{"title":"A rare case of chronic type II DeBakey aortic dissection complicated by chronic massive pericardial effusion and cardiac tamponade","authors":"Nail Kahraman, Nöfel Ahmet Binicier","doi":"10.1016/j.crmic.2025.100071","DOIUrl":"10.1016/j.crmic.2025.100071","url":null,"abstract":"<div><div>An 88-year-old female patient with a history of hypertension and asthma presented to the emergency department with progressive dyspnea worsening with exertion, orthopnea, severe fatigue, and peripheral edema for the past four months. Her symptoms had not responded to bronchodilators. Echocardiography and contrast-enhanced thoracic CT revealed aortic valve regurgitation, an ascending aortic aneurysm with Type II aortic dissection, massive serous pericardial effusion causing tamponade, and bilateral pleural effusion. The patient underwent successful surgical intervention. We report a rare case of chronic Type II aortic dissection leading to cardiac tamponade, associated with an ascending aortic aneurysm, aortic valve regurgitation, and chronic massive serous pericardial effusion, a combination rarely documented in the literature.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100071"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143929197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carmen Lluch Requerey , Alba Abril Molina , Miguel Ángel Montilla Garrido , Elena Izaga Torralba , Jessica Roa Garrido , Óscar Lagos Degrande , Santiago Camacho Freire , José Francisco Díaz Fernández , Antonio Enrique Gómez Menchero
{"title":"Percutaneous treatment of aortic prosthesis with dual dysfunction: A case report","authors":"Carmen Lluch Requerey , Alba Abril Molina , Miguel Ángel Montilla Garrido , Elena Izaga Torralba , Jessica Roa Garrido , Óscar Lagos Degrande , Santiago Camacho Freire , José Francisco Díaz Fernández , Antonio Enrique Gómez Menchero","doi":"10.1016/j.crmic.2025.100073","DOIUrl":"10.1016/j.crmic.2025.100073","url":null,"abstract":"","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100073"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adedayo Esan, Rajesh Varma, Eunice Onwordi, Benoy Nalin Shah, Paul Diprose, Peter Wicks, Clifford Barlow, James Wilkinson, Michael Mahmoudi
{"title":"Late complete detachment and embolization of a Pascal device used for mitral repair","authors":"Adedayo Esan, Rajesh Varma, Eunice Onwordi, Benoy Nalin Shah, Paul Diprose, Peter Wicks, Clifford Barlow, James Wilkinson, Michael Mahmoudi","doi":"10.1016/j.crmic.2025.100070","DOIUrl":"10.1016/j.crmic.2025.100070","url":null,"abstract":"<div><div>A 55-year-old woman, who had undergone mitral transcatheter edge-to-edge repair using a Pascal ACE device 8-month earlier on a background of modified Bentall's procedure, presented to the emergency department with pulmonary oedema. A transoesophageal echocardiogram revealed severe mitral regurgitation, detachment of the Pascal device and dislodgement within the aortic valve prosthesis. Following Heart Team review, the patient underwent emergency mitral valve replacement and removal of the Pascal device. This case highlights an extremely rare complication of mitral transcatheter edge-to-edge repair and the need for emergency surgery even in patients who have been previously considered high-risk for cardiac surgery.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100070"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143907045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Concomitant balloon mitral and tricuspid valvuloplasty using a single Sym balloon","authors":"Souvik Sardar, Krishna Prasad Akkineni, Alaina Zameer, Sourabh Agstam, Sumit Kumar, Atit A Gawalkar","doi":"10.1016/j.crmic.2025.100069","DOIUrl":"10.1016/j.crmic.2025.100069","url":null,"abstract":"<div><div>A 31-year-old male with severe rheumatic mitral and tricuspid stenosis presented with NYHA class III dyspnea and pedal edema. Echocardiography confirmed severe mitral (MVA: 0.7 cm<sup>2</sup>, MVG: 8.5 mmHg) and tricuspid stenosis (TVG: 5 mmHg). He underwent sequential balloon mitral and tricuspid valvuloplasty using a single Sym balloon following which the MVG reduced to 5.5 mmHg, MVA increased to 1.3 cm<sup>2</sup>, and TVG reduced to 3.5 mmHg. The patient had significant symptomatic improvement and remained clinically stable at one-month follow-up. This case discusses the considerations for planning, feasibility and efficacy of concurrent balloon valvuloplasty in appropriately selected patients.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100069"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143842750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ryan Wallace , Ryan Kabir , Sumbal Janjua , Patrick Bering , Toby Rogers
{"title":"Back to square one: the role of septal reduction therapy in the era of Mavacamten","authors":"Ryan Wallace , Ryan Kabir , Sumbal Janjua , Patrick Bering , Toby Rogers","doi":"10.1016/j.crmic.2025.100066","DOIUrl":"10.1016/j.crmic.2025.100066","url":null,"abstract":"<div><div>An 86-year-old-female with hypertrophic cardiomyopathy with persistent obstructive symptoms despite beta blockers and disopyramide was trialed on mavacamten. Although she had improvement in obstructive symptoms, mavacamten was stopped due to reduction in left ventricular ejection fraction even on the lowest dose. Instead, alcohol septal ablation was pursued. This case highlights key considerations surrounding septal reduction therapy in the era of mavacamten.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100066"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Left Circumflex Aneurysm With Coronary Sinus Fistula In a Middle-aged Man: A Case Report","authors":"Abdulrahman Al-Qaysi , Desmond Boakye Tanoh , Hamzah Sultan , Zainab Al-Qaysi , Naser Sayeh","doi":"10.1016/j.crmic.2025.100068","DOIUrl":"10.1016/j.crmic.2025.100068","url":null,"abstract":"<div><div>Coronary artery aneurysms (CAAs) and coronary artery fistulas (CAFs) are rare abnormalities. CAA is an abnormal dilatation of the coronary artery while CAF is an unusual connection between a coronary artery and other cardiac structures. We report a case of a 55-year-old male with a history of atrial fibrillation and mitral regurgitation who was diagnosed with a left circumflex artery aneurysm, with a fistula connecting to the coronary sinus. He subsequently underwent an aneurysm resection, along with coronary artery bypass grafting (CABG) and mitral valve replacement. In this case report, we underscore the importance of early identification of this rare condition, as timely intervention mitigates potential complications, including coronary aneurysm rupture.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100068"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intracoronary snaring for externalization in Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention","authors":"Prathap Kumar, Manu Rajendran, Blessvin Jino","doi":"10.1016/j.crmic.2025.100067","DOIUrl":"10.1016/j.crmic.2025.100067","url":null,"abstract":"<div><div>A retrograde approach for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is often required in complex CTOs, and it increases the technical success rate of CTO PCI. Wire externalization after crossing the lesion is often required for further balloon dilatations and stenting. When the retrograde guidewire cannot enter the antegrade guide catheter after lesion crossing, guide extension-assisted or snare-assisted externalization is attempted. Snaring the retrograde wire is usually done in the ascending aorta. We report a case of retrograde CTO PCI, where snaring was done inside the coronary due to difficulty in reaching the aorta.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100067"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ghulam Mujtaba Ghumman , Sanam Farooq , Zaid Al-Jebaje , Mohammed Taleb , Syed Sohail Ali
{"title":"Left main percutaneous coronary intervention after Medtronic CoreValve TAVR: Navigating coronary access challenges","authors":"Ghulam Mujtaba Ghumman , Sanam Farooq , Zaid Al-Jebaje , Mohammed Taleb , Syed Sohail Ali","doi":"10.1016/j.crmic.2025.100065","DOIUrl":"10.1016/j.crmic.2025.100065","url":null,"abstract":"<div><div>Transcatheter aortic valve replacement (TAVR) is the standard of care for high-risk patients with severe aortic stenosis. However, coronary access post-TAVR remains a challenge, particularly in patients with the Medtronic CoreValve, due to its supra-annular design and extended frame, which can obstruct engagement of the coronary ostia. Managing acute coronary syndromes in this subset of patients often requires advanced procedural techniques. We present the case of a 78-year-old female with a history of TAVR with Medtronic CoreValve who presented with non-ST-segment elevation myocardial infarction (NSTEMI) and underwent successful but challenging percutaneous coronary intervention (PCI) of left main coronary artery due to the difficult coronary engagement and wiring secondary to the presence of CoreValve. This case highlights the procedural difficulties of PCI in patients with CoreValve TAVR, emphasizing the importance of catheter selection and strategic planning for coronary interventions in these patients. As TAVR usage continues to rise, clinicians must be aware of post-TAVR PCI challenges and consider advanced guide catheter techniques and multidisciplinary collaboration to optimize revascularization outcomes in this high-risk population.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100065"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143696682","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}
Franklyn A. Colón-Arias, Johan A. De La Rosa-Laureano, Jean P. Fernandez-Rivas, Annerys Perez
{"title":"Improvised loop snare and twisting guidewire techniques for management of a fractured coronary intervention guidewire: A case report","authors":"Franklyn A. Colón-Arias, Johan A. De La Rosa-Laureano, Jean P. Fernandez-Rivas, Annerys Perez","doi":"10.1016/j.crmic.2025.100061","DOIUrl":"10.1016/j.crmic.2025.100061","url":null,"abstract":"<div><div>A 75-year-old female underwent a second coronary angiogram which was complicated by fracture and entrapment of a guidewire in the left anterior descending (LAD) artery. A snare loop and twisting guide techniques were utilized with an improvised snare wire to retrieve the entrapped guidewire from the LAD, and two new stents were successfully deployed. The snaring technique and twisting guide are unique methods for percutaneous extraction and can be utilized for stent and fracture guidewire removal. These techniques, outlined in our case, can be used as a safe and effective approach.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"6 ","pages":"Article 100061"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580280","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}