Browsing by Author "Arous, S."

Now showing 1 - 3 of 3
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    Acute Aortic Dissection Masquerading a Rare Type of Congenital Bicuspid Aortic : A Case Report
    (Sciencedomain International, 2022-12) Njie, M.; Tahir, A. Fadoul; Sidi, Boutar M.; Mulendele, P. M.; Haboub, M.; Arous, S.; Benouna, M. Ghali; Drighil, A.; Azouzi, L.; Habbal, R.
    Acute aortic dissection on bicuspid aortic valve (BAV) type 0 is a rare especially in young masculine. Risk factors like smoking and intensive sport activities can hasten their apparition especially in non-diagnosed population. Trans thoracic echocardiography is very important in the diagnosis of BAV whereas Angio CT scan helps to confirm acute aortic dissection. Treatment is based on surgery for type A Stanford classification for acute aortic dissection. We report a rare case of acute aortic dissection masquerading a rare type of BAV, type 0 in a young sportive male with no history of heart disease who presented for the first-time with acute chest pain after lifting a heavy weight metal at the complex sport center. Patient was initially placed on medical treatment before surgery for heart valve and root replacement (Bentall procedure).
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    Diastolic Valvular Regurgitation in Patient with Complete Atrio-ventricular Block
    (Sciencedomain International, 2022-02) El-Adaoui, A.; Asklou, A.; Errami, A.; Inouamou, I.; Arous, S.; Habbal, R.
    Mitral regurgitation in conduction disorders is a rare feature of functional valve regurgitation. In patients with high-grade atrioventricular block, the onset of ventricular ejection may shift with atrial telesystole; in this case, the rise in left ventricular filling pressure after atrial systole, especially in the case of complete atrioventricular block leading to an inversion of the LA-LV gradient during the supraventricular relaxation phase and diastolic mitral insufficiency can gradually set in , as well as secondary tricuspid regurgitation Here we report the observation of a patient admitted for a complete atrioventricular block, with reversible mitral and tricuspid regurgitation after implantation of a pace maker
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    Ischemic Stroke Following Thrombolytic Therapy for Acute Inferior Myocardial Infarction: The Third Reported Case
    (Sciencedomain International, 2022-12) Abouriche, A.; Bendahou, H.; Laklalech, L.; Haboub, M.; Arous, S.; Bennouna, G.; Drighil, A.; Azzouzi, L.; Habbal, R.
    Background: Ischemic stroke following thrombolysis for ST-segment elevation myocardial infarction(STEMI) is a rare and perplexing complication. We present an intriguing case of ischemic stroke following fibrinolytic therapy with tenecteplase for a STEMI. This is an extremely rare condition, and our case appears to be the third one reported in our departement. The three cases had one thing in common: ST-segment elevation in the inferior leads. Case Presentation: We describe the case of a 50-year-old north-african woman who suffered an acute inferior STEMI 6 hours after chest pain onset. Thrombolysis with tenecteplase was performed and few hours later an extensive right sylvian artery stroke occurred with subfalcine herniation. Decision-Making: The refractory intracranial hypertension despite medical therapy compelled a decompressive craniectomy. On the follow up, neurological deficits had increased, congestive heart failure developed, and finally the patient died on the tenth day in the intensive care unit. Conclusion: Hemorrhagic complications are not the only one, ischemic stroke can also occur after thrombolysis even if it is extremely odd. The pathophysiology is still poorly established. The prevalent implication of the inferior territory in the three cases described in the literature may open to future research prospects.