Cardiovascular Revascularization Medicine: Interesting Cases最新文献

{"title":"Coronary vasospasm masquerading as multivessel coronary artery disease in a patient with undiagnosed thyrotoxicosis","authors":"Sara Hazaveh ,&nbsp;Zhongying Liu-An ,&nbsp;Marian Vandyck-Acquah ,&nbsp;Daniel Huq ,&nbsp;Haroon Faraz","doi":"10.1016/j.crmic.2024.100038","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100038","url":null,"abstract":"<div><p>Spontaneous coronary vasospasm (SCV) can present as coronary stenosis on angiography. Undiagnosed thyrotoxicosis is a rare cause of SCV and patients with unclear history and workup presenting with unstable angina should have thyroid function tested.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000340/pdfft?md5=9c57419b2728bbfc56ad67d1c39f4c21&pid=1-s2.0-S2950275624000340-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guiding the way: A seamless strategy for internal mammary artery cannulation","authors":"Francesco Moretti ,&nbsp;Attilio Restivo ,&nbsp;Irene Pescetelli ,&nbsp;Angelina Vassileva ,&nbsp;Luigi Fiocca ,&nbsp;Paolo Canova","doi":"10.1016/j.crmic.2024.100035","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100035","url":null,"abstract":"<div><p>Percutaneous coronary interventions (PCI) in patients with prior coronary artery bypass grafting (CABG) could present significant challenges, especially when the navigation of arterial conduits is necessary. The selective cannulation of internal mammary artery (IMA) is the first step of these high-risk procedures, in which technical complexities and ischemic complications are frequently faced. Acknowledging the lack of pre-shaped guiding catheter alternatives, IMA cannulation is time and contrast–consuming and potentially dangerous, as both catheter probing and wiring attempts may threaten vessel integrity.</p><p>To address this unmet need we developed a novel, easy-to-use technique to achieve selective internal mammary artery (IMA) graft cannulation. Our method proposes to first engage the arterial graft by means of any diagnostic catheter, whose shape can be chosen according to the specific features of the graft. Afterwards, a 0.014-inch workhorse guidewire is advanced to the distal segment of the graft. A 5- or 6-French IM guiding catheter is finally tracked over the wire rail into the ostium to reach stable engagement, ensuring procedural success. This approach is applicable irrespective of access route (ipsilateral or contralateral, transradial or transfemoral), and ultimately reduces procedural complexities and ischemic risks associated with traditional practice. This method also promotes the adoption of smaller guide catheters, thus reducing the ischemic triggers during selective cannulation. Furthermore, it offers versatility in catheter selection and guidewire support, enhancing personalization to diverse patient anatomies and clinical scenarios.</p><p>By streamlining procedures and improving success rates, our technique represents a significant advancement in PCI via IMA grafts, promising safer and more efficient interventions for CABG patients.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000315/pdfft?md5=22fba253b2ed2fbc9b4565c6e285211d&pid=1-s2.0-S2950275624000315-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141595478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sentinel cerebral embolic protection device deployment in aberrant right subclavian artery via left radial artery access","authors":"Hannah Lee ,&nbsp;Sudhi Tyagi ,&nbsp;Paul Pearson ,&nbsp;Peter Mason","doi":"10.1016/j.crmic.2024.100037","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100037","url":null,"abstract":"<div><p>Procedure-related stroke represents a major complication of transcatheter aortic valve replacement (TAVR). The Sentinel Cerebral Protection System is the only FDA-approved embolic protection device for TAVR and is intended for use via right radial access. As TAVR has become the preferred modality for aortic valve replacement, protection devices like Sentinel have been developed to reduce procedural complications; however, its use in aberrant aortic arch anatomy has not been previously reported. We present a case of successful Sentinel deployment and embolic protection via alternative left radial artery access in a patient with an aberrant right subclavian artery.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000339/pdfft?md5=25f8b9af4ba72b3a2df62d738a796e71&pid=1-s2.0-S2950275624000339-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mitral transcatheter edge-to-edge repair as a treatment option for hemolytic anemia after surgical mitral valve repair: A report of three cases","authors":"Saliha Erdem ,&nbsp;Joe Aoun ,&nbsp;Gerald Lawrie ,&nbsp;Masroor Khan ,&nbsp;Donnell K. Bowen ,&nbsp;Nadeen Faza ,&nbsp;Stephen H. Little ,&nbsp;Sachin S. Goel","doi":"10.1016/j.crmic.2024.100034","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100034","url":null,"abstract":"<div><p>Hemolytic anemia following surgical mitral valve repair is rare, and the role of mitral transcatheter edge-to-edge repair (TEER) in its treatment is unknown. We present three cases of hemolytic anemia following surgical mitral valve repair treated with mitral TEER. All three patients experienced resolution of hemolysis after mitral TEER.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000303/pdfft?md5=b4a5b2856d5de8f6d6bc92632750e334&pid=1-s2.0-S2950275624000303-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful conservative management of large multivessel infected coronary artery pseudoaneurysms from complicated staphylococcal bacteremia","authors":"Waseem Nosair ,&nbsp;Merna Hussien ,&nbsp;Monvadi B. Srichai ,&nbsp;Carolina Valdiviezo ,&nbsp;Gaby Weissman ,&nbsp;Thomas E. MacGillivray ,&nbsp;Lowell F. Satler ,&nbsp;Ron Waksman ,&nbsp;Brian C. Case ,&nbsp;Nardos Temesgen","doi":"10.1016/j.crmic.2024.100033","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100033","url":null,"abstract":"<div><p>A 59-year-old male with incompletely treated aortic valve endocarditis from complicated methicillin-sensitive Staphylococcus aureus bacteremia presented with acute left lower-extremity osteomyelitis. He was found to have new large infected coronary artery aneurysms, which were confirmed by multimodality imaging. This case highlights key decision-making by the multidisciplinary team.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000297/pdfft?md5=1441521589f3ef981a569ca7b2d7cd16&pid=1-s2.0-S2950275624000297-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complete dislodgement of a deployed coronary stent in a severely calcified lesion","authors":"Selcuk Ozturk,&nbsp;Ibrahim Halil Inanc,&nbsp;Huseyin Kandemir","doi":"10.1016/j.crmic.2024.100030","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100030","url":null,"abstract":"<div><p>Coronary stent dislodgement (CSD) during percutaneous coronary intervention is a rare complication nowadays, thanks to equipment design and stent technology improvements. Coronary calcification, inadequate lesion preparation and suboptimal stent expansion are some of the risk factors for the occurrence of CSD. On the other hand, complete dislodgement of a deployed coronary stent is extraordinarily rare and infrequently reported in the literature. Herein, we describe a complete CSD case after deployment in a severely calcified right coronary artery lesion and discuss strategies to prevent this severe complication.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000261/pdfft?md5=a58a951526befc22a623489bddad60f9&pid=1-s2.0-S2950275624000261-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141243412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balloon occlusion of the inferior cava vein to prevent valve prolapse for transjugular tricuspid valve-in-valve","authors":"Juan Ignacio Damonte ,&nbsp;Ignacio Miguel Seropian ,&nbsp;Jose Gaspar Chas ,&nbsp;Mariano Falconi ,&nbsp;Marcio José Montenegro da Costa ,&nbsp;Carla Romina Agatiello","doi":"10.1016/j.crmic.2024.100031","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100031","url":null,"abstract":"<div><p>Transcatheter valve-in-valve implantation has emerged as a viable alternative for treating degenerated bioprosthetic tricuspid valves. However, patients with Ebstein's anomaly, characterized by an enlarged right atrium, pose challenges due to difficulties in correct positioning and deployment of transcatheter valves, stemming from inadequate support and coaxial alignment. In our presented case report, we describe a tricuspid valve-in-valve procedure performed on a patient with Ebstein's anomaly and a significantly enlarged right atrium. A novel technique was employed to facilitate the advancement of the transcatheter heart valve within the degenerated bioprosthesis, ultimately ensuring the success of the intervention.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000273/pdfft?md5=5f369bdb87333002118c7b98b6ac6859&pid=1-s2.0-S2950275624000273-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141244915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case report: Management of mechanical aortic valve thrombosis during pregnancy","authors":"Veronica Speranza Vitiello ,&nbsp;Cristiano Salvatore Zaccaria ,&nbsp;Brunetto Alterini ,&nbsp;Fabio Mori ,&nbsp;Federico Mecacci ,&nbsp;Pierluigi Stefàno ,&nbsp;Carlo Di Mario ,&nbsp;Daniela Poli","doi":"10.1016/j.crmic.2024.100029","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100029","url":null,"abstract":"<div><h3>Background</h3><p>Pregnancy in women with mechanical valves has a high risk of both valve thrombosis and bleeding.</p></div><div><h3>Case summary</h3><p>We describe the case of a pregnant woman developing thrombosis of a mechanical aortic valve causing severe aortic stenosis without heart failure symptoms. The pregnancy was managed with heparin, and a high dose of warfarin was restarted soon after delivery. One month later transesophageal echocardiogram showed dissolution of the thrombosis, with restoration of the transvalvular gradients present after implantation.</p></div><div><h3>Conclusion</h3><p>The management of pregnant patients with mechanical valves is complex and a multidisciplinary approach is essential.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S295027562400025X/pdfft?md5=a9c1c233931ed6f1570ead66cf0f8aa5&pid=1-s2.0-S295027562400025X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141243411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New onset atrial fibrillation and angina pectoris as late manifestation of anomalous origin of left coronary artery from pulmonary artery (ALCAPA)","authors":"Gabriel Maluenda ,&nbsp;Daniel Aguirre ,&nbsp;Cristian Baeza","doi":"10.1016/j.crmic.2024.100028","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100028","url":null,"abstract":"<div><p>Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart disease due to the abnormal origin of the left coronary artery from the pulmonary artery. When this condition is not diagnosed nor surgically corrected on time, most patients do not survive childhood. We report a 58-year-old woman who presented with angina and new-onset atrial fibrillation as a delayed manifestation of ALCAPA syndrome. Following surgical intervention, the patient has experienced a satisfactory long-term survival.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000248/pdfft?md5=a49730003e23383ed6da4e8b21f21af6&pid=1-s2.0-S2950275624000248-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Covered aortic stent for primary transcaval closure: Case report","authors":"Ilan Merdler ,&nbsp;Kalyan R. Chitturi ,&nbsp;Brian C. Case ,&nbsp;Lior Lupu ,&nbsp;Itsik Ben-Dor ,&nbsp;Lowell F. Satler ,&nbsp;Ron Waksman ,&nbsp;Toby Rogers","doi":"10.1016/j.crmic.2024.100027","DOIUrl":"10.1016/j.crmic.2024.100027","url":null,"abstract":"<div><p>Transcaval transcatheter aortic valve replacement (TAVR) is a well-documented alternative access valve implantation method, wherein a large-bore vascular sheath is inserted into the abdominal aorta through the femoral vein and inferior vena cava, resulting in an aorto-caval tract. Closure of this tract is typically accomplished using nitinol occluder devices. In the rare instance that hemostasis is not achieved with a nitinol occluder, covered stents in the aorta are used for bailout. We present a case in which an aortic covered stent was placed as the primary closure strategy in a patient with a very small abdominal aorta that could not accommodate a nitinol occluder device after transcaval TAVR.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000236/pdfft?md5=6bd5c99a6ad52a5fc818b1c8d07200cf&pid=1-s2.0-S2950275624000236-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141027532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}