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Giant Right Atrial Myxoma
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102772
Kiran Zahra MBBS, Salma Salma MBBS, Taimur Asif Ali MBBS, Sabha Bhatti MD
{"title":"Giant Right Atrial Myxoma","authors":"Kiran Zahra MBBS,&nbsp;Salma Salma MBBS,&nbsp;Taimur Asif Ali MBBS,&nbsp;Sabha Bhatti MD","doi":"10.1016/j.jaccas.2024.102772","DOIUrl":"10.1016/j.jaccas.2024.102772","url":null,"abstract":"<div><div>A 35-year-old man presented to the emergency department with reports of chest pain, progressive shortness of breath, and pedal edema. He had a history of multiple hospital admissions without improvement. Multimodality imaging revealed a suspected giant right atrial myxoma. The patient underwent successful excision of the mass, and his symptoms improved postoperatively. Histopathologic examination of the mass confirmed the diagnosis of atrial myxoma.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102772"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065819","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
Pickering Syndrome Manifesting as Recurrent Pulmonary Edema in an Older Woman With Renal Artery Stenosis
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102812
Pedro Fernandez-Martin MD, Daniel Gaitan-Roman MD, Maria Dolores Martinez-Esteban MD, Leopoldo Fernandez-Ruz MD, Jose Ignacio Larrubia-Valle MD, Jose Luis Delgado-Prieto MD, Cristobal Antonio Urbano-Carrillo MD
{"title":"Pickering Syndrome Manifesting as Recurrent Pulmonary Edema in an Older Woman With Renal Artery Stenosis","authors":"Pedro Fernandez-Martin MD,&nbsp;Daniel Gaitan-Roman MD,&nbsp;Maria Dolores Martinez-Esteban MD,&nbsp;Leopoldo Fernandez-Ruz MD,&nbsp;Jose Ignacio Larrubia-Valle MD,&nbsp;Jose Luis Delgado-Prieto MD,&nbsp;Cristobal Antonio Urbano-Carrillo MD","doi":"10.1016/j.jaccas.2024.102812","DOIUrl":"10.1016/j.jaccas.2024.102812","url":null,"abstract":"<div><div>Pickering syndrome, characterized by recurrent episodes of flash pulmonary edema (FPE) and renal impairment, is associated with renal artery stenosis (RAS). This case highlights its manifestation and management in an older adult patient. An 86-year-old woman with hypertension, chronic kidney disease, and a single functioning kidney presented with recurrent FPE episodes. Imaging revealed severe left RAS and an atrophic right kidney. Despite initial medical management, recurrent episodes of pulmonary edema led to renal angioplasty with stent placement. Follow-up imaging revealed restenosis in the left renal artery, necessitating a second angioplasty. The patient’s condition stabilized after intervention, with improvement in both cardiac and renal function. This case illustrates the critical importance of considering RAS in patients with recurrent FPE and resistant hypertension and emphasizes timely diagnosis and intervention. Early detection and intervention in Pickering syndrome can prevent recurrent pulmonary edema and renal failure.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102812"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065845","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
Rotational Atherectomy to Treat in-Stent Recurrent Protruding Calcified Nodule
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102815
Saad M. Ezad MBBCh , Joshua J. Hon , Divaka Perera MD , Kalpa De Silva PhD
{"title":"Rotational Atherectomy to Treat in-Stent Recurrent Protruding Calcified Nodule","authors":"Saad M. Ezad MBBCh ,&nbsp;Joshua J. Hon ,&nbsp;Divaka Perera MD ,&nbsp;Kalpa De Silva PhD","doi":"10.1016/j.jaccas.2024.102815","DOIUrl":"10.1016/j.jaccas.2024.102815","url":null,"abstract":"<div><div>A 73-year-old man presented with acute coronary syndrome secondary to stent failure. Intravascular imaging identified a recurrent protruding calcific nodule as the mechanism, which was effectively treated with low-speed rotablation, resulting in ablation of the nodule allowing the application of a drug-coated balloon.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102815"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065875","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
Decellularized Pulmonary Allografts
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102819
Ana Beatriz Brenner Affonso da Costa Rea MD , Francisco Diniz Affonso da Costa MD
{"title":"Decellularized Pulmonary Allografts","authors":"Ana Beatriz Brenner Affonso da Costa Rea MD ,&nbsp;Francisco Diniz Affonso da Costa MD","doi":"10.1016/j.jaccas.2024.102819","DOIUrl":"10.1016/j.jaccas.2024.102819","url":null,"abstract":"","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102819"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065802","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
Left Ventricular Myxoma Causing Posterior Circulation Stroke
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102833
Rupendra Nath Saha MD, Bhanu Duggal DM, Vijaya Kumar Varada DM, Anirudh Mukherjee MD, Arvind Kumar MD
{"title":"Left Ventricular Myxoma Causing Posterior Circulation Stroke","authors":"Rupendra Nath Saha MD,&nbsp;Bhanu Duggal DM,&nbsp;Vijaya Kumar Varada DM,&nbsp;Anirudh Mukherjee MD,&nbsp;Arvind Kumar MD","doi":"10.1016/j.jaccas.2024.102833","DOIUrl":"10.1016/j.jaccas.2024.102833","url":null,"abstract":"<div><div>Myxoma is a cardiac tumor most commonly found in the left atrium, presenting most frequently with dyspnea, chest pain, and constitutional symptoms. Hereby, we are presenting a rare case of cardiac myxoma originating from the left ventricle, presenting with an ischemic stroke in a young individual. He underwent surgical excision of the mass.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102833"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065824","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
Use of Historical Cricket Scorecards to Accurately Map Effort Tolerance in Untreated Congenital Heart Disease
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102802
Claire Colebourn MBChB, MMedEd, DICM
{"title":"Use of Historical Cricket Scorecards to Accurately Map Effort Tolerance in Untreated Congenital Heart Disease","authors":"Claire Colebourn MBChB, MMedEd, DICM","doi":"10.1016/j.jaccas.2024.102802","DOIUrl":"10.1016/j.jaccas.2024.102802","url":null,"abstract":"<div><div>This case report describes rare accurate historical documentation of progressive reduction in effort tolerance over time in a patient with untreated congenital heart disease and pulmonary hypertension.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102802"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065932","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
Dysfunctional Implantable Pulmonary Artery Sensor Device (CardioMEMS) in Group 2 Pulmonary Hypertension
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102801
Abdalla Eltayeb A. Abdelkader MD, Onyedika J. Ilonze MD, MPH, Maya Guglin MD, PhD
{"title":"Dysfunctional Implantable Pulmonary Artery Sensor Device (CardioMEMS) in Group 2 Pulmonary Hypertension","authors":"Abdalla Eltayeb A. Abdelkader MD,&nbsp;Onyedika J. Ilonze MD, MPH,&nbsp;Maya Guglin MD, PhD","doi":"10.1016/j.jaccas.2024.102801","DOIUrl":"10.1016/j.jaccas.2024.102801","url":null,"abstract":"<div><div>Implantable hemodynamic devices like the CardioMEMS HF System are commonly used to manage fluid status in patients with heart failure (HF) by measuring pulmonary pressures. Although CardioMEMS has been shown to reduce HF hospitalizations, rare complications (eg, device endothelialization) can occur and warrant clinical attention. A 67-year-old woman with HF with preserved ejection fraction and group 2 pulmonary hypertension experienced recurrent HF exacerbations. Despite optimal therapy, she was not a candidate for advanced HF therapies. The CardioMEMS device, initially effective for fluid management, showed dampened waveforms due to endothelialization, leading to reimplantation. Endothelialization is a rare but significant complication that can dampen pressure waveforms. Proper placement in vessels larger than 7 mm and careful monitoring of waveforms can help manage this issue. Device recalibration can usually address most cases; however, reimplantation may be required.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102801"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065810","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
What Are These Anterior T Waves?
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102799
Jesmar Alejandro Ramonis Quintero MD, Daesub Chung Kwon MD, Julio Vázquez Reguera MD, Mario Galván Ruiz MD, Eduardo J. Caballero Dorta MD
{"title":"What Are These Anterior T Waves?","authors":"Jesmar Alejandro Ramonis Quintero MD,&nbsp;Daesub Chung Kwon MD,&nbsp;Julio Vázquez Reguera MD,&nbsp;Mario Galván Ruiz MD,&nbsp;Eduardo J. Caballero Dorta MD","doi":"10.1016/j.jaccas.2024.102799","DOIUrl":"10.1016/j.jaccas.2024.102799","url":null,"abstract":"<div><div>An 80-year-old woman with history of intermittent chest pain presented with a new self-limited episode. A 12-lead electrocardiogram was performed while she was asymptomatic, showing large T waves in V<sub>1</sub> to V<sub>3</sub>. We report a not so known electrocardiographic pattern that can be particularly valuable for identifying patients at high risk of extensive myocardial infarction and its subsequent complications. It represents an interesting finding with clinical implications similar to Wellens syndrome but from a different point of view. We also suggest some features to learn how to recognize this ischemic electrocardiographic pattern.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102799"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065893","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
Therapeutic Flecainide Toxicity Causing VT Storm
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102797
Kiriti Vattikonda DO, MS , Christopher J. Peterson MD, MS , Brian Anyanwu MD , M. Scott Binder MD , Megha Penmetsa MD , Terrence May MD
{"title":"Therapeutic Flecainide Toxicity Causing VT Storm","authors":"Kiriti Vattikonda DO, MS ,&nbsp;Christopher J. Peterson MD, MS ,&nbsp;Brian Anyanwu MD ,&nbsp;M. Scott Binder MD ,&nbsp;Megha Penmetsa MD ,&nbsp;Terrence May MD","doi":"10.1016/j.jaccas.2024.102797","DOIUrl":"10.1016/j.jaccas.2024.102797","url":null,"abstract":"<div><div>Ventricular tachycardia (VT) storm is a fatal arrhythmia with multiple contributory etiologies. This paper presents a case of a 71-year-old woman who developed VT storm from flecainide toxicity occurring at therapeutic flecainide levels. Flecainide toxicity should be considered in any patient on flecainide presenting with VT.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102797"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065917","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
Stellate Ganglion Block and Bilateral Sympathectomy for Recurrent Coronary Vasospasm Secondary to Severe Eosinophilic Asthma
JACC. Case reports Pub Date : 2025-01-15 DOI: 10.1016/j.jaccas.2024.102813
Kai Yi Wu MD , Ruochen Mao MD , Craig Butler MD, MS , Pishoy Gouda MBBCh BAO, MS , Naji Alhulaimi MBBS , Rohan Parab MD , Bryan James Dicken MD, MS , Sayra Khandekar MD , Michelle Graham MD , Kevin R. Bainey MD, MS
{"title":"Stellate Ganglion Block and Bilateral Sympathectomy for Recurrent Coronary Vasospasm Secondary to Severe Eosinophilic Asthma","authors":"Kai Yi Wu MD ,&nbsp;Ruochen Mao MD ,&nbsp;Craig Butler MD, MS ,&nbsp;Pishoy Gouda MBBCh BAO, MS ,&nbsp;Naji Alhulaimi MBBS ,&nbsp;Rohan Parab MD ,&nbsp;Bryan James Dicken MD, MS ,&nbsp;Sayra Khandekar MD ,&nbsp;Michelle Graham MD ,&nbsp;Kevin R. Bainey MD, MS","doi":"10.1016/j.jaccas.2024.102813","DOIUrl":"10.1016/j.jaccas.2024.102813","url":null,"abstract":"<div><div>A 42-year-old man experienced recurrent coronary artery spasm (CAS) secondary to eosinophilic asthma despite being on multiple medications. He underwent a successful unilateral stellate ganglion block followed by bilateral thoracoscopic sympathectomy, with no subsequent recurrence of CAS. These invasive therapies offer a potential treatment option for refractory CAS.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 2","pages":"Article 102813"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065879","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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