Browsing by Author "Drighil, A."

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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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    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.
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    Severe Tricuspid Valve Regurgitation Due to Chordal Rupture Following Blunt Chest Trauma: A Case Report
    (Ms. M. B. Mondal, 2025-03) Karmouchi, H; Tlohi, L; Maha, B; Drighil, A.
    Aims: Tricuspid valve injuries from blunt chest trauma are rare but can have serious consequences. The incidence of these injuries has significantly increased due to the high rate of road accidents and diagnostic progress. Despite this increase, these injuries continue to be underdiagnosed, which affects the timing and quality of treatment outcomes. The aim of this report is to highlight the importance of early diagnosis and intervention for tricuspid valve injuries, even when symptoms are not immediately evident. Presentation of Case: We report a case of a 56-year-old male with no significant medical history who developed severe tricuspid regurgitation following a motor vehicle accident. Initially, the patient exhibited no cardiac symptoms and was referred for cardiac evaluation only after a CT CAP (Chest, Abdomen, Pelvis) scan, performed 10 days after the accident, revealed minimal pericardial effusion. Echocardiography revealed severe eccentric tricuspid regurgitation due to anterior leaflet chordal rupture, along with moderate right ventricular dilation. Despite the recommendation for surgical repair, the patient declined surgery due to the absence of symptoms. Conclusion: This case emphasizes the importance of considering potential cardiac complications, even when symptoms are not specific. Rapid, accurate diagnosis and early surgical intervention can significantly improve prognosis and reduce long-term cardiac complications.