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Female Fabry Patient With Left Ventricular Outflow Tract Obstruction
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102702
Jiaqi Li MD, Meiling Chang MD, Zeyuan Mei MD, Qing Zhu MD, PhD, Xin Yue MD, PhD, Mei Zhang MD, PhD, Mengmeng Li MD, PhD, Xiaoling Liu MD, PhD
{"title":"Female Fabry Patient With Left Ventricular Outflow Tract Obstruction","authors":"Jiaqi Li MD,&nbsp;Meiling Chang MD,&nbsp;Zeyuan Mei MD,&nbsp;Qing Zhu MD, PhD,&nbsp;Xin Yue MD, PhD,&nbsp;Mei Zhang MD, PhD,&nbsp;Mengmeng Li MD, PhD,&nbsp;Xiaoling Liu MD, PhD","doi":"10.1016/j.jaccas.2024.102702","DOIUrl":"10.1016/j.jaccas.2024.102702","url":null,"abstract":"<div><h3>Background</h3><div>Cardiac involvement in Fabry disease is usually characterized by left ventricular hypertrophy (LVH) without obstruction at rest.</div></div><div><h3>Case Summary</h3><div>A 59-year-old female patient with progressive chest tightness misdiagnosed as having hypertrophic cardiomyopathy due to LVH with obstruction was finally diagnosed with Fabry disease. Echocardiography showed LVH with severe obstruction, “binary sign,” papillary muscle hypertrophy, and depressed longitudinal strain in the basal inferolateral region. The patient felt chest tightness worsened 1 year after receiving enzyme replacement therapy. Percutaneous endocardial septal radiofrequency ablation was performed to relieve obstruction.</div></div><div><h3>Discussion</h3><div>It is rare for women with Fabry disease to present with severe symptoms, but it is possible. LVH with obstruction should not be a potential point of view to relax the vigilance of Fabry disease. Percutaneous endocardial septal radiofrequency ablation may help to relieve left ventricular outflow tract obstruction in Fabry disease.</div></div><div><h3>Take-Home Message</h3><div>Paying attention to echocardiographic characteristics is helpful for the identification of Fabry disease.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102702"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445990","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
Myocardial Bridging Presenting With Ventricular Tachycardia and Non–ST-Segment Elevation Myocardial Infarction
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102701
Justin L. Devera MD, Ezra A. Amsterdam MD
{"title":"Myocardial Bridging Presenting With Ventricular Tachycardia and Non–ST-Segment Elevation Myocardial Infarction","authors":"Justin L. Devera MD,&nbsp;Ezra A. Amsterdam MD","doi":"10.1016/j.jaccas.2024.102701","DOIUrl":"10.1016/j.jaccas.2024.102701","url":null,"abstract":"<div><div>A 46-year-old male presented with acute chest pain, monomorphic ventricular tachycardia, and non–ST-segment elevation myocardial infarction. He was found to have myocardial bridging of the mid left anterior descending coronary artery on coronary angiography and mildly reduced left ventricular ejection fraction with anteroseptal and apical hypokinesia. The patient was treated with antiplatelet therapy, guideline-directed medical therapy for heart failure, and had improvement in symptoms and left ventricular function 1 month later. The case highlights the complex way myocardial bridging may present and its potential to cause major adverse cardiovascular events.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102701"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445998","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 Coronary Intervention for a Chronic Total Occlusion Caused by an External Pacemaker Lead Placement
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102955
Chloe Kharsa MD, MSc, Joe Aoun MD, Yasser Sammour MD, Taha Hatab MD, Rody G. Bou Chaaya MD, Sahar Samimi MD, Fatima Qamar MD, MPH, Hassaan Bin Arshad MD, Alexander Butkevich MD, Alpesh Shah MD
{"title":"Percutaneous Coronary Intervention for a Chronic Total Occlusion Caused by an External Pacemaker Lead Placement","authors":"Chloe Kharsa MD, MSc,&nbsp;Joe Aoun MD,&nbsp;Yasser Sammour MD,&nbsp;Taha Hatab MD,&nbsp;Rody G. Bou Chaaya MD,&nbsp;Sahar Samimi MD,&nbsp;Fatima Qamar MD, MPH,&nbsp;Hassaan Bin Arshad MD,&nbsp;Alexander Butkevich MD,&nbsp;Alpesh Shah MD","doi":"10.1016/j.jaccas.2024.102955","DOIUrl":"10.1016/j.jaccas.2024.102955","url":null,"abstract":"<div><div>Iatrogenic injury of coronary arteries is a rare complication for which the incidence has not been reported. This paper presents the case of a 42-year-old man whose preoperative cardiac evaluation revealed a chronic total occlusion in the left anterior descending artery caused by a remote insertion of an epicardial pacemaker lead.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102955"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143446000","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
Simultaneous TAVR and PBPV in Patient With Multiple Valve Disease
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102933
Chunpeng Zhang PhD , Donghui Zhang PhD
{"title":"Simultaneous TAVR and PBPV in Patient With Multiple Valve Disease","authors":"Chunpeng Zhang PhD ,&nbsp;Donghui Zhang PhD","doi":"10.1016/j.jaccas.2024.102933","DOIUrl":"10.1016/j.jaccas.2024.102933","url":null,"abstract":"<div><div>Transcatheter aortic valve replacement (TAVR) and percutaneous balloon pulmonary valvuloplasty (PBPV) are the first-line treatments for aortic stenosis and pulmonary stenosis. This paper presents the case of a 72-year-old woman who suffered from severe aortic stenosis with pulmonary stenosis, treated with simultaneous TAVR and PBPV. Postprocedural echocardiography revealed significant improvement in valve stenosis, with no complications. This case demonstrates the feasibility and safety of performing TAVR and PBPV together, offering a new treatment approach.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102933"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445786","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
An Unusual Cause of Complete Atrioventricular Block and Aortic Regurgitation
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102998
Quan Yang MD , Jiazhen Zheng PhD , Chunting Zhao MD , Wenqi Li MD , Min Wu MD, PhD , Run Wang MD , Mingya Liu MD, PhD , Kai-Hang Yiu MD, PhD
{"title":"An Unusual Cause of Complete Atrioventricular Block and Aortic Regurgitation","authors":"Quan Yang MD ,&nbsp;Jiazhen Zheng PhD ,&nbsp;Chunting Zhao MD ,&nbsp;Wenqi Li MD ,&nbsp;Min Wu MD, PhD ,&nbsp;Run Wang MD ,&nbsp;Mingya Liu MD, PhD ,&nbsp;Kai-Hang Yiu MD, PhD","doi":"10.1016/j.jaccas.2024.102998","DOIUrl":"10.1016/j.jaccas.2024.102998","url":null,"abstract":"<div><div>We report a rare case of Behçet's disease (BD) causing aortic regurgitation and complete atrioventricular block (AVB) in conjunction with pacemaker pocket infection. We emphasize the need to consider the possibility of BD in young and middle-aged patients who present with aortic valve prolapse with regurgitation combined with complete AVB with elevated inflammatory markers.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102998"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445898","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
Feasibility of Conduction System Pacing After Transcatheter Tricuspid Valve Replacement With the Cardiovalve System
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102935
Álvaro Estévez-Paniagua MD, PhD , Sem Briongos-Figuero MD, PhD , Roberto Muñoz-Aguilera MD, PhD , Zaira Gómez-Álvarez MD , Luisa Salido-Tahoces MD, PhD , Angel Sanchez-Recalde MD, PhD
{"title":"Feasibility of Conduction System Pacing After Transcatheter Tricuspid Valve Replacement With the Cardiovalve System","authors":"Álvaro Estévez-Paniagua MD, PhD ,&nbsp;Sem Briongos-Figuero MD, PhD ,&nbsp;Roberto Muñoz-Aguilera MD, PhD ,&nbsp;Zaira Gómez-Álvarez MD ,&nbsp;Luisa Salido-Tahoces MD, PhD ,&nbsp;Angel Sanchez-Recalde MD, PhD","doi":"10.1016/j.jaccas.2024.102935","DOIUrl":"10.1016/j.jaccas.2024.102935","url":null,"abstract":"<div><div>Techniques for tricuspid regurgitation repair are advancing rapidly. Post-procedure rhythm disorders have been reported, although they are quite unknown. Choosing the type of pacing can be challenging. We present a patient with slow atrial fibrillation and syncope secondary to asystole, following transcatheter tricuspid valve replacement, who underwent His bundle pacing.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102935"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445993","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
First Attempt of Tip Detection-Antegrade Dissection and Re-Entry Using Conventional Intravascular Ultrasound in Coronary Intervention
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102931
Kota Tanaka MD, Atsunori Okamura MD, PhD, Tomohiro Yamasaki MD, PhD, Akinori Sumiyoshi MD, Kazunori Yamaji MD, Kiwamu Sudou MD, PhD, Satoshi Watanabe MD, PhD, Mutsumi Iwamoto MD, PhD, Yoshitaka Iwanaga MD, PhD, Heitaro Watanabe MD, PhD
{"title":"First Attempt of Tip Detection-Antegrade Dissection and Re-Entry Using Conventional Intravascular Ultrasound in Coronary Intervention","authors":"Kota Tanaka MD,&nbsp;Atsunori Okamura MD, PhD,&nbsp;Tomohiro Yamasaki MD, PhD,&nbsp;Akinori Sumiyoshi MD,&nbsp;Kazunori Yamaji MD,&nbsp;Kiwamu Sudou MD, PhD,&nbsp;Satoshi Watanabe MD, PhD,&nbsp;Mutsumi Iwamoto MD, PhD,&nbsp;Yoshitaka Iwanaga MD, PhD,&nbsp;Heitaro Watanabe MD, PhD","doi":"10.1016/j.jaccas.2024.102931","DOIUrl":"10.1016/j.jaccas.2024.102931","url":null,"abstract":"<div><div>This study developed a tip detection (TD) method and chronic total occlusion (CTO)–specific short-tip intravascular ultrasound (IVUS) with a pullback transducer system. We devised TD–antegrade dissection reentry and standardized CTO wiring. This CTO-specific IVUS is not available outside Japan. This paper reports TD–antegrade dissection reentry performed using IVUS, widely used around the world.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102931"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445995","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
The Fallibility of the Female Heart
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102965
Bríd Phillips PhD , Claire Hansen PhD , Michael Stevens PhD
{"title":"The Fallibility of the Female Heart","authors":"Bríd Phillips PhD ,&nbsp;Claire Hansen PhD ,&nbsp;Michael Stevens PhD","doi":"10.1016/j.jaccas.2024.102965","DOIUrl":"10.1016/j.jaccas.2024.102965","url":null,"abstract":"","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102965"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445985","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
Full Issue PDF
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/S2666-0849(25)00131-7
{"title":"Full Issue PDF","authors":"","doi":"10.1016/S2666-0849(25)00131-7","DOIUrl":"10.1016/S2666-0849(25)00131-7","url":null,"abstract":"","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 103334"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445992","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
ST-Segment Depression in aVR
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102946
Edwin A. Rodríguez MD , Macarena Rosati MD , José M. Aladio MD , Diego Costa MD , Alvaro F. Vargas MD , Sandra P. Swieszkowski MD
{"title":"ST-Segment Depression in aVR","authors":"Edwin A. Rodríguez MD ,&nbsp;Macarena Rosati MD ,&nbsp;José M. Aladio MD ,&nbsp;Diego Costa MD ,&nbsp;Alvaro F. Vargas MD ,&nbsp;Sandra P. Swieszkowski MD","doi":"10.1016/j.jaccas.2024.102946","DOIUrl":"10.1016/j.jaccas.2024.102946","url":null,"abstract":"<div><div>ST-segment depression in aVR lead has received limited attention despite being associated with ischemic and nonischemic conditions. A 42-year-old man developed an anterior ST-segment elevation myocardial infarction owing to subocclusion of the left anterior descending artery. His electrocardiogram was notable for ST-segment elevation in leads DI, aVL, and V<sub>1</sub> to V<sub>6</sub>, and ST-segment depression in aVR. ST-segment depression in aVR is not a frequently reported finding that suggests nonischemic as well as ischemic clinical presentations.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102946"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445996","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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