JACC. Case reportsPub Date : 2025-02-19DOI: 10.1016/j.jaccas.2024.102705
Marco Mussardo MD , Alessandro Mandurino-Mirizzi MD , Antonio Tondo MD , Alessandro Cafaro MD , Luca Quarta MD , Dionigi Fischetti MD , Massimiliano Garzya MD , Carlo Picani MD , Arturo Giordano MD, PhD , Giuseppe Colonna MD
{"title":"Transcatheter Edge-to-Edge Mitral Valve Repair as Bailout Therapy for Life-Threatening “Suicide Left Ventricle”","authors":"Marco Mussardo MD , Alessandro Mandurino-Mirizzi MD , Antonio Tondo MD , Alessandro Cafaro MD , Luca Quarta MD , Dionigi Fischetti MD , Massimiliano Garzya MD , Carlo Picani MD , Arturo Giordano MD, PhD , Giuseppe Colonna MD","doi":"10.1016/j.jaccas.2024.102705","DOIUrl":"10.1016/j.jaccas.2024.102705","url":null,"abstract":"<div><div>We describe the first case of successful management with transcatheter edge-to-edge mitral valve repair of life-threatening left ventricle outflow tract dynamic obstruction due to systolic anterior motion of mitral leaflet and associated with severe mitral regurgitation developing soon after transcatheter aortic valve replacement.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102705"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445899","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}
JACC. Case reportsPub Date : 2025-02-19DOI: 10.1016/j.jaccas.2024.102932
Neil P. Fam MD, MSc, Sami M. Alnasser MD
{"title":"Amidst the Shine of TTVR, The Risk of a Power Outage Looms","authors":"Neil P. Fam MD, MSc, Sami M. Alnasser MD","doi":"10.1016/j.jaccas.2024.102932","DOIUrl":"10.1016/j.jaccas.2024.102932","url":null,"abstract":"","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102932"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445994","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}
JACC. Case reportsPub Date : 2025-02-19DOI: 10.1016/j.jaccas.2024.102956
Fatima Qamar MD, MPH, Chloe Kharsa MD, Portia Letham MD, Joe Aoun MD, Sachin S. Goel MD, Neal S. Kleiman MD, Michael J. Reardon MD, Marvin D. Atkins MD
{"title":"Cardiac Cavernous Hemangioma","authors":"Fatima Qamar MD, MPH, Chloe Kharsa MD, Portia Letham MD, Joe Aoun MD, Sachin S. Goel MD, Neal S. Kleiman MD, Michael J. Reardon MD, Marvin D. Atkins MD","doi":"10.1016/j.jaccas.2024.102956","DOIUrl":"10.1016/j.jaccas.2024.102956","url":null,"abstract":"<div><div>Around 2% of resected cardiac masses are ascribed to primary cardiac hemangiomas. With a variety of symptoms and variable natural history, these masses can be challenging to diagnose. This paper describes a case of a left ventricular mass in a young patient which was ultimately excised and diagnosed as a cavernous hemangioma.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102956"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444497","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}
JACC. Case reportsPub Date : 2025-02-19DOI: 10.1016/j.jaccas.2024.102988
Maria Felicia Gagliardi MD , Edoardo Cantù MD , Gianluca Tiberti MD , Alberto Clerici MD , Andrea Galanti MD , Andrea Farina MD , Antonio Cappello MD , Giovanni Leati MD , Giuseppe Verolino MD , Michele Triggiani MD, PhD
{"title":"Neoadjuvant Combined Preoperative Embolization of a Highly Vascularized Paraganglioma Associated With SIADH","authors":"Maria Felicia Gagliardi MD , Edoardo Cantù MD , Gianluca Tiberti MD , Alberto Clerici MD , Andrea Galanti MD , Andrea Farina MD , Antonio Cappello MD , Giovanni Leati MD , Giuseppe Verolino MD , Michele Triggiani MD, PhD","doi":"10.1016/j.jaccas.2024.102988","DOIUrl":"10.1016/j.jaccas.2024.102988","url":null,"abstract":"<div><h3>Background</h3><div>Device-based embolization is a well-established medical procedure for treating several pathological conditions, including cerebral and peripheral pseudoaneurysms, congenital defects, and active bleeding. Nonetheless, an intriguing and relatively underexplored application of coils and microparticles involves the preoperative reduction of blood supply to ectopic masses.</div></div><div><h3>Case summary</h3><div>A 58-year-old woman was admitted to our institution with nausea and confusion, with a suspected diagnosis of syndrome of inappropriate antidiuretic hormone secretion. A computed tomography scan revealed a large mediastinal mass receiving blood supply from both the bronchial and coronary arteries. The mass was successfully excised surgically, following the embolization of the major feeding vessels using a combination of coils and microspheres.</div></div><div><h3>Discussion</h3><div>An uncommon presentation of a paraganglioma characterized by both mass effect and endocrine activity required a \"neoadjuvant\" treatment to ensure safer surgical management.</div></div><div><h3>Take-home message</h3><div>The percutaneous reduction of blood supply to tumoral mass could represent an effective strategy to guarantee a radical excision without major complications.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102988"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445981","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}
JACC. Case reportsPub Date : 2025-02-19DOI: 10.1016/j.jaccas.2024.102948
Andrew A. Gustafson MD , Katherine V. Trinh MD , Jon W. Lomasney MD , Sanjiv J. Shah MD , Monique E. Hinchcliff MD, MS
{"title":"Acute Systemic Sclerosis-Associated Cardiomyopathy That Improved With Glucocorticoids and Cyclophosphamide","authors":"Andrew A. Gustafson MD , Katherine V. Trinh MD , Jon W. Lomasney MD , Sanjiv J. Shah MD , Monique E. Hinchcliff MD, MS","doi":"10.1016/j.jaccas.2024.102948","DOIUrl":"10.1016/j.jaccas.2024.102948","url":null,"abstract":"<div><h3>Background</h3><div>Systemic sclerosis (SSc) cardiomyopathy has a prevalence of 7 to 39% and is associated with increased mortality. Despite this, little evidence informs SSc cardiomyopathy treatment.</div></div><div><h3>Case Summary</h3><div>We present a patient with diffuse cutaneous SSc with acute heart failure. Extensive workup supported a diagnosis of SSc myopericarditis, although endomyocardial biopsies were unrevealing. She received intravenous cyclophosphamide and glucocorticoids and achieved significant and prolonged recovery.</div></div><div><h3>Discussion</h3><div>Our patient presented with systolic dysfunction as opposed to diastolic dysfunction that is more typical in patients with SSc-cardiomyopathy. Endomyocardial biopsies lacked T-lymphocyte infiltration that may be due to sampling error because >17 samples are needed to diagnose myocarditis in >80% of cases.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102948"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445984","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":"Jailed Right Coronary Artery Presenting With Recurrent Pulseless Electrical Activity Arrest","authors":"Eunice Dugan MD , Farah Abdulhai MD , Osamah Badwan MD , Christie Tang MD , Warren Skoza MD , E. Rene Rodriguez MD , Michael Faulx MD","doi":"10.1016/j.jaccas.2024.102954","DOIUrl":"10.1016/j.jaccas.2024.102954","url":null,"abstract":"<div><div>A 69-year-old woman post aortic valve replacement underwent circumflex artery stenting complicated by arrests from hypotension, bradycardia, and cardiogenic shock. Postmortem pathology showed chronic right coronary artery occlusion collateralized by the circumflex artery jailed by stenting. This case highlights the importance of defining coronary collaterals, suspecting late presenting coronary occlusion from aortic valve replacement, and recognizing the Bezold-Jarisch reflex.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102954"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445901","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":"1-Stage Treatment of Dual Stenosis by Simultaneous Alcohol Septal Ablation and Transcatheter Aortic Valve Implantation","authors":"Daigo Hiraya MD, PhD, Takumi Yaguchi MD, Taikan Terauchi MD, Hiroaki Watabe MD, PhD, Tomoya Hoshi MD, PhD","doi":"10.1016/j.jaccas.2024.102710","DOIUrl":"10.1016/j.jaccas.2024.102710","url":null,"abstract":"<div><div>Patients with severe aortic stenosis and left ventricular outflow tract obstruction can experience hemodynamic collapse when only transcatheter aortic valve implantation (TAVI) is conducted. This clinical vignette demonstrates the safety and efficacy of simultaneous alcohol septal ablation and TAVI in a single stage.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102710"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445904","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}
JACC. Case reportsPub Date : 2025-02-19DOI: 10.1016/j.jaccas.2024.102950
Ryan W. Nolan BS , Naganathan B. Mani MD , Amir Ata Rahnemai-Azar MD , Sriya Kosaraju BS , Arindam Chatterjee MD , Jasvindar Singh MD , Pavan Kumar Kavali MD
{"title":"Successful Endovascular Management of Concomitant Ischemic Stroke, Myocardial Infarction, and Massive Pulmonary Embolism","authors":"Ryan W. Nolan BS , Naganathan B. Mani MD , Amir Ata Rahnemai-Azar MD , Sriya Kosaraju BS , Arindam Chatterjee MD , Jasvindar Singh MD , Pavan Kumar Kavali MD","doi":"10.1016/j.jaccas.2024.102950","DOIUrl":"10.1016/j.jaccas.2024.102950","url":null,"abstract":"<div><h3>Background</h3><div>Ischemic stroke, myocardial infarction (MI), and pulmonary embolism (PE) are emergent conditions which can be treated with catheter-directed therapies. Concomitant management of these conditions with catheter-directed therapy is not well-documented and lacks strong guidelines.</div></div><div><h3>Case Summary</h3><div>A 70-year-old woman presented with stroke symptoms and ST-segment elevation MI. Rapid stroke protocol imaging confirmed ischemic stroke and extensive bilateral PE. To address these conditions rapidly and because of contraindications for systemic thrombolysis, she underwent percutaneous coronary intervention without stenting, stroke thrombectomy, and finally pulmonary thrombectomy.</div></div><div><h3>Discussion</h3><div>This case provides insight into the management of a patient with 3 emergent pathologies with catheter-directed therapy. We also provide reasoning for decisions such as vena cava filter placement and forgoing coronary stent placement.</div></div><div><h3>Take-Home Messages</h3><div>This extreme case highlights the use of catheter-directed therapy for a scenario which lacks clear guidelines. Catheter-directed therapy was successfully used to treat ischemic stroke, MI, and PE in a complex patient, resulting in her full recovery.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102950"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445980","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}
JACC. Case reportsPub Date : 2025-02-19DOI: 10.1016/j.jaccas.2024.102576
Muhammad Firdaus Azizee MD , Siti Aisyah Hussin MD , Ahmad Aizuddin Mohamad Jamali MD , Aimatnuddin Husairi Hussain MD , Ahmad Zuhdi Mamat MD , Ariffin Marzuki MD , W. Yus Haniff W. Isa MD , Zurkurnai Yusof PhD
{"title":"Anterior Mediastinal Mass Mimicking Supravalvular Pulmonary Stenosis With Systolic Murmur","authors":"Muhammad Firdaus Azizee MD , Siti Aisyah Hussin MD , Ahmad Aizuddin Mohamad Jamali MD , Aimatnuddin Husairi Hussain MD , Ahmad Zuhdi Mamat MD , Ariffin Marzuki MD , W. Yus Haniff W. Isa MD , Zurkurnai Yusof PhD","doi":"10.1016/j.jaccas.2024.102576","DOIUrl":"10.1016/j.jaccas.2024.102576","url":null,"abstract":"<div><div>Pulmonary stenosis can occur as an isolated valvular lesion associated with congenital structural cardiac anomalies. Rarely, patients may develop an acquired form of pulmonary stenosis. We report a case of a rare presentation of anterior mediastinal teratoma mimicking congenital valvular heart disease, with complete resolution of her symptoms postoperatively.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102576"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445986","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}
JACC. Case reportsPub Date : 2025-02-19DOI: 10.1016/j.jaccas.2024.103000
Jonathan Su MD , Wilson W. Lam MD , Anisha Contractor DO , Jeremy P. Moore MD, MS
{"title":"Conduction System Pacing-Optimized Cardiac Resynchronization Therapy for Congenitally Corrected Transposition","authors":"Jonathan Su MD , Wilson W. Lam MD , Anisha Contractor DO , Jeremy P. Moore MD, MS","doi":"10.1016/j.jaccas.2024.103000","DOIUrl":"10.1016/j.jaccas.2024.103000","url":null,"abstract":"<div><div>Patients with congenitally corrected transposition of the great arteries (CCTGA) are predisposed to atrioventricular block, pacing-induced cardiomyopathy, and right ventricular (RV) failure. Although biventricular cardiac resynchronization therapy (CRT) and conduction system pacing (CSP) have been described, RV failure may persist. Three cases of CCTGA with intrinsic RV electrical delay are presented where conventional CSP targeting the His bundle or proximal left bundle branches resulted in incomplete electrical resynchronization. With CSP-optimized CRT, there was greater electrical synchrony, followed by marked clinical improvement. In select patients with CCTGA, CSP-optimized CRT may be of clinical benefit.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 103000"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445987","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}