TY - JOUR
T1 - Scrotal swelling in a patient with paroxysmal supraventricular tachycardia
AU - Novo, Giuseppina
AU - Novo, Salvatore
AU - Nobile, Domenico
AU - Bentivegna, Riccardo
PY - 2017
Y1 - 2017
N2 - We present a case of a patient with paroxysmalsupraventricular tachycardia and a history ofchronic ischemic disease evolved into dilatedcardiomyopathy. During hospitalization, theoccurrence of arrhythmic crisis, our patientfelt sporadic palpitations associated withdyspnea, distended jugular veins and scrotalswelling, quite unexpected clinical sign thatcaught our attention. Echocardiography showeddilated left ventricle, severely reduced systolicfunction, dilated right-sided, dilated inferiorvena cava with reduced respiratory excursions.Echography of both testicles showed bilateralexpansion of pampiniform plexus with reflux tothe functional maneuvers, such as varicocele ofgrade III–IV. Afterwards coronary angiography,the placement of a metallic stent in leftanterior descending artery improved coronarycirculation with the net reduction of dyspnea. Inlater episodes of supraventricular tachycardiathe only symptom that the patient felt was mildpalpitation associated with scrotal swelling anddistended jugular veins. The increased heartrate led to an exacerbation of the underlyingRiccardo Bentivegna1, Domenico Nobile1, GiuseppinaNovo2, Salvatore Novo3Affiliations: 1MD, Doctor, cardiology, University Hospital“Paolo Giaccone”, Palermo, Italy; 2MD, Professor of CardiovascularDiseases, cardiology University Hospital “PaoloGiaccone”, Palermo, Italy; 3MD, Professor of CardiovascularDiseases – FESC, cardiology, University Hospital “Paolo Giaccone”,Palermo, Italy.Corresponding Author: Dr. Riccardo Bentivegna, Via AlcideDe Gasperi n°197, Sciacca (AG), 92019, Italy; E-mail: mich.bentivegna@alice.itReceived: 16 October 2016Accepted: 24 November 2016Published: 01 April 2017pulmonary hypertension resulting in venousstasis upstream the pulmonary capillaries.Restoring sinus rhythm, the heart performs itsnormal pump function and the pressure withinthe pulmonary capillaries was decreased, so onphysical examination turgor of the jugular veinsand scrotal size were strongly reduced.
AB - We present a case of a patient with paroxysmalsupraventricular tachycardia and a history ofchronic ischemic disease evolved into dilatedcardiomyopathy. During hospitalization, theoccurrence of arrhythmic crisis, our patientfelt sporadic palpitations associated withdyspnea, distended jugular veins and scrotalswelling, quite unexpected clinical sign thatcaught our attention. Echocardiography showeddilated left ventricle, severely reduced systolicfunction, dilated right-sided, dilated inferiorvena cava with reduced respiratory excursions.Echography of both testicles showed bilateralexpansion of pampiniform plexus with reflux tothe functional maneuvers, such as varicocele ofgrade III–IV. Afterwards coronary angiography,the placement of a metallic stent in leftanterior descending artery improved coronarycirculation with the net reduction of dyspnea. Inlater episodes of supraventricular tachycardiathe only symptom that the patient felt was mildpalpitation associated with scrotal swelling anddistended jugular veins. The increased heartrate led to an exacerbation of the underlyingRiccardo Bentivegna1, Domenico Nobile1, GiuseppinaNovo2, Salvatore Novo3Affiliations: 1MD, Doctor, cardiology, University Hospital“Paolo Giaccone”, Palermo, Italy; 2MD, Professor of CardiovascularDiseases, cardiology University Hospital “PaoloGiaccone”, Palermo, Italy; 3MD, Professor of CardiovascularDiseases – FESC, cardiology, University Hospital “Paolo Giaccone”,Palermo, Italy.Corresponding Author: Dr. Riccardo Bentivegna, Via AlcideDe Gasperi n°197, Sciacca (AG), 92019, Italy; E-mail: mich.bentivegna@alice.itReceived: 16 October 2016Accepted: 24 November 2016Published: 01 April 2017pulmonary hypertension resulting in venousstasis upstream the pulmonary capillaries.Restoring sinus rhythm, the heart performs itsnormal pump function and the pressure withinthe pulmonary capillaries was decreased, so onphysical examination turgor of the jugular veinsand scrotal size were strongly reduced.
KW - Paroxysmal supraventricular tachycardia
KW - Pulmonary hypertension
KW - Scrotal swelling
KW - Varicocele
KW - Paroxysmal supraventricular tachycardia
KW - Pulmonary hypertension
KW - Scrotal swelling
KW - Varicocele
UR - http://hdl.handle.net/10447/238177
M3 - Article
JO - INTERNATIONAL JOURNAL OF CASE REPORTS AND IMAGES
JF - INTERNATIONAL JOURNAL OF CASE REPORTS AND IMAGES
SN - 0976-3198
ER -