Browsing by Author "Okoro, Kelechukwu U."

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    Infiltrating Cardiac Synovial Sarcoma Presenting as Acute Cerebrovascular Accident
    Okoro, Kelechukwu U.; Roby, Matthew D.; Sane, David C.; Budin, Robert E. (Hindawi, 2017-12-03)
    Primary cardiac sarcoma is a rare malignant myocardial neoplasm that does not exhibit gender predominance or age predilection. The classification of these tumors includes several subtypes, of which synovial sarcoma is a rare manifestation. When present, these tumors portend a poor prognosis with high morbidity and mortality that is attributable to their inherent infiltrative capacity, especially in the absence of treatment. The general consensus for treatment is surgical excision and neoadjuvant chemotherapy and radiotherapy. In this report, a case of synovial sarcoma involving the left ventricular outflow tract and aortic valve is presented.
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    Myocarditis Secondary to Mesalamine-Induced Cardiotoxicity in a Patient with Ulcerative Colitis
    Okoro, Kelechukwu U.; Roby, Matthew D.; Bankole, Adegbenga A. (Hindawi, 2018-03-15)
    Development of cardiac manifestations in patients diagnosed with inflammatory bowel disease undergoing treatment with mesalamine is a rare. When this occurs, it can be difficult to tease out the primary etiology, as both IBD and mesalamine can cause cardiac manifestations independently of each other. The exact mechanism of mesalamine-induced cardiotoxicity is yet to be determined although several mechanisms have been described. We present the case of a gentleman with nonexertional chest pain in the setting of ulcerative colitis exacerbation believed to have occurred secondary to mesalamine.
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    Systemic Embolization from an Unusual Intracardiac Mass in the Left Ventricular Outflow Tract
    Okoro, Kelechukwu U.; Larsen, Timothy R.; Lystash, John C. (Hindawi, 2017-06-07)
    Endocarditis can affect any endocardial surface; in the vast majority of cases, the cardiac valves are involved. It is exceedingly rare to develop infective endocarditis on the endocardium of the left ventricular outflow tract due to the high velocity of blood that traverses this area. Herein, we present a rare case of left ventricular outflow tract endocarditis that likely occurred secondary to damage to the aortic valve leaflets (from healed prior aortic valve endocarditis) causing a high velocity aortic valve regurgitant jet that impinged upon the interventricular septum which damaged the endocardium and resulted in a fibrotic “jet lesion.” This fibrous jet lesion served as a nidus for bacterial proliferation and vegetation formation. The high shear stress (due to high blood flow velocity through the left ventricular outflow tract) likely promoted the multiple embolic events observed in this case. Our patient was successfully treated with aortic valve replacement, vegetation resection, and antibiotics.
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    Tuberculous Enteritis Presenting as Acute Appendicitis and Perirectal Abscess
    Okoro, Kelechukwu U.; De La Espriella, Maria Gomez; Grider, Douglas J.; Baffoe-Bonnie, Anthony W. (Hindawi, 2018-02-25)
    Mycobacterium tuberculosis has a wide variety of presentations. A rare occurrence is gastrointestinal tuberculosis. It may occur anywhere along the alimentary canal but usually occurs in the ileocecum with rare involvement of the appendix.