary fibroelastoma of the large mitral valve disclosed by ischemic cerebrovascular accident: a case report]. Ann Cardiol Angeiol (Paris) 2000; 49:178-82. [PMID: 12555478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/20/2023]
Abstract
Thirty-four observations of papillary fibroelastoma (PFE) of the mitral valve have to date been reported in the literature. Our findings are the tenth so far documented on PFE revealed by a cerebral ischaemic vascular accident. The echocardiographic investigation detected a pedunculated tumour of the mitral valve 9 mm in diameter, and associated with moderate mitral leakage. The tumour was surgically excised tumour confirmed the original PFE diagnosis. The evolution seven years after surgery is favourable, with no signs of tumour recurrence and good functioning of the mitral valve system.
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Affiliation(s)
- A Benyass
- Service de médecine B, hôpital militaire d'instruction Mohamed V, Rabat, Maroc
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40
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Benyass A, Belmadani K, Lakhal Z, Moustaghfir A, Hda A, Boukili MA, Ohayon V, Maazouzi W, Archane MI. [Traumatic left ventricle-right atrial communication. A case report]. Arch Mal Coeur Vaiss 1999; 92:1519-22. [PMID: 10598232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
The authors report the case of an acquired left ventricle-right atrial communication after open chest trauma. The initial clinical presentation was a haemothorax and haemopericardium responding well to emergency surgical drainage. Secondarily, a systolic murmur suggesting a ventricular septal defect and signs of right heart failure were observed. Colour Doppler echocardiography led to the diagnosis of a left ventricle-right atrial communication associated with tricuspid regurgitation with dilatation of the right heart chambers and pulmonary hypertension. At surgery, a defect in the membranous interventricular septum was confirmed with rupture of the septal tricuspid leaflet causing tricuspid regurgitation. The surgeon closed the defect with a patch and performed a De Vega tricuspid valvuloplasty. The postoperative outcome was uneventful.
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Affiliation(s)
- A Benyass
- Service de médecine B, hôpital militaire d'instruction Mohammed V, Rabat, Maroc
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41
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Benyass A, Boulahya A, Aithoussa M, Elbekali A, Siah S, Hda A, Boukili MA, Taobane H, Benomar S, Elkirat A. [Angiosarcoma of the right atrium. Presentation of a surgically treated case and comparison with data of the literature]. Ann Cardiol Angeiol (Paris) 1997; 46:674-8. [PMID: 9587434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The authors report the case of a 28-year-old woman referred to their department by a respiratory medicine department with an inferior mediastinal tumour arising from the right atrium, presenting in the form of dysponea, dry cough and chest pain associated with a general syndrome composed of fever, weight loss and physical asthenia. Physical examination revealed a superior vena cava syndrome, the electrocardiogram showed diffuse repolarization disorders and the chest x-ray showed an opacity of the anterior and inferior mediastinum. The diagnosis of tumour of the right atrium was based on echocardiography and thoracic CT scan. Subtotal surgical resection under cardiopulmonary bypass allowed examination of the histological type of the tumour. After routine chemotherapy, despite negative secondary staging and a favourable immediate course, the patient died 11 months after the operation in a context of local recurrence and hepatic and bone metastases.
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Affiliation(s)
- A Benyass
- Service de Chirurgie Cardio-Vasculaire de l'H.M.I. Med V, Rabat, Maroc
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