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http://dx.doi.org/10.1016/j.kint.2023.07.003 | DOI Listing |
Int J Surg Case Rep
August 2025
Department of Surgery, Faculty of Medicine University of Jaffna, Sri Lanka.
Introduction: Twin Reversed Arterial Perfusion (TRAP) sequence is an uncommon and severe complication of monochorionic twin pregnancies, characterized by an acardiac twin lacking a functional heart and a pump twin that maintains circulation for both.
Presentation Of Case: We report a case involving a 17-year-old primigravida diagnosed with a monochorionic diamniotic twin pregnancy at 8 weeks gestation. At 35 weeks, ultrasound revealed a teratogenous mass measuring 11 cm × 9.
Heart Rhythm
August 2025
Tel Aviv Sourasky Medical Center and Gray Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel. Electronic address:
Background: Posterior wall isolation (PWI) is often performed in addition to pulmonary vein isolation (PVI) during ablation of persistent atrial fibrillation (PersAF) to decrease recurrence. However, in studies using radiofrequency (RF) energy, the addition of PWI failed to demonstrate improved outcomes compared to PVI-only, possibly due to challenges in achieving durable PWI. PWI with pulsed-field ablation (PFA) results in high rates of durable PWI.
View Article and Find Full Text PDFJ Cardiovasc Dev Dis
August 2025
Cardiology Unit, Azienda Ospedaliero Universitaria di Ferrara, 44124 Ferrara, Italy.
Anodal capture, characterized by a different QRS morphology compared to cathodal capture, is a well-known issue in cardiac resynchronization therapy (CRT). Left bundle branch area pacing (LBBAP), a novel physiological pacing technique, is also used as a bailout strategy following failed conventional CRT implantation. In LBBAP, QRS transition, defined by a change in paced QRS morphology, serves as a key marker of successful lead placement.
View Article and Find Full Text PDFHepatol Res
August 2025
Organ Transplantation Center, National Center for Child Health and Development, Tokyo, Japan.
Aim: Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disorder that can cause vascular malformations in multiple organs, including the liver. Although liver involvement typically remains asymptomatic until adulthood, severe cases can progress to high-output cardiac failure (HOCF). Although liver transplantation (LT) is a well-established curative option for adult patients with HHT, pediatric data are limited.
View Article and Find Full Text PDFCureus
July 2025
Anesthesiology, Saitama Sekishinkai Hospital, Sayama, JPN.
An aortocaval fistula caused by rupture of a right common iliac arterial aneurysm is a rare but potentially fatal condition that can progress to acute heart failure and even multi-organ failure due to abnormal shunting of blood through the fistula. We report a case of a patient with such a fistula who was rapidly diagnosed, and following emergent surgical consultation, underwent intra-aortic balloon occlusion prior to laparotomy. This intervention promptly stabilized the patient's circulation by addressing the high-output heart failure.
View Article and Find Full Text PDF