Cardiovascular Journal of Africa

Case Reports

False-negative 99mTc-PYP bone scintigraphy in early cardiac amyloidosis: a rapidly progressive case in a young woman

Cardiac amyloidosis is one of the aetiologies of treatable heart failure. Cardiac amyloidosis is rare in young patients, but it can present atypically, leading to diagnostic delays. In this case, a 33-year-old female patient presenting with dyspnoea underwent echocardiography and cardiac magnetic resonance imaging, which showed left ventricular hypertrophy and raised suspicion for amyloidosis;...

Case report: unilateral varicose veins

A healthy 69-year-old man presented to the cardiovascular surgery outpatient department with a 20-year history of right leg swelling and varicose veins (Figure A). He denied experiencing resting pain and had no bad habits such as smoking or alcohol consumption. His vital signs were normal.

Echocardiographic diagnosis of a pulmonary artery sling: what kept it hidden for seven years?

Pulmonary artery sling (PAS) is a rare cardiovascular anomaly, occurring in approximately 1 in 17,000 individuals, often leading to severe tracheal compression and respiratory distress. This case report details the diagnosis, treatment, and follow-up of a seven-year-old female patient with PAS, a condition that remained undiagnosed for years despite multiple hospitalisations.

Late mediastinal haematoma compressing the left atrium after circumflex artery perforation

Mediastinal hematoma is a very rare complication during percutaneous coronary interventions. It is almost always observed because of large artery injuries when the radial route is used, and symptoms manifest themselves in the acute setting. In this case, we presented a mediastinal hematoma occurred at the late phase of coronary artery perforation through a femoral access.

Anomalous aortic origin of the coronary arteries: a presentation of three cases and review of the literature

In this retrospective review of three patients presenting with anomalous aortic origin of the coronary arteries (AAOCA), we sought to highlight the varying presentations, discuss the optimal diagnostic imaging strategy and review current guidelines on the management of this condition. Over a one-year period three patients with AAOCA were identified. Pertinent data were extracted from case records...