JACC. Case reports最新文献_第10页

Limb-Shaking Transient Ischemic Attacks in a Case of Brachiocephalic Artery Stenosis 头臂动脉狭窄1例肢体震荡性短暂性脑缺血发作

JACC. Case reports Pub Date : 2025-06-11 DOI: 10.1016/j.jaccas.2025.103635

Naba Farooqui MBBS , Andrew Williams MD , Lauren M. Webb MD , Arashk Motiei MD , Eugene L. Scharf MD

{"title":"Limb-Shaking Transient Ischemic Attacks in a Case of Brachiocephalic Artery Stenosis","authors":"Naba Farooqui MBBS , Andrew Williams MD , Lauren M. Webb MD , Arashk Motiei MD , Eugene L. Scharf MD","doi":"10.1016/j.jaccas.2025.103635","DOIUrl":"10.1016/j.jaccas.2025.103635","url":null,"abstract":"<div><h3>Background</h3><div>Limb-shaking transient ischemic attacks represent an atypical presentation of transient ischemic attacks usually seen with carotid artery stenosis but may occur in severe brachiocephalic stenosis.</div></div><div><h3>Case Summary</h3><div>We present the case of a 67-year-old woman with severe brachiocephalic artery stenosis but no significant right carotid disease with a 2-year history of alternating movements of the left upper and lower limbs with postural changes culminating in a large-vessel stroke, with resolution of the alternating movements after a left-to-right subclavian bypass.</div></div><div><h3>Discussion</h3><div>Only 4 cases of limb-shaking transient ischemic attacks secondary to subclavian/brachiocephalic artery stenosis have been described in literature. Cardiologists often see these patients in the vascular clinic. If recognition of these shaking movements in the context of transient ischemic attacks is missed, it can lead to a delay in appropriate intervention, thereby increasing the future risk of stroke.</div></div><div><h3>Take-Home Messages</h3><div>Proximal vessel stenosis can lead to TIAs. Timely recognition and early intervention (preferably surgical) in cases of brachiocephalic/subclavian stenosis with LSTIAs is important as it can be crucial for stroke prevention.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 14","pages":"Article 103635"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262733","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}

引用次数: 0

Life-Threatening Dynamic Coronary Obstruction in a Patient With Rhabdomyosarcoma Treated With Stenting 横纹肌肉瘤接受支架治疗后危及生命的动态冠状动脉阻塞

JACC. Case reports Pub Date : 2025-06-11 DOI: 10.1016/j.jaccas.2025.103684

Mark Kheifets MD, Nicholas Howell MD, Inbar Nardi Agmon MD, Aviel Shetrit MD, Vladimír Džavík MD

引用次数: 0

Role of Strain-Derived Echocardiography Modality in Risk Stratification of High-Risk-Feature Chronic Coronary Syndrome Patients 应变衍生超声心动图模式在高风险特征慢性冠状动脉综合征患者危险分层中的作用

JACC. Case reports Pub Date : 2025-06-11 DOI: 10.1016/j.jaccas.2025.103632

Rizky Hendiperdana MD , Hendry Purnasidha Bagaswoto MD

引用次数: 0

Rare Case of STEMI Involving an Anomalous Single Coronary Artery Arising From the Ascending Aorta 罕见的STEMI病例涉及从升主动脉产生的异常单冠状动脉

JACC. Case reports Pub Date : 2025-06-11 DOI: 10.1016/j.jaccas.2025.103607

Deepak Reddy Karumuri MD, Vinod Kumar Balakrishnan MD, DM, Manickavasagam Meenakshisundaram MD, DM, Sindhuja Therani MD, Ramesh Sankaran MD, DM, Nagendra Boopathy Senguttuvan MD, DM, Preetam Krishnamurthy MD, DM, Rajoo Ramachandran MD, K.V. Ramya Lakshmi MD

{"title":"Rare Case of STEMI Involving an Anomalous Single Coronary Artery Arising From the Ascending Aorta","authors":"Deepak Reddy Karumuri MD, Vinod Kumar Balakrishnan MD, DM, Manickavasagam Meenakshisundaram MD, DM, Sindhuja Therani MD, Ramesh Sankaran MD, DM, Nagendra Boopathy Senguttuvan MD, DM, Preetam Krishnamurthy MD, DM, Rajoo Ramachandran MD, K.V. Ramya Lakshmi MD","doi":"10.1016/j.jaccas.2025.103607","DOIUrl":"10.1016/j.jaccas.2025.103607","url":null,"abstract":"<div><h3>Background</h3><div>ST-segment elevation myocardial infarction in an anomalous single coronary artery with high take-off is a rare occurrence with very few cases reported to date.</div></div><div><h3>Case Summary</h3><div>A 42-year-old man with testicular seminoma undergoing chemotherapy presented with an inferior ST-segment elevation myocardial infarction. Coronary angiography revealed a thrombotic lesion of the anomalous single coronary artery. The patient underwent percutaneous intervention with thrombus aspiration, was managed with dual-antiplatelet therapy and anticoagulation, and was followed up in an outpatient setting with a computed tomography angiogram.</div></div><div><h3>Discussion</h3><div>Stenting was deferred, considering the patient's complex coronary anatomy and overall clinical condition. The possible mechanism of the event may be multifactorial but is likely to be precipitated by the recent chemotherapy-associated vascular toxicity.</div></div><div><h3>Take-Home Messages</h3><div>This case highlights the diagnostic and therapeutic challenges of such unusual clinical presentations, highlighting the importance of multimodality evaluation and treatment, which should be individualized to each patient scenario.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 14","pages":"Article 103607"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262750","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}

引用次数: 0

The Vanishing Stent 消失的支架

JACC. Case reports Pub Date : 2025-06-11 DOI: 10.1016/j.jaccas.2025.103612

Vaibhav J. Bhastana MBBS, MD, DM, Bhishma C. Donepudi MBBS, MD, DM, Rajeev V. Menon MBBS, MD, DNB, Bhupathiraju S. Raju MBBS, MD, DM

{"title":"The Vanishing Stent","authors":"Vaibhav J. Bhastana MBBS, MD, DM, Bhishma C. Donepudi MBBS, MD, DM, Rajeev V. Menon MBBS, MD, DNB, Bhupathiraju S. Raju MBBS, MD, DM","doi":"10.1016/j.jaccas.2025.103612","DOIUrl":"10.1016/j.jaccas.2025.103612","url":null,"abstract":"<div><h3>Background</h3><div>Extraluminal stent migration is exceptionally rare and can lead to severe complications such as vessel closure, coronary thrombosis, and myocardial infarction.</div></div><div><h3>Case Summary</h3><div>A 68-year-old man who underwent percutaneous coronary intervention (PCI) with stent deployment in the right coronary artery 4 years earlier presented with progressive angina. Initially, he had experienced a stent infection and sepsis shortly after the procedure. Coronary angiography revealed that the stent had migrated to the lung, with chronic total occlusion of the right coronary artery. The patient underwent successful coronary artery bypass grafting and surgical removal of the migrated stent.</div></div><div><h3>Discussion</h3><div>Extraluminal stent migration is often linked to coronary artery aneurysms, arterial injury from balloons or stents, and infections. This case, involving late stent migration into the lung, is the first of its kind documented.</div></div><div><h3>Take-Home Message</h3><div>The case underscores the need for careful aseptic technique and intravascular imaging during PCI.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 14","pages":"Article 103612"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262680","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}

引用次数: 0

Plug and Coil Procedure for Management of Large Postinfarct Ventricular Septal Defect 栓塞线圈术治疗大面积梗死后室间隔缺损

JACC. Case reports Pub Date : 2025-06-11 DOI: 10.1016/j.jaccas.2025.103615

Hussam Al Hennawi MD , Sergio Mellado Flores MD , Michael B. Little MD , Lacy Harville MD , Ahmad Almomani MD , Muhammad Hammadah MD

引用次数: 0

A Novel Homozygous Mutation of the Desmoplakin Gene With Biventricular Arrhythmogenic Cardiomyopathy 一种与双室性心律失常致心肌病相关的新型桥蛋白蛋白基因纯合突变

JACC. Case reports Pub Date : 2025-06-11 DOI: 10.1016/j.jaccas.2025.103688

Alberto Giannoni MD, PhD , Martina Modena DSc, PhD , Sabrina Montuoro MS , Francesca Bonanni MD , Chrysantos Grigoratos MD, PhD , Andrea Barison MD, PhD , Giancarlo Todiere MD, PhD , Andrea Rossi MD , Simona Vittorini DSc , Michele Emdin MD, PhD , Nicoletta Botto DSc

{"title":"A Novel Homozygous Mutation of the Desmoplakin Gene With Biventricular Arrhythmogenic Cardiomyopathy","authors":"Alberto Giannoni MD, PhD , Martina Modena DSc, PhD , Sabrina Montuoro MS , Francesca Bonanni MD , Chrysantos Grigoratos MD, PhD , Andrea Barison MD, PhD , Giancarlo Todiere MD, PhD , Andrea Rossi MD , Simona Vittorini DSc , Michele Emdin MD, PhD , Nicoletta Botto DSc","doi":"10.1016/j.jaccas.2025.103688","DOIUrl":"10.1016/j.jaccas.2025.103688","url":null,"abstract":"<div><h3>Background</h3><div>A 23-year-old male with arrhythmic syncope and a presumed diagnosis of COVID-19 myocarditis was ultimately diagnosed with biventricular arrhythmogenic cardiomyopathy based on cardiac magnetic resonance imaging (MRI) and genetic testing (next-generation sequencing).</div></div><div><h3>Case Summary</h3><div>The patient presented with recurrent syncope, frequent ventricular ectopics, and reduced left ventricular ejection fraction. Cardiac MRI revealed biventricular dysfunction and nonischemic late gadolinium enhancement with ring-like pattern. Genetic analysis identified a novel homozygous desmoplakin (DSP) mutation. He was treated with heart failure therapy and received an implantable cardioverter-defibrillator due to high arrhythmic risk. Family screening revealed heterozygous carriers among his relatives.</div></div><div><h3>Discussion</h3><div>This case underscores the importance of integrating advanced imaging with genetic testing in early-onset cardiomyopathies and expands the phenotype of DSP-related disease.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 14","pages":"Article 103688"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262757","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}

引用次数: 0

Transesophageal Echocardiography and Intracardiac Echocardiography to Guide EVOQUE 经食管超声心动图和心内超声心动图指导EVOQUE

JACC. Case reports Pub Date : 2025-06-11 DOI: 10.1016/j.jaccas.2025.103628

Nishath Quader MD , Tsuyoshi Kaneko MD , Noah Williford MD , Mark Sintek MD , Puja Kachroo MD , Alexander A. Brescia MD, MSc , Harold G. Roberts Jr. MD , Alan Zajarias MD

引用次数: 0

Septal VA Time 室间隔时间

JACC. Case reports Pub Date : 2025-06-11 DOI: 10.1016/j.jaccas.2025.103625

Worawan B. Limpitikul MD, PhD , Pattara Rattanawong MD , Gregory F. Michaud MD

引用次数: 0

Severe Coronary Vasospasm Complicated by Thyrotoxicosis in Early Pregnancy 妊娠早期严重冠状血管痉挛并发甲状腺毒症

JACC. Case reports Pub Date : 2025-06-11 DOI: 10.1016/j.jaccas.2025.103621

Arya Ardehali BSc, Aaria Sooch, Marla Kiess MD, Eve Aymong MD, Philipp Blanke MD, Aaisha Ferkh MBBS, Jasmine Grewal MD

{"title":"Severe Coronary Vasospasm Complicated by Thyrotoxicosis in Early Pregnancy","authors":"Arya Ardehali BSc, Aaria Sooch, Marla Kiess MD, Eve Aymong MD, Philipp Blanke MD, Aaisha Ferkh MBBS, Jasmine Grewal MD","doi":"10.1016/j.jaccas.2025.103621","DOIUrl":"10.1016/j.jaccas.2025.103621","url":null,"abstract":"<div><h3>Background</h3><div>Although rare, thyrotoxicosis can precipitate anginal symptoms secondary to coronary vasospasm.</div></div><div><h3>Case Summary</h3><div>A woman presented in early pregnancy with new-onset retrosternal chest pain associated with nausea, vomiting, palpitations, and dyspnea. Further investigations revealed non-ST-segment elevation myocardial infarction secondary to coronary vasospasm owing to thyrotoxicosis. She was managed conservatively to restore euthyroidism with slow resolution of vasospasm.</div></div><div><h3>Discussion</h3><div>Although the link between elevated thyroid hormone and coronary vasospasm is known, its occurrence during pregnancy is not well-documented. Likely a combination of pregnancy physiology, thyrotoxicosis, and coronary anatomical variance contributed to this severe case of coronary vasospasm. We highlight the importance of timely investigations and conservative management strategies during pregnancy.</div></div><div><h3>Take-Home Messages</h3><div>Coronary vasospasm should be considered early for patients with anginal symptoms and a history of hyperthyroidism. Conservative management to restore euthyroidism should be recognized as the standard of care when treating pregnant women with this condition.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 14","pages":"Article 103621"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263402","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}

引用次数: 0