Vol. 40 | No. 1 | January-June 2012

January-June 2012

Open Access
Transcatheter Aortic Valve Implantation with Corevalve®: A New Mode of Therapy for Surgically High-Risk Patients with Severe or Critical Aortic Stenosis

Aortic Stenosis (AS) is a common and life-threatening disease that presents with angina, heart failure, or syncope. Internationally, transcatheter aortic valve implantation (TAVI) has become accepted as a less invasive percutaneous alternative to surgical replacement for high-risk patients with severe or critical AS. This paper presents the first TAVI case performed at The Heart Institute of the Chinese General Hospital and Medical Center, and reports the first valve-in-valve TAVI case in the Philippines. 

Open Access
Comparison of Drug Eluting Stents Versus Bare Metal Stents in Femoropopliteal Artery Occlusive Disease: A Systematic Review and Meta-analysis

Objective is to compare the angiographic and clinical outcomes in patients who have undergone peripheral artery intervention using either drug eluting stents (DES) or bare metal stents (BMS). A meta-analysis of randomized studies that compare DES and BMS in patients with femoropopliteal occlusive artery disease.

Open Access
Pericardial Abscess: A Rare Complication of Pyogenic Liver Abscess

Massive pericardial effusion from rupture of a hepatic abscess is rare. We report an unusual case of a pericardial abscess caused by a poorly treated hepatic abscess. This is the case of a 60-year old male with exertional dyspnea, intermittent low back pain, occasional low-grade fever; and progressive malaise, anorexia and weight loss.

Open Access
Myocardial Performance Index Combined with Framingham CHD Risk Score in Determining Angiographic Severity of CAD by Gensini Scoring

The aim of this study was to investigate whether myocardial performance index (MPI) and Framingham Coronary Heart Disease (CHD) score correlated with severity of coronary artery disease (CAD) as assessed by angiography (Gensini scoring), and whether combining the two parameters improved correlation with Gensini scoring. 

Open Access
Clinical Profile and Outcomes of Pregnant Patients with Congenital Heart Disease at the University of the Philippines Philippine General Hospital

Recent advances in the management of congenital heart diseases (CHD) have emerged. However, most CHD patients in a developing nation like the Philippines cannot afford proper treatment. If a CHD patient then desires children, greater problems may arise during pregnancy. Hence, it may be meaningful to describe the clinical profile and management of commonly - seen CHD patients during pregnancy. 

Open Access
Ductal Stenting Through the Left Internal Carotid Artery in a 5-Year Old Male with PVA: A Case Report

Patients diagnosed with Tetralogy of Fallot (TOF) with Pulmonary Vavle Atresia (PVA) are dependent on a persistent ductus arteriosus (PDA) or collaterals for continued pulmonary blood flow and oxygenation.

Open Access
Tetralogy of Fallot: A Philippine Heart Center Review

Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease (CHD) in the adult. The Philippine Heart Center (PHC) performs surgery on most TOF patients, averaging 50 patients per year. This study aimed to provide a comprehensive review of literature regarding TOF post operative outcomes in the Philippines.

Open Access
Achromobacter Xylosoxidans Late-onset Prosthetic Mitral Valve Infective Endocarditis: A Case Report

This is the case of a 35-year-old Filipino female who presented to the Philippine General Hospital with a chief complaint of fever. Two weeks prior to admission, she experienced high-grade fever (39 degrees Celsius) accompanied by chills, anorexia, and easy fatigability. A few hours prior to admission, she complained of slurred speech, right upper and right lower extremity weakness, and high-grade fever. She was diagnosed with rheumatic heart disease in the past, with mitral stenosis, and atrial fibrillation. She has undergone prosthetic mitral valve replacement. She denies intravenous drug use.