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Adenosine-Sensitive Upper Septal Fascicular Ventricular Tachycardia Associated With Takotsubo Syndrome
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102811
Parker O’Neill MBBS , Daniel Underberg MD , Reginald Ho MD , Darius Farzad MD , Gregary D. Marhefka MD
{"title":"Adenosine-Sensitive Upper Septal Fascicular Ventricular Tachycardia Associated With Takotsubo Syndrome","authors":"Parker O’Neill MBBS ,&nbsp;Daniel Underberg MD ,&nbsp;Reginald Ho MD ,&nbsp;Darius Farzad MD ,&nbsp;Gregary D. Marhefka MD","doi":"10.1016/j.jaccas.2024.102811","DOIUrl":"10.1016/j.jaccas.2024.102811","url":null,"abstract":"<div><div>We describe a rare case of upper septal fascicular ventricular tachycardia (VT) associated with takotsubo syndrome that failed to convert with synchronized shock but converted to normal sinus rhythm after intravenous adenosine administration. The excess catecholamine state of takotsubo syndrome likely provided substrate for cyclic adenosine monophosphate–mediated triggered activity, causing fascicular VT.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102811"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065753","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}
引用次数: 0
Ultra-High-Density Catheter Ablation of Purkinje Premature Ventricular Contractions Causing Electrical Storm
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102789
Pablo Vadillo Martín MD, Mercedes Cabrera Ramos MD, Isabel Montilla Padilla MD, Jorge Melero Polo MD, Javier Ramos Maqueda MD, PhD
{"title":"Ultra-High-Density Catheter Ablation of Purkinje Premature Ventricular Contractions Causing Electrical Storm","authors":"Pablo Vadillo Martín MD,&nbsp;Mercedes Cabrera Ramos MD,&nbsp;Isabel Montilla Padilla MD,&nbsp;Jorge Melero Polo MD,&nbsp;Javier Ramos Maqueda MD, PhD","doi":"10.1016/j.jaccas.2024.102789","DOIUrl":"10.1016/j.jaccas.2024.102789","url":null,"abstract":"<div><div>The postacute myocardial infarction electrical storm is a life-threatening entity. Resistance to ischemia in Purkinje fibers may be the origin of short-coupled premature ventricular contractions that trigger severe arrhythmic events. We present a case where the use of emergency catheter ablation, guided by a 3D navigation system and an ultra-high-density mapping catheter, successfully terminated the arrhythmic storm. This case highlights the crucial role of advanced mapping and ablation techniques in managing complex postinfarction arrhythmias and provides valuable insights that may enhance future clinical practice in similar critical situations.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102789"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065925","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}
引用次数: 0
A Common Diagnostic Dilemma
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102722
Thomas S. Davis DO , Michael Scott Binder MD , Ali M. Hama Amin MD
{"title":"A Common Diagnostic Dilemma","authors":"Thomas S. Davis DO ,&nbsp;Michael Scott Binder MD ,&nbsp;Ali M. Hama Amin MD","doi":"10.1016/j.jaccas.2024.102722","DOIUrl":"10.1016/j.jaccas.2024.102722","url":null,"abstract":"<div><div>Early infarct-associated pericarditis is a rare entity, given the availability of early coronary angiography and intervention. Although the electrocardiogram and the surface echocardiogram are initial studies, definitive imaging with cardiac magnetic resonance is recommended. We present a case of early infarct-associated pericarditis in the setting of a late-presenting silent right coronary artery myocardial infarction.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102722"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065740","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}
引用次数: 0
Pregnancy-Associated Spontaneous Coronary Dissection in a 32-Year-Old During the Third Trimester
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102769
Nikolaos Tsianakas MD , Frank Oehmke MD , Vera Müller MD , Jakob Lorenz MD , Holger Nef MD , Christian Hamm MD , Samuel Sossalla MD , Michael Sander MD , Ivo Meinhold-Heerlein MD , Oliver Dörr MD
{"title":"Pregnancy-Associated Spontaneous Coronary Dissection in a 32-Year-Old During the Third Trimester","authors":"Nikolaos Tsianakas MD ,&nbsp;Frank Oehmke MD ,&nbsp;Vera Müller MD ,&nbsp;Jakob Lorenz MD ,&nbsp;Holger Nef MD ,&nbsp;Christian Hamm MD ,&nbsp;Samuel Sossalla MD ,&nbsp;Michael Sander MD ,&nbsp;Ivo Meinhold-Heerlein MD ,&nbsp;Oliver Dörr MD","doi":"10.1016/j.jaccas.2024.102769","DOIUrl":"10.1016/j.jaccas.2024.102769","url":null,"abstract":"<div><div>We report a case of spontaneous coronary dissection (SCAD) in a 32-year-old pregnant patient during the seventh month of her second pregnancy. A 32-year-old pregnant woman in the 28th week of gestation was referred to our intensive care unit because of angina as well as elevated troponin levels. The initial electrocardiogram and transthoracic echocardiogram (TTE) were normal. Four hours after admission, the patient experienced angina with ST-segment elevation, and the TTE showed de novo apical hypokinesia. The episode lasted approximately 10 minutes, with subsequent resolution of the ST-segment elevation. An emergency coronary angiogram revealed dissection of the left anterior descending artery. A conservative approach with aspirin monotherapy was chosen. Follow-up TTE at 3 months revealed full recovery of left ventricular function. A multidisciplinary approach is crucial in pregnancy-associated SCAD. Conservative management is generally recommended because of the potential for angiographic healing, with percutaneous coronary intervention reserved for severe cases.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102769"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065851","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}
引用次数: 0
Pulmonary Embolism in a Palliative Aortopulmonary Shunt
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102768
M. Scott Binder MD , Isabel E. Binder RDCS , William M. Gay MD , Asma Habib MD
{"title":"Pulmonary Embolism in a Palliative Aortopulmonary Shunt","authors":"M. Scott Binder MD ,&nbsp;Isabel E. Binder RDCS ,&nbsp;William M. Gay MD ,&nbsp;Asma Habib MD","doi":"10.1016/j.jaccas.2024.102768","DOIUrl":"10.1016/j.jaccas.2024.102768","url":null,"abstract":"<div><div>A 44-year-old man with a history of tricuspid atresia and discontinuous pulmonary arteries with palliative correction from a Waterston procedure and a modified central shunt presented with back pain, fevers, dyspnea, and cough. Treatment for pneumonia was unsuccessful. On computed tomography angiography he was found to have a subacute pulmonary embolism, potentially iatrogenic.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102768"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065857","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}
引用次数: 0
Percutaneous Intervention of Aortic Pseudoaneurysm and Severe Bioprosthetic Valve Regurgitation Following a Bentall Procedure
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102773
Faeez Mohamad Ali MBBS, MD, DM, Manar Khashram MBChB, PhD, Zubayr Zaman MBBS, Sanjeevan Pasupati MBChB, Pranesh Jogia MBChB, Danielle Gelbart BSc, MBChB, John Newland MBChB, GChPOM, Francesco Pirone MD, Rajesh K. Nair MBBS
{"title":"Percutaneous Intervention of Aortic Pseudoaneurysm and Severe Bioprosthetic Valve Regurgitation Following a Bentall Procedure","authors":"Faeez Mohamad Ali MBBS, MD, DM,&nbsp;Manar Khashram MBChB, PhD,&nbsp;Zubayr Zaman MBBS,&nbsp;Sanjeevan Pasupati MBChB,&nbsp;Pranesh Jogia MBChB,&nbsp;Danielle Gelbart BSc, MBChB,&nbsp;John Newland MBChB, GChPOM,&nbsp;Francesco Pirone MD,&nbsp;Rajesh K. Nair MBBS","doi":"10.1016/j.jaccas.2024.102773","DOIUrl":"10.1016/j.jaccas.2024.102773","url":null,"abstract":"<div><div>A 77-year-old man with a history of a Bentall procedure presented with acute decompensated heart failure. Investigations revealed severe bioprosthetic aortic valve regurgitation and a large pseudoaneurysm eroding the sternum. We describe the multimodal imaging and heart team planning to stent the pseudoaneurysm with an endograft followed by transcatheter valve-in-valve implantation.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102773"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065840","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}
引用次数: 0
POEMS Syndrome Presenting as First-Time Heart Failure Exacerbation
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102790
Michael Brandt MD , Alexandra Allman MD , Hayan Jouni MD
{"title":"POEMS Syndrome Presenting as First-Time Heart Failure Exacerbation","authors":"Michael Brandt MD ,&nbsp;Alexandra Allman MD ,&nbsp;Hayan Jouni MD","doi":"10.1016/j.jaccas.2024.102790","DOIUrl":"10.1016/j.jaccas.2024.102790","url":null,"abstract":"<div><div>We highlight the case of a 40-year-old man who presented with heart failure exacerbation and was ultimately discovered to have POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal plasma cell disorder, and skin changes) syndrome.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102790"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065866","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}
引用次数: 0
Unveiling Cardiac Mysteries 揭示心脏奥秘：心内膜心肌活检在诊断心脏肿块中的作用。
JACC. Case reports Pub Date : 2025-01-01 DOI: 10.1016/j.jaccas.2024.102867
Astefanos Al-Dalakta MD , Tony Joudi MD , Mazen Hanna MD , Zoran Popovic MD , Patrick Collier MD , Arianne Agdamag MD , Diego Sadler MD , Rohit Moudgil MD, PhD
{"title":"Unveiling Cardiac Mysteries","authors":"Astefanos Al-Dalakta MD ,&nbsp;Tony Joudi MD ,&nbsp;Mazen Hanna MD ,&nbsp;Zoran Popovic MD ,&nbsp;Patrick Collier MD ,&nbsp;Arianne Agdamag MD ,&nbsp;Diego Sadler MD ,&nbsp;Rohit Moudgil MD, PhD","doi":"10.1016/j.jaccas.2024.102867","DOIUrl":"10.1016/j.jaccas.2024.102867","url":null,"abstract":"<div><div>This case series highlights the role of endomyocardial biopsy (EMB) in diagnosing cardiac tumors instead of tumor resection. EMB provided critical diagnostic clarity and influenced therapeutic decisions, demonstrating its utility in complex cardiovascular cases while preventing unnecessary surgery. Furthermore, EMB provides vital information that can be used for a multidisciplinary approach to cardiac tumors.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 1","pages":"Article 102867"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005650","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}
引用次数: 0
Indirect Ballistic Injury Resulting in Non–ST-Segment Elevation Myocardial Infarction 间接弹道损伤导致非st段抬高型心肌梗死。
JACC. Case reports Pub Date : 2025-01-01 DOI: 10.1016/j.jaccas.2024.102752
Leon Zhou MD , Deniz Rafiei MS , Emad Mogadam MD, MS , Rashid Alavi PhD , Niema M. Pahlevan PhD , Anilkumar Mehra MD
{"title":"Indirect Ballistic Injury Resulting in Non–ST-Segment Elevation Myocardial Infarction","authors":"Leon Zhou MD ,&nbsp;Deniz Rafiei MS ,&nbsp;Emad Mogadam MD, MS ,&nbsp;Rashid Alavi PhD ,&nbsp;Niema M. Pahlevan PhD ,&nbsp;Anilkumar Mehra MD","doi":"10.1016/j.jaccas.2024.102752","DOIUrl":"10.1016/j.jaccas.2024.102752","url":null,"abstract":"<div><div>Gunshot-related myocardial injuries typically result from direct penetrating injury by the traversing bullet. We present a case of gunshot-related myocardial injury in the absence of direct penetrating injury to the cardiac structures and describe alternative mechanisms for ballistic-induced injury.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 1","pages":"Article 102752"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005618","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}
引用次数: 0
Total Percutaneous Transfemoral Endovascular Treatment of Non-A Non-B Aortic Dissection 全经皮经股血管内治疗非a非b主动脉夹层。
JACC. Case reports Pub Date : 2025-01-01 DOI: 10.1016/j.jaccas.2024.102756
Weiguo Fu MD, PhD , Honglin Dong MD, PhD , Jia Hu MD, PhD , Wayne W. Zhang MD
{"title":"Total Percutaneous Transfemoral Endovascular Treatment of Non-A Non-B Aortic Dissection","authors":"Weiguo Fu MD, PhD ,&nbsp;Honglin Dong MD, PhD ,&nbsp;Jia Hu MD, PhD ,&nbsp;Wayne W. Zhang MD","doi":"10.1016/j.jaccas.2024.102756","DOIUrl":"10.1016/j.jaccas.2024.102756","url":null,"abstract":"<div><div>Although open repair remains the mainstream treatment for aortic arch dissection, its surgical complexity and perioperative complications are significant. We developed a novel stentgraft system for less-invasive endovascular aortic arch repair. We successfully performed a total percutaneous transfemoral endovascular repair of aortic arch dissection using a novel off-the-shelf endograft system. This novel device allows endovascular aortic arch repair to be carried out through a transfemoral approach. Access is only needed from 3 percutaneous areas, bilateral femoral arteries and the right brachial artery. The key features of this system are a preshaped and steerable delivery system, outer and inner convertible innominate artery branch design, funnel-shaped inner branches, and a proximal tip capture mechanism.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 1","pages":"Article 102756"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005711","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}
引用次数: 0
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