Cardiac Imaging

Cardiac Arrest in a 31-Year-Old Man With Noonan Syndrome

01/29/2019

Simone Grotti , MD;

Fabio Tarantino , MD;

Cristina Bachetti , MD;

Gianni Dall'Ara , MD, PhD;

Filippo Ottani , MD;

Marcello Galvani , MD;

A 31-year-old man with Noonan syndrome presented with severe postanoxic coma, but normalized ECG and stable hemodynamics. Angiography documented a giant RCA supplying collateral flow to the LCA, which presented a LM functional occlusion.

A 31-year-old man with Noonan...

01/29/2019

Journal of Invasive Cardiology

Occlusion of a Multilobed Shallow Left Atrial Appendage Using a Special LAmbre Device After Failed Watchman Implantation

01/29/2019

Yat-Yin Lam , MD;

Anna Kin-Yin Chan , MBChB;

Bryan P. Yan , MBBS, FRACP, MD;

Chak-Yu So , MBChB;

Alex Pui-wai Lee , MBChB;

This case illustrates that the LAmbre device can be used for complex left atrial appendage anatomies that are not suitable for the Watchman device.

This case illustrates that the...

01/29/2019

Journal of Invasive Cardiology

Superdominant Circumflex Thrombosis With Occluded LAD and Absent RCA Ostium

01/28/2019

Gustavo Neves de Araujo , MD, PhD;

Sandro Cadaval Goncalves , MD, PhD;

Bruno da Silva Matte , MD, MSc;

Felipe Pereira Lima Marques , MD;

To our knowledge, this is the first report of primary PCI in a patient with a superdominant LCX, in which the entire RCA myocardium territory is provided by the LCX.

To our knowledge, this is the...

01/28/2019

Journal of Invasive Cardiology

Percutaneous Biventricular Mechanical Circulatory Support With Impella CP and Protek Duo Plus TandemHeart

01/28/2019

Ashish Pershad , MD;

Richard R. Heuser , MD, FACC, FACP, FESC, FSCAI;

Nachiket J. Patel , MD, FACC, FACP, FSCAI;

Divya Ratan Verma , MD, MS;

Radha Gopalan , MD;

This is the first reported case of full biventricular mechanical circulatory support with the combination of Impella and Protek Duo.

This is the first reported case...

01/28/2019

Journal of Invasive Cardiology

Clinical Images

Optical Coherence Tomography Evaluation of Coronary Dissection and Intramural Hematoma

12/27/2018

Umair Hayat , MBBS, DMedSci;

Paul D. Williams , BM, BCh, MD, FRCP, MA;

David Allen Austin , MD, FRCP;

Although intramural hematomas are identifiable on intravascular ultrasound, OCT offers superior characterization and exclusion of alternate diagnoses, such as plaque erosion.

Although intramural hematomas...

12/27/2018

Journal of Invasive Cardiology

Clinical Images

Recanalization of Left Subclavian Vein Total Occlusion Jailed by Superior Vena Cava Stent Using Culotte Stenting Technique With a Dedicated Venous Stent

11/24/2018

Bryan P. Yan , MBBS, FRACP, MD;

Wai Kin Chi , MBChB;

G.M. Tan , MBChB;

This case demonstrates that the high radial strength of a dedicated nitinol venous stent is able to achieve good acute angiographic results and clinical efficacy.

This case demonstrates that the...

11/24/2018

Journal of Invasive Cardiology

Clinical Images

Thrombolysis-Guided Primary Percutaneous Coronary Intervention

11/24/2018

Georgios Tzanis , MD;

Antonio Colombo , MD;

Francesco Giannini , MD;

Azeem Latib , MD, BCh, MBBCh;

A 77-year-old STEMI patient became hemodynamically unstable during attempted PCI, and operators were unable to visualize the right coronary artery ostium despite multiple attempts. Systemic thrombolysis resolved these issues and allowed PCI...

A 77-year-old STEMI patient...

11/24/2018

Journal of Invasive Cardiology

Clinical Images

Snow and Reindeer: Large Tricuspid Valve Mobile Vegetation

11/24/2018

Vratika Agarwal , MD;

Roman Royzman , MD;

Peter C. Olson , MD;

A 20-year-old female with history of polysubstance abuse presented with fevers and lightheadness. TEE showed a definite large, irregular, loosely organized, highly mobile vegetation.

A 20-year-old female with...

11/24/2018

Journal of Invasive Cardiology

Clinical Images

Traumatic Fracture of Pacemaker Lead by Suture Transfixation to Pectoral Muscle

11/24/2018

Raghav Bansal , MD, DM;

Viveka Kumar , MD, DM;

Kewal Krishan Talwar , MD, DM;

We report acute lead fracture during pacemaker implantation. Suturing the lead without the sleeve might damage the lead. To avoid this result, we suggest tying knots tightly, but not too vigorously.

We report acute lead fracture...

11/24/2018

Journal of Invasive Cardiology

Clinical Images

Rescue Implantation of Covered Stent in Pulmonary Artery Rupture During Balloon Pulmonary Angioplasty

10/26/2018

Aleksander Araszkiewicz , MD, PhD;

Stanis Caw Jankiewicz , MD, PhD;

Bartosz Zabicki , MD, PhD;

Marek Grygier , MD, PhD;

Maciej Lesiak , MD, PhD;

We present a 62-year-old female with residual pulmonary hypertension after pulmonary endarterectomy for CTEPH who underwent balloon pulmonary angioplasty (BPA). Implantation of a covered stent not only protects the ruptured vessel, but also...

We present a 62-year-old female...

10/26/2018

Journal of Invasive Cardiology