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Smartwatch Locates Myocardial Lesion in Stable Angina
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102583
Boroumand Zeidaabadi BSc , Joseph Barker MBBS , Libor Pastika MBBS , Nickolaos Pantazopoulos MBBS , Raffi Kaprielian MBBS , Fu Siong Ng PhD
{"title":"Smartwatch Locates Myocardial Lesion in Stable Angina","authors":"Boroumand Zeidaabadi BSc ,&nbsp;Joseph Barker MBBS ,&nbsp;Libor Pastika MBBS ,&nbsp;Nickolaos Pantazopoulos MBBS ,&nbsp;Raffi Kaprielian MBBS ,&nbsp;Fu Siong Ng PhD","doi":"10.1016/j.jaccas.2024.102583","DOIUrl":"10.1016/j.jaccas.2024.102583","url":null,"abstract":"<div><div>We present a case that demonstrates the novel use of consumer-grade wearable technology for the early detection of myocardial ischemia in a 48-year-old male with otherwise elusive symptoms.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102583"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445997","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
Transient ST-Segment Elevations in a Patient With Intramyocardial LAD Bridging
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102708
Ranvir Bhatia MD, MS, Neel Chokshi MD, MBA, Dinesh Jagasia MBBS, Mary-Jo Obeid MD, MPH
{"title":"Transient ST-Segment Elevations in a Patient With Intramyocardial LAD Bridging","authors":"Ranvir Bhatia MD, MS,&nbsp;Neel Chokshi MD, MBA,&nbsp;Dinesh Jagasia MBBS,&nbsp;Mary-Jo Obeid MD, MPH","doi":"10.1016/j.jaccas.2024.102708","DOIUrl":"10.1016/j.jaccas.2024.102708","url":null,"abstract":"<div><div>Although often clinically silent, myocardial bridges are challenging to functionally characterize and subsequently manage. Here we describe a patient with asymptomatic, transient ST-segment elevations in the emergency room, found to have mid to distal left anterior descending artery bridging raising concern for silent ischemia.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102708"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445999","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
Lifetime Management in Aortic Valve Disease
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2025.103310
Miho Fukui MD, PhD (Associate Editor, JACC: Case Reports)
{"title":"Lifetime Management in Aortic Valve Disease","authors":"Miho Fukui MD, PhD (Associate Editor, JACC: Case Reports)","doi":"10.1016/j.jaccas.2025.103310","DOIUrl":"10.1016/j.jaccas.2025.103310","url":null,"abstract":"","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 103310"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445785","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
Successful Complete Resection of Primary Cardiac Synovial Sarcoma Invading Right Atrium Wall
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102706
Kana Nagasawa MD , Takanori Kusuyama MD, PhD , Yuuya Tauchi MD , Yusuke Yamauchi MD , Zenichi Masuda MD, PhD , Naoto Inoue MD , Arata Hagikura MD , Takuma Onoe MD, PhD , Masato Komatsu MD, PhD , Hideya Mitsui MD, PhD
{"title":"Successful Complete Resection of Primary Cardiac Synovial Sarcoma Invading Right Atrium Wall","authors":"Kana Nagasawa MD ,&nbsp;Takanori Kusuyama MD, PhD ,&nbsp;Yuuya Tauchi MD ,&nbsp;Yusuke Yamauchi MD ,&nbsp;Zenichi Masuda MD, PhD ,&nbsp;Naoto Inoue MD ,&nbsp;Arata Hagikura MD ,&nbsp;Takuma Onoe MD, PhD ,&nbsp;Masato Komatsu MD, PhD ,&nbsp;Hideya Mitsui MD, PhD","doi":"10.1016/j.jaccas.2024.102706","DOIUrl":"10.1016/j.jaccas.2024.102706","url":null,"abstract":"<div><div>A 48-year-old man presented with several months of dyspnea and edema. He had no medical history. Transthoracic echocardiography showed a large mass in the tricuspid orifice. Enhanced computed tomography revealed that the mass had extended outside the heart by breaking though the right atrium wall. Hemodynamics has not collapsed yet, but his symptoms were rapidly worsening. He underwent emergency surgery, and complete resection was achieved. The pathologic diagnosis was primary cardiac synovial sarcoma. There were no signs of recurrence or metastasis 6 months after the surgery without additional treatment. Cardiac tumors are rare and develop silently, so they can be easily missed. Computed tomography and echocardiography provide much information quickly and help us to comprehend general condition. This case highlights their efficiency and the importance of early detection.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102706"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445903","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
Cardiac Metastasis Presenting With ST-Segment Elevation
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102949
Alec Chunta BSc , Louis Kolman , Omid Kiamanesh MD , Tina Cheng MD , Robert J.H. Miller MD
{"title":"Cardiac Metastasis Presenting With ST-Segment Elevation","authors":"Alec Chunta BSc ,&nbsp;Louis Kolman ,&nbsp;Omid Kiamanesh MD ,&nbsp;Tina Cheng MD ,&nbsp;Robert J.H. Miller MD","doi":"10.1016/j.jaccas.2024.102949","DOIUrl":"10.1016/j.jaccas.2024.102949","url":null,"abstract":"<div><div>Cardiac metastasis is an uncommon condition that may be missed owing to variability in patient presentation. An 81-year-old man with a history of metastatic squamous cell carcinoma, presenting with heart failure, showed persistent ST-segment elevation on an electrocardiogram. Chest computed tomography, performed to exclude pulmonary embolism, demonstrated possible cardiac mass that was evaluated subsequently with echocardiography and cardiac magnetic resonance. This case shows the importance of multimodality imaging in diagnosing cardiac metastasis in cancer patients with cardiac symptoms. Although the mechanisms are unclear, persistent ST-segment elevations should be considered as a potential clue to the presence of cardiac metastasis.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102949"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445983","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
Multimodality Imaging Findings in Cardiac Plasmacytoma
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102605
Mohammed Adam Benharrats MD , Ahmad Al Samarraie MD , Quentin Chatelain MD , Catherine Girard-Desbiens MD , Mathieu Paulin MD , Sylvain Page MD , Matthieu Pelletier-Galarneau MD , Julie Robillard MD , François Simard MD , Hung Ly MD , Nadia Bouabdallaoui MD, PhD
{"title":"Multimodality Imaging Findings in Cardiac Plasmacytoma","authors":"Mohammed Adam Benharrats MD ,&nbsp;Ahmad Al Samarraie MD ,&nbsp;Quentin Chatelain MD ,&nbsp;Catherine Girard-Desbiens MD ,&nbsp;Mathieu Paulin MD ,&nbsp;Sylvain Page MD ,&nbsp;Matthieu Pelletier-Galarneau MD ,&nbsp;Julie Robillard MD ,&nbsp;François Simard MD ,&nbsp;Hung Ly MD ,&nbsp;Nadia Bouabdallaoui MD, PhD","doi":"10.1016/j.jaccas.2024.102605","DOIUrl":"10.1016/j.jaccas.2024.102605","url":null,"abstract":"<div><div>Extramedullary plasmacytoma involving the heart is a rare occurrence. We present the case of a 74-year-old man who received a diagnosis of cardiac plasmacytoma in the context of relapsed multiple myeloma. The tumor primarily presented as a solitary extramedullary plasmacytoma with extensive infiltration into the right ventricle, leading to mild symptoms such as dyspnea. There was no evidence of systemic involvement. A treatment with DRd (daratumumab, lenalidomide, and dexamethasone) was promptly initiated. This case demonstrates the effective use of multimodal imaging techniques to characterize cardiac masses and to determine the most appropriate management plan.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102605"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445991","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
Rare Case of Early Mycotic Ascending Aortic Aneurysm Following Transcatheter Aortic Valve Replacement
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102952
Bharat S. Sambyal DM , Nitin Patel DM , Prashant Panda DM , Yash Paul Sharma DM
{"title":"Rare Case of Early Mycotic Ascending Aortic Aneurysm Following Transcatheter Aortic Valve Replacement","authors":"Bharat S. Sambyal DM ,&nbsp;Nitin Patel DM ,&nbsp;Prashant Panda DM ,&nbsp;Yash Paul Sharma DM","doi":"10.1016/j.jaccas.2024.102952","DOIUrl":"10.1016/j.jaccas.2024.102952","url":null,"abstract":"<div><div>Prosthetic valve endocarditis, though a rare complication, carries a high risk of morbidity and mortality. Mycotic aneurysms are even less common and have been reported in association with femoral access (femoral artery aneurysms) following transcatheter aortic valve replacement (TAVR). We describe a rare case of a mycotic aneurysm that developed in the ascending aorta after a TAVR procedure.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102952"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445798","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
Invasive Diagnostic Procedure in Patient With Anomalous Aortic Origin of a Right Coronary Artery
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102951
Masafumi Yoshikawa MD , Hiroyuki Arashi MD , Noriko Kikuchi MD , Yusuke Inagaki MD , Eiji Shibahashi MD , Hisao Otsuki MD , Masashi Nakao MD , Hiroshi Niinami MD , Morio Shoda MD , Junichi Yamaguchi MD
{"title":"Invasive Diagnostic Procedure in Patient With Anomalous Aortic Origin of a Right Coronary Artery","authors":"Masafumi Yoshikawa MD ,&nbsp;Hiroyuki Arashi MD ,&nbsp;Noriko Kikuchi MD ,&nbsp;Yusuke Inagaki MD ,&nbsp;Eiji Shibahashi MD ,&nbsp;Hisao Otsuki MD ,&nbsp;Masashi Nakao MD ,&nbsp;Hiroshi Niinami MD ,&nbsp;Morio Shoda MD ,&nbsp;Junichi Yamaguchi MD","doi":"10.1016/j.jaccas.2024.102951","DOIUrl":"10.1016/j.jaccas.2024.102951","url":null,"abstract":"<div><div>We present the case of a 17-year-old boy with anomalous aortic origin of a right coronary artery. Despite the absence of ischemia on noninvasive stress tests, invasive diagnostic procedures suggested that ischemia could be induced by a heavy workout in this patient with anomalous aortic origin of a right coronary artery with an interarterial course.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102951"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445902","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
RVOT Stenting in a Child With Tetralogy of Fallot and Hypertrophic Cardiomyopathy
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102969
Shaad Abqari FNB , Mohammad Moaaz Kidwai DrNB , Mohammad Azam Haseen MCh CVTS , Shamayal Rabbani MCh CVTS
{"title":"RVOT Stenting in a Child With Tetralogy of Fallot and Hypertrophic Cardiomyopathy","authors":"Shaad Abqari FNB ,&nbsp;Mohammad Moaaz Kidwai DrNB ,&nbsp;Mohammad Azam Haseen MCh CVTS ,&nbsp;Shamayal Rabbani MCh CVTS","doi":"10.1016/j.jaccas.2024.102969","DOIUrl":"10.1016/j.jaccas.2024.102969","url":null,"abstract":"<div><div>The coexistence of Tetralogy of Fallot (TOF) and hypertrophic cardiomyopathy (HCM) is extremely rare and poses significant clinical challenges. We present a case that highlights the management strategy for this complex condition. A 3-year-old boy presented with recurrent cyanotic spells, leading to a diagnosis of TOF complicated by HCM. Right ventricular outflow tract stenting (RVOTS) was performed to stabilize the patient. The combination of TOF and HCM is associated with a high mortality rate and the management strategy is not standardized. In this case, RVOTS was done, resulting in a favorable immediate response and short-term outcome. This represents the first documented use of RVOTS in a patient with TOF and HCM. The combination of TOF and HCM is a rare and complex clinical entity. RVOTS has demonstrated effectiveness as a palliative strategy, leading to positive immediate and short-term outcomes in this unique case.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102969"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445988","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
Rare Case of Valve-Sparing Root Reimplantation in a Patient With an Anomalous Circumflex Artery
JACC. Case reports Pub Date : 2025-02-19 DOI: 10.1016/j.jaccas.2024.102563
Veronica Lorenz MD, Jama Jahanyar MD, PhD, Gebrine El Khoury MD, PhD, Laurent De Kerchove MD, PhD
{"title":"Rare Case of Valve-Sparing Root Reimplantation in a Patient With an Anomalous Circumflex Artery","authors":"Veronica Lorenz MD,&nbsp;Jama Jahanyar MD, PhD,&nbsp;Gebrine El Khoury MD, PhD,&nbsp;Laurent De Kerchove MD, PhD","doi":"10.1016/j.jaccas.2024.102563","DOIUrl":"10.1016/j.jaccas.2024.102563","url":null,"abstract":"<div><div>We present a case of valve-sparing root reimplantation in a patient with severe aortic regurgitation, in the setting of a bicuspid aortic valve with an aberrant circumflex coronary artery arising from the right coronary artery, thus rendering standard dissection of the aortic root during a David procedure challenging and risky.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 4","pages":"Article 102563"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445797","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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