We report the first case of a patient with a durable left ventricular assist device
admitted with cardiogenic shock and managed with biventricular Impella support as
a successful bridge to heart transplantation. (Level of Difficulty: Advanced.)
MINI-FOCUS ISSUE: MYOCARDIAL AND PERICARDIAL INFLAMMATION
We describe a patient with ventricular tachycardia and complete atrioventricular block.
Remarkable thinning of the basal interventricular septum preceded left ventricular
dysfunction. Endomyocardial biopsy demonstrated giant cell myocarditis. The ...
In patients with constrictive pericarditis, a characteristic reduction in the regional
longitudinal strain seen in the areas of the left ventricular free wall and relative
sparing of the septal longitudinal strain values create an easily ...
We recount a single-center experience with cardiac immunity-related adverse effects
in patients treated with immune checkpoint inhibitors. Of 2,830 patients, 9 patients
(0.3%) developed cardiac immunity-related adverse effects (4 cases of ...
Ipilimumab and nivolumab for melanoma induced smoldering myocarditis remitting with
steroids. Rechallenge with nivolumab produced steroid-refractory myocarditis confirmed
by electron microscopy. Tacrolimus and mycophenolate transiently reduced ...
A 43-year-old female with a history of hypereosinophilia developed acutely decompensated
heart failure. Prototypical features of eosinophilic myocarditis, including a distinctive
left ventricular mass and severe mitral regurgitation, were ...
An 88-year-old female presented with inappropriate implantable cardioverter-defibrillator
shocks. Interrogation revealed lead noise sensed as ventricular fibrillation, leading
to 11 shocks in 1 day. A defibrillation at the period of maximal ...
We report successful management of left atrial hematoma after ablation of supraventricular
tachycardia. A 43-year-old female patient experienced chest pain immediately after
radiofrequency ablation of a symptomatic left posterolateral accessory ...
A 25-year-old male patient with a giant right atrium presented with atrial tachycardia.
Electroanatomic mapping revealed micro–re-entry from a low-voltage zone in the region
of the right atrial appendage. Linear ablations across the low-voltage ...
Atrial fibrillation along with accessory pathway–induced ventricular pre-excitation
may be life-threatening due to the high risk of developing severe hypotension, ventricular
fibrillation, and sudden death. We demonstrate nifekalant as an ...
We highlight a diagnostic challenge in a patient with dyspnea on exertion due to radiation
therapy–induced severe first-degree atrioventricular block and how permanent His bundle
pacing was helpful in overcoming these symptoms. (Level of ...
We describe an unusual case of permanent form of junctional reciprocating tachycardia
in a patient with manifest Wolff-Parkinson-White syndrome. The electrophysiological
study revealed an accessory pathway responsible for the tachycardia, ...
Severely calcified coronary lesions remain a challenge in current percutaneous coronary
interventions. Shockwave intravascular lithotripsy (Shockwave Medical, Inc., Santa
Clara, California) is an alternative for rotational atherectomy in such ...
Intravascular lithotripsy (IVL) may be useful to deliver Impella devices in patients
with peripheral arterial disease. Twelve patients were treated with peripheral IVL
prior to Impella insertion. A total of 100% of patients underwent successful ...
Comminuted subcapital humerus fracture as a complication of subcutaneous implantable
cardioverter-defibrillator insertion is related to an abducted and externally rotated
arm position during the defibrillation threshold test at which the current ...
A 38-year-old asymptomatic man was referred by his general practitioner for a 3/6
systolic heart murmur, which was detected during a routine consultation. Echocardiography
revealed a parachute mitral valve associated with a parachute-like membrane,...
We describe the case of extrapulmonary tuberculosis complicated by esophageal perforation,
pneumopericardium, and pericardial abscess formation. This case illustrates the difficulty
in diagnosing extrapulmonary tuberculosis, as the occurrence of ...
Carcinoid heart disease typically affects the tricuspid and pulmonary valves, causing
severe regurgitation and/or stenosis. Valve surgery has been shown to reduce right
heart failure and improve long-term prognosis in these patients. We report a ...
We report the first case of Mycolicibacterium litorale infection identified as a pacemaker infection. The patient was successfully treated
by device extraction and combined antibiotic therapy. This case indicates the importance
of the ...
Cardiac involvement in multiple myeloma is rare. We report a rapidly progressive atrial
mass and plasma cell–infiltrated pericardial effusion with tamponade. Bone marrow
biopsy and plasma immunoelectrophoresis confirmed multiple myeloma (Revised ...
Cardiac amyloidosis is a progressive disorder and is sometimes difficult to diagnose
even when suspected in the appropriate clinical setting. We present an interesting
case of rapidly progressive light-chain cardiac amyloidosis and highlights the ...
Coronary artery fistula is a rare condition that can be congenital or acquired. Most
patients with these anomalies remain asymptomatic, but symptoms and complications
may develop with increasing age. We discuss the clinical presentation, ...
We describe a case of stress-induced cardiomyopathy following epoprostenol withdrawal.
A patient with pulmonary arterial hypertension presented with a malfunctioning Hickman
catheter. Inappropriate withdrawal of epoprostenol resulted in shock. ...
We present the case of a patient with depression who attempted suicide through self-dissection
and severing of her permanent pacemaker leads. The case highlights the importance
of screening for psychiatric disorders prior to device implantation ...
Right ventricular infarction can precipitate severe right-to-left shunting and refractory
hypoxia from a previously dormant patent foramen ovale. Right ventricle mechanical
circulatory support and patent foramen ovale closure can play a crucial ...
Intra-aortic balloon pump via the axillary approach has been increasingly utilized
to facilitate physical rehabilitation prior to definitive heart failure therapy. There
is a high risk of device fracture with loss of arterial accessibility. Three ...
We describe the case of a degenerative, sutureless bioprosthetic valve (BPV) with
deformation and stent infolding in a patient with elevated surgical risk. Following
discussion among the heart team, balloon valve fracture was performed to ...
We report the case of a young woman with chest pain and recurrent abortion. The patient
was found to have Takayasu arteritis. Drug therapy was started, and emergency bypass
surgery was performed. The case showed the possible clinical manifestation ...
A patient presenting with typical chest pain with a background of ischemic heart disease
often alarms one of an acute coronary syndrome but differentials should always be
ruled out. We report a case of typical chest pain which was referred from a ...
This report describes a case of embolic myocardial infarction secondary to a pulmonary
arteriovenous malformation. Pulmonary arteriovenous malformations are rare and mostly
congenital and are inherited as an autosomal dominant disorder known as ...
This paper reports a unique case of anomalous origin of the left coronary artery from
the right pulmonary artery associated with scimitar syndrome. The presence of pulmonary
hypertension may have contributed to maintain coronary perfusion, which ...
We describe a case of platypnea-orthodeoxia syndrome in an 88-year-old man who presented
with progressive dyspnea. Right-to-left shunting through a patent foramen ovale (PFO)
was seen in the setting of normal right-sided heart pressures. He was ...