Philip Stockwell - Academia.edu (original) (raw)
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Papers by Philip Stockwell
Texas Heart Institute Journal, 2016
Acute myocardial infarction from septic embolization is a rare initial presentation of endocardit... more Acute myocardial infarction from septic embolization is a rare initial presentation of endocarditis. We report the case of a 67-year-old man who presented with acute chest pain, in whom emergency cardiac catheterization revealed findings that suggested coronary embolism. The patient was found to have Gemella endocarditis, with its initial presentation an embolic acute ST-segment-elevation myocardial infarction. We suggest that endocarditis be considered among the potential causes of acute myocardial infarction.
Medicine and Health Rhode Island, Feb 1, 2012
Rhode Island medical journal (2013), Jan 4, 2013
The classic finding of Takotsubo's cardiomyopathy is left ventricular systolic dysfunction wi... more The classic finding of Takotsubo's cardiomyopathy is left ventricular systolic dysfunction with echocardiographic evidence of apical ballooning in the absence of significant coronary disease. Intracranial hemorrhage is a known cause for stress-induced cardiomyopathy with a similar echocardiographic presentation. This diagnostic finding suggests a similar pathophysiologic mechanism between neurogenic cardiac damage and the wide array of medical and psychosocial disorders that are known to cause stress-induced cardiomyopathy (Takotsubo's syndrome). The neurogenic-cardiac variant of stress-induced cardiomyopathy is associated with good cardiovascular prog- nosis; the hallmark feature of the disorder is complete echocardiographic resolution of systolic dysfunction within a short period of time. While malignant presentations are rare, the disorder can present as severe heart failure or ventricular tachyarrhythmias. We report a case of a near life-threatening episode of polymorphi...
Medicine and health, Rhode Island, 2012
Cardiology Clinics, 2010
Bicuspid aortic valve (BAV) is the most frequently occurring congenital cardiac anomaly, affectin... more Bicuspid aortic valve (BAV) is the most frequently occurring congenital cardiac anomaly, affecting 1% to 2% of the population. BAV disease is increasingly recognized as a disease of the entire proximal aorta up to the level of the ligamentum arteriosum. The recent unfolding of the genetic and biologic background of the disease and the accumulating data regarding the natural history of BAV-associated aortic dilatation have accrued multiple levels of evidence strongly supporting early surgical intervention.
The Journal of Heart and Lung Transplantation, 2003
Journal of Cardiac Surgery, 2011
Cocaine-induced ascending aortic dissection is being recognized with increasing frequency. We pre... more Cocaine-induced ascending aortic dissection is being recognized with increasing frequency. We present two cases of patients treated using valve-sparing aortic root replacement after cocaine-induced aortic root dissection. Valve-sparing aortic root replacement represents an alternative surgical technique that may be particularly well-suited toward this younger, noncompliant patient population.
The pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) was traditionally conside... more The pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) was traditionally considered a rare, life-threatening sequela of endocarditis or valve surgery. 89 cases were reported in the literature from 1966 to 2009. The advances on imaging techniques and the widespread use of the transesophageal echocardiogram have led to its prompt recognition. As a result, 166 cases were reported by 2014- almost double the number in a span of 5 years.
Texas Heart Institute Journal, 2016
Acute myocardial infarction from septic embolization is a rare initial presentation of endocardit... more Acute myocardial infarction from septic embolization is a rare initial presentation of endocarditis. We report the case of a 67-year-old man who presented with acute chest pain, in whom emergency cardiac catheterization revealed findings that suggested coronary embolism. The patient was found to have Gemella endocarditis, with its initial presentation an embolic acute ST-segment-elevation myocardial infarction. We suggest that endocarditis be considered among the potential causes of acute myocardial infarction.
Medicine and Health Rhode Island, Feb 1, 2012
Rhode Island medical journal (2013), Jan 4, 2013
The classic finding of Takotsubo's cardiomyopathy is left ventricular systolic dysfunction wi... more The classic finding of Takotsubo's cardiomyopathy is left ventricular systolic dysfunction with echocardiographic evidence of apical ballooning in the absence of significant coronary disease. Intracranial hemorrhage is a known cause for stress-induced cardiomyopathy with a similar echocardiographic presentation. This diagnostic finding suggests a similar pathophysiologic mechanism between neurogenic cardiac damage and the wide array of medical and psychosocial disorders that are known to cause stress-induced cardiomyopathy (Takotsubo's syndrome). The neurogenic-cardiac variant of stress-induced cardiomyopathy is associated with good cardiovascular prog- nosis; the hallmark feature of the disorder is complete echocardiographic resolution of systolic dysfunction within a short period of time. While malignant presentations are rare, the disorder can present as severe heart failure or ventricular tachyarrhythmias. We report a case of a near life-threatening episode of polymorphi...
Medicine and health, Rhode Island, 2012
Cardiology Clinics, 2010
Bicuspid aortic valve (BAV) is the most frequently occurring congenital cardiac anomaly, affectin... more Bicuspid aortic valve (BAV) is the most frequently occurring congenital cardiac anomaly, affecting 1% to 2% of the population. BAV disease is increasingly recognized as a disease of the entire proximal aorta up to the level of the ligamentum arteriosum. The recent unfolding of the genetic and biologic background of the disease and the accumulating data regarding the natural history of BAV-associated aortic dilatation have accrued multiple levels of evidence strongly supporting early surgical intervention.
The Journal of Heart and Lung Transplantation, 2003
Journal of Cardiac Surgery, 2011
Cocaine-induced ascending aortic dissection is being recognized with increasing frequency. We pre... more Cocaine-induced ascending aortic dissection is being recognized with increasing frequency. We present two cases of patients treated using valve-sparing aortic root replacement after cocaine-induced aortic root dissection. Valve-sparing aortic root replacement represents an alternative surgical technique that may be particularly well-suited toward this younger, noncompliant patient population.
The pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) was traditionally conside... more The pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) was traditionally considered a rare, life-threatening sequela of endocarditis or valve surgery. 89 cases were reported in the literature from 1966 to 2009. The advances on imaging techniques and the widespread use of the transesophageal echocardiogram have led to its prompt recognition. As a result, 166 cases were reported by 2014- almost double the number in a span of 5 years.