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Retrieving a Stent
JACC. Case reports Pub Date : 2025-02-05 DOI: 10.1016/j.jaccas.2024.103098
María Carolina Manzur-Barbur MD , Luis E. Giraldo MD , Nicolas Ariza-Ordoñez MD , Yilmar Meza MD , Andrés Ochoa MD , Angela Herrera MD , Darío Echeverri MD , Jaime Cabrales MD
{"title":"Retrieving a Stent","authors":"María Carolina Manzur-Barbur MD ,&nbsp;Luis E. Giraldo MD ,&nbsp;Nicolas Ariza-Ordoñez MD ,&nbsp;Yilmar Meza MD ,&nbsp;Andrés Ochoa MD ,&nbsp;Angela Herrera MD ,&nbsp;Darío Echeverri MD ,&nbsp;Jaime Cabrales MD","doi":"10.1016/j.jaccas.2024.103098","DOIUrl":"10.1016/j.jaccas.2024.103098","url":null,"abstract":"<div><h3>Objective</h3><div>The authors describe a case of an infrequent complication of percutaneous coronary intervention in a patient with acute ST-segment elevation myocardial infarction and discuss considerations for its prevention, recognition, and treatment.</div></div><div><h3>Key steps</h3><div>Diagnostic coronary angiography confirmed an acute total occlusion of the proximal right coronary artery. Angioplasty and stenting were performed without complications. A second stent was advanced to treat a distal lesion. During the advancement, stent dislodgement from the guidewire, with entrapment in the struts of the previously placed stent and migration to the proximal aorta, was identified. A multisnare device was used for stent retrieval, with embolization to the right femoral artery during the process.</div></div><div><h3>Potential pitfalls</h3><div>Operators should be aware of this potential complication and its management techniques. Stent dislodgement and migration should be rapidly identified and addressed because these adverse events can lead to embolization, thrombosis, and vascular damage.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 3","pages":"Article 103098"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143342169","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
Arrhythmic Mitral Valve Prolapse
JACC. Case reports Pub Date : 2025-02-05 DOI: 10.1016/j.jaccas.2024.103093
Shayan Mirshafiee MD, Zahra Aamaraee MD, Mohammadreza Eftekhari MD, Reza Mollazadeh MD
{"title":"Arrhythmic Mitral Valve Prolapse","authors":"Shayan Mirshafiee MD,&nbsp;Zahra Aamaraee MD,&nbsp;Mohammadreza Eftekhari MD,&nbsp;Reza Mollazadeh MD","doi":"10.1016/j.jaccas.2024.103093","DOIUrl":"10.1016/j.jaccas.2024.103093","url":null,"abstract":"<div><h3>Background</h3><div>Arrhythmic mitral valve prolapse (AMVP) is a relatively new entity in the field of arrhythmia and sudden cardiac death.</div></div><div><h3>Case Summary</h3><div>A 19-year-old female patient with a history of aborted sudden cardiac death, initially diagnosed as idiopathic ventricular fibrillation in 2012 and received implantable cardioverter defibrillator. Gradual decline in left ventricular ejection fraction and receiving multiple appropriate implantable cardioverter defibrillator shocks was odd for us. After review of her past medical documents and detailed cardiac imaging diagnosis of AMVP was made.</div></div><div><h3>Discussion</h3><div>Individuals with AMVP are prone to left ventricular mechanical dispersion, leading to an increased susceptibility to malignant ventricular arrhythmias independent of the severity of MR.</div></div><div><h3>Take-Home Message</h3><div>This case emphasizes the importance of reviewing old documents and consultation with multiple subspecialists. Follow-up may alter the primary suspected diagnosis.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 3","pages":"Article 103093"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143341702","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
Complications Following Retrieval of an Embolized Guide Catheter Tip Following Left Main Bifurcation PCI
JACC. Case reports Pub Date : 2025-02-05 DOI: 10.1016/j.jaccas.2024.103100
Jack Laffan MB, BCh, BAO, MSc , James Shand MD , Christopher Austin CTh, BS , Jijin Joseph MBBS , Simon J. Walsh MD
{"title":"Complications Following Retrieval of an Embolized Guide Catheter Tip Following Left Main Bifurcation PCI","authors":"Jack Laffan MB, BCh, BAO, MSc ,&nbsp;James Shand MD ,&nbsp;Christopher Austin CTh, BS ,&nbsp;Jijin Joseph MBBS ,&nbsp;Simon J. Walsh MD","doi":"10.1016/j.jaccas.2024.103100","DOIUrl":"10.1016/j.jaccas.2024.103100","url":null,"abstract":"<div><div>A 59-year-old woman presented with non–ST-segment elevation myocardial infarction. Angiography showed severe 3-vessel coronary disease. Percutaneous coronary intervention was successfully performed. We noted a circular opacity in the mid left anterior descending, representing the radio-opaque tip of the guide catheter. Multiple guidewires were entangled around the guide tip to drag it back to the guide. The entrapped tip caught on the circumflex (Cx) stent at the neo-carina. When this was pulled back toward the guide catheter, the deployed left main-Cx stent involuted, elongated, and came back into the aorta. Surgical repair was performed with an aortic dissection. Coronary bypass grafts were anastomosed to the left anterior descending artery and Cx. The patient was discharged home well 5 days later. This case represents a rare complication of percutaneous coronary intervention. If operators are faced with a similar complication they should consider using a guide catheter extension through the already deployed stents. Large-bore femoral access should be considered.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 3","pages":"Article 103100"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143341901","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
Culture-Negative Infective Endocarditis Due to Bartonella henselae
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102810
Taku Omori MD, PhD, Naoki Fujimoto MD, PhD, Keigo Nishida MD, Emiyo Sugiura MD, PhD, Akihiro Takasaki MD, PhD, Shiro Nakamori MD, PhD, Tairo Kurita MD, PhD, Ryuji Okamoto MD, PhD, Kaoru Dohi MD, PhD
{"title":"Culture-Negative Infective Endocarditis Due to Bartonella henselae","authors":"Taku Omori MD, PhD,&nbsp;Naoki Fujimoto MD, PhD,&nbsp;Keigo Nishida MD,&nbsp;Emiyo Sugiura MD, PhD,&nbsp;Akihiro Takasaki MD, PhD,&nbsp;Shiro Nakamori MD, PhD,&nbsp;Tairo Kurita MD, PhD,&nbsp;Ryuji Okamoto MD, PhD,&nbsp;Kaoru Dohi MD, PhD","doi":"10.1016/j.jaccas.2024.102810","DOIUrl":"10.1016/j.jaccas.2024.102810","url":null,"abstract":"<div><div><em>Bartonella henselae</em> can cause culture-negative endocarditis, and almost all antibiotics included in empirical therapy regimens for endocarditis are ineffective against this pathogen. We report a case of culture-negative <em>B henselae</em> endocarditis in which identification of the pathogen avoided repeated valve destruction and surgery.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102810"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065799","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
Unmasking Culprit Complex Infero-Posterior STEMI
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102798
Maruf Sarwar MD , Stephen D. Adedokun MD , Keonmin Hwang BA , Mahesh Anantha Narayanan MD
{"title":"Unmasking Culprit Complex Infero-Posterior STEMI","authors":"Maruf Sarwar MD ,&nbsp;Stephen D. Adedokun MD ,&nbsp;Keonmin Hwang BA ,&nbsp;Mahesh Anantha Narayanan MD","doi":"10.1016/j.jaccas.2024.102798","DOIUrl":"10.1016/j.jaccas.2024.102798","url":null,"abstract":"<div><div>Patients presenting with acute coronary syndrome with ST-segment elevation myocardial infarction require rapid and decisive interventions to restore blood flow to the affected myocardium, minimizing ischemic damage. This case report is particularly unique because it involves a patient presenting with ST-segment elevation myocardial infarction, where the culprit lesion was an occluded coronary artery graft with an extensive thrombus burden. The complexity of this case necessitated a strategic shift to revascularize the chronically occluded native vessel instead of the graft. This highlights the intricate decision-making and advanced interventional techniques required in managing such complex clinical scenarios.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102798"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065931","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 Myxoma Associated With Supraventricular Tachycardia as an Unusual Cause of Unilateral Pulmonary Edema
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102817
Uriel Encarnación-Martínez MD , Diana Carolina Muciño-Lugo MD , César Manuel Flores-Sánchez MD , José Alejandro Serrano-Vergara MD , Mihael Joshua Rosano-Bernal MD , Mario Trejo-Ávila MD
{"title":"Cardiac Myxoma Associated With Supraventricular Tachycardia as an Unusual Cause of Unilateral Pulmonary Edema","authors":"Uriel Encarnación-Martínez MD ,&nbsp;Diana Carolina Muciño-Lugo MD ,&nbsp;César Manuel Flores-Sánchez MD ,&nbsp;José Alejandro Serrano-Vergara MD ,&nbsp;Mihael Joshua Rosano-Bernal MD ,&nbsp;Mario Trejo-Ávila MD","doi":"10.1016/j.jaccas.2024.102817","DOIUrl":"10.1016/j.jaccas.2024.102817","url":null,"abstract":"<div><div>A 34-year-old man with sudden palpitations, dyspnea, and chest pain was found to have tachycardia and unilateral pulmonary congestion. Intravenous adenosine restored sinus rhythm. Imaging and pathology confirmed an atrial myxoma with severe mitral regurgitation, requiring surgical excision and mitral valve replacement. This case highlights the complex and rare presentations of cardiac myxomas.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102817"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065754","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
Coronary CTA-Guided Bifurcation PCI
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102814
Pedro E.P. Carvalho MD , João L. Cavalcante MD , John Lesser MD , Victor Cheng MD , Dimitrios Strepkos MD , Michaella Alexandrou MD , Deniz Mutlu MD , Emmanouil S. Brilakis MD, PhD , Yader Sandoval MD
{"title":"Coronary CTA-Guided Bifurcation PCI","authors":"Pedro E.P. Carvalho MD ,&nbsp;João L. Cavalcante MD ,&nbsp;John Lesser MD ,&nbsp;Victor Cheng MD ,&nbsp;Dimitrios Strepkos MD ,&nbsp;Michaella Alexandrou MD ,&nbsp;Deniz Mutlu MD ,&nbsp;Emmanouil S. Brilakis MD, PhD ,&nbsp;Yader Sandoval MD","doi":"10.1016/j.jaccas.2024.102814","DOIUrl":"10.1016/j.jaccas.2024.102814","url":null,"abstract":"<div><div>Coronary computed tomography angiography (CTA) analysis can help in the planning of percutaneous coronary intervention (PCI). Fractional flow reserve derived from coronary CTA (FFR<sub>CT</sub>), coronary CTA-derived regional myocardial mass, and FFR<sub>CT</sub> virtual PCI planner can facilitate decisions concerning sheath and guide catheter selection, stent lengths on the basis of predicted post-PCI FFR<sub>CT</sub>, optimal fluoroscopic angles, evaluation of provisional vs 2-stent bifurcation PCI techniques, and assessment of the magnitude of jeopardized myocardial mass in cases with side branch compromise. This case series illustrates the emerging opportunities for coronary CTA-based planning of bifurcation PCI.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102814"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065794","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
Histological Analysis of a Decellularized Pulmonary Homograft Explanted From a Pediatric Patient
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102806
Yosuke Kugo MD , Takashi Kido MD, PhD , Akima Harada BS , Moyu Hasegawa MD, PhD , Toshiaki Nagashima MD , Takuji Watanabe MD , Masaki Taira MD , Takayoshi Ueno MD, PhD , Shigeru Miyagawa MD, PhD
{"title":"Histological Analysis of a Decellularized Pulmonary Homograft Explanted From a Pediatric Patient","authors":"Yosuke Kugo MD ,&nbsp;Takashi Kido MD, PhD ,&nbsp;Akima Harada BS ,&nbsp;Moyu Hasegawa MD, PhD ,&nbsp;Toshiaki Nagashima MD ,&nbsp;Takuji Watanabe MD ,&nbsp;Masaki Taira MD ,&nbsp;Takayoshi Ueno MD, PhD ,&nbsp;Shigeru Miyagawa MD, PhD","doi":"10.1016/j.jaccas.2024.102806","DOIUrl":"10.1016/j.jaccas.2024.102806","url":null,"abstract":"","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102806"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065822","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
Porcelain Aorta and Radiation-Induced Mitral Annular Calcification Are Not Contraindications to Surgery
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102725
Joseph Okafor MBChB , Helen Thomson MBChB, BS (Hons) , Carole Ridge MBChB, BAO , Guy Lloyd MD , Gentjan Jakaj MD , Bernard Prendergast DM , Olaf Wendler MD, PhD
{"title":"Porcelain Aorta and Radiation-Induced Mitral Annular Calcification Are Not Contraindications to Surgery","authors":"Joseph Okafor MBChB ,&nbsp;Helen Thomson MBChB, BS (Hons) ,&nbsp;Carole Ridge MBChB, BAO ,&nbsp;Guy Lloyd MD ,&nbsp;Gentjan Jakaj MD ,&nbsp;Bernard Prendergast DM ,&nbsp;Olaf Wendler MD, PhD","doi":"10.1016/j.jaccas.2024.102725","DOIUrl":"10.1016/j.jaccas.2024.102725","url":null,"abstract":"<div><div>We describe the case of a 52-year-old man with radiation-induced severe mixed aortic and mitral valve disease, thickening of the aortomitral continuity, mitral annular calcification, and porcelain aorta with limited transcatheter treatment options. By replacing the aorta during circulatory arrest, we demonstrate that it is possible to clamp the ascending aorta to facilitate prosthetic aortic and mitral valve replacement.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102725"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065886","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
Decoding High Post-TAVR Gradients
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102774
Federico Arturi MD , Francesco Cardaioli MD , Giuseppe Tarantini MD, PhD
{"title":"Decoding High Post-TAVR Gradients","authors":"Federico Arturi MD ,&nbsp;Francesco Cardaioli MD ,&nbsp;Giuseppe Tarantini MD, PhD","doi":"10.1016/j.jaccas.2024.102774","DOIUrl":"10.1016/j.jaccas.2024.102774","url":null,"abstract":"<div><div>Echocardiography is a well-established tool for evaluating bioprosthetic valve performance after transcatheter aortic valve replacement. The presence of higher-than-expected echocardiographic gradients is not an uncommon finding and can be related to different clinical settings. This case series proposes a practical and multiparametric approach to interpreting high residual gradients after transcatheter aortic valve replacement. We examine 4 common clinical scenarios: 1) pressure recovery; 2) high-flow state; 3) prosthesis–patient mismatch; and 4) suboptimal valve expansion. For each scenario, a comprehensive echocardiographic analysis, along with invasive hemodynamic evaluation, is reported.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102774"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065806","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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