{"title":"Left Ventricular Pericardial Strangulation: A Diagnostic Challenge in Acute Coronary Syndrome.","authors":"Sergey Yakovlev, Anna Gvozdeva","doi":"10.14797/mdcvj.1743","DOIUrl":"https://doi.org/10.14797/mdcvj.1743","url":null,"abstract":"<p><p>Partial congenital pericardial defects are exceptionally uncommon and typically asymptomatic. In rare circumstances, cardiac herniation through the defect may precipitate mechanical strangulation with extrinsic coronary artery compression and myocardial infarction (MI). We describe a young man who presented with ST-elevation MI attributed to left ventricular (LV) herniation through a previously unrecognized pericardial defect. Despite a typical clinical presentation of MI, the highly atypical angiographic and echocardiographic findings required further investigation. Cardiac magnetic resonance was crucial for excluding alternative causes of LV wall thickening and coronary artery compression, such as tumors or infiltrative diseases, and contributed to identifying the pericardial defect. Although rare, partial pericardial defects should be considered in the differential diagnosis of acute coronary syndrome, especially in young patients with atypical presentations or findings.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 1","pages":"14-18"},"PeriodicalIF":0.0,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272277","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}
{"title":"Right Coronary Artery to Coronary Sinus Fistula with Giant Coronary Sinus Aneurysm.","authors":"Damandeep Singh, Niraj Nirmal Pandey, Rakesh Yadav","doi":"10.14797/mdcvj.1771","DOIUrl":"10.14797/mdcvj.1771","url":null,"abstract":"<p><p>Coronary artery fistulas represent abnormal connections between the coronary arterial system and cardiac chambers or other vascular structures. Depending on various morphological characteristics of the fistula, the clinical presentation may vary from being asymptomatic to having clinically significant myocardial ischemia. The present case highlights a rare instance of a right coronary artery to coronary sinus fistula with a giant coronary sinus aneurysm.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 1","pages":"11-13"},"PeriodicalIF":0.0,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203296","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}
{"title":"Intramyocardial Lipoma of the Left Ventricle: A Diagnostic Conundrum Solved with Multimodality Imaging.","authors":"Arun Sharma, Mansi Verma, Shouvik Paul, Anuja Gadre, Manoj Kumar Rohit, Manphool Singhal","doi":"10.14797/mdcvj.1767","DOIUrl":"10.14797/mdcvj.1767","url":null,"abstract":"<p><p>Intramyocardial lipomas are rare benign cardiac tumors that often present a diagnostic dilemma due to their nonspecific clinical and imaging features on initial evaluation. We report the case of a 40-year-old asymptomatic male who presented with a large intramyocardial lipoma arising from the basal inferior wall of the left ventricle. Initial transthoracic echocardiography revealed an echogenic mass in the region of the left ventricle basal septum but was insufficient for definite characterization. Cross-sectional imaging, including computed tomography (CT) and cardiac magnetic resonance imaging (MRI), demonstrated a homogeneous fat-density mass consistent with lipoma. This case highlights the pivotal role of multimodality imaging in accurately characterizing a rare primary cardiac tumor.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 1","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107759","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}
{"title":"Absent Left Main Coronary Artery with Separate Origin of Left Anterior Descending Artery and Left Circumflex Artery from Left Coronary Sinus.","authors":"Damandeep Singh, Niraj Nirmal Pandey, Neeraj Parakh","doi":"10.14797/mdcvj.1738","DOIUrl":"10.14797/mdcvj.1738","url":null,"abstract":"<p><p>We report a case of a 49-year-old female who presented with atypical chest pain. An electrocardiogram-gated coronary computed tomography angiography revealed the absence of the left main coronary artery segment with direct origin of the left anterior descending artery and the left circumflex artery from the left coronary sinus having separate ostia. The case highlights a rare anomaly of coronary artery origin with procedural implications.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 1","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12829449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054245","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}
Alicia Rangosch, Valeria E Duarte, Miguel A Quiñones
{"title":"Interatrial Septum Assessment Part 2: Sinus Venosus Defects.","authors":"Alicia Rangosch, Valeria E Duarte, Miguel A Quiñones","doi":"10.14797/mdcvj.1778","DOIUrl":"https://doi.org/10.14797/mdcvj.1778","url":null,"abstract":"<p><p>This 11-minute video aims at improving skills for the structural assessment of sinus venosus defects using 2-dimensional transthoracic echocardiography (TTE) to increase the ability to diagnose-or rule out-the different types of interatrial communications. Of the five types of lesions, this video focuses on superior and inferior sinus venosus defects. This is the second video in our MicroLearning Video Series, designed to help a target audience of sonographers, general cardiologists, general practitioners who want to gain knowledge on fundamental cardiology, and technicians. View the video at https://vimeo.com/1153585209.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12802100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991257","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}
Miguel A Quiñones, Alan Lumsden, Stuart Corr, Jacob Watson, Trisha L Roy, Charudatta Bavare, M Ali Tavallaei
{"title":"Vascular Robotics: Webcast.","authors":"Miguel A Quiñones, Alan Lumsden, Stuart Corr, Jacob Watson, Trisha L Roy, Charudatta Bavare, M Ali Tavallaei","doi":"10.14797/mdcvj.1770","DOIUrl":"https://doi.org/10.14797/mdcvj.1770","url":null,"abstract":"<p><p>This 55-minute webcast features a conversation about \"Vascular Robotics\"-the focus of Issue 21.5. Led by the issue's editors, the discussion engages the authors on emerging themes and lessons learned while researching and writing the articles. View the video at https://vimeo.com/event/5556427.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 1","pages":"132-134"},"PeriodicalIF":0.0,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203286","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}
Miguel A Quiñones, Cindy Martin, Mehmet Hakan Akay, Kelly H Schlendorf, Rayan Yousefzai, James B Young
{"title":"Heart Transplantation: Webcast June 5 2025.","authors":"Miguel A Quiñones, Cindy Martin, Mehmet Hakan Akay, Kelly H Schlendorf, Rayan Yousefzai, James B Young","doi":"10.14797/mdcvj.1739","DOIUrl":"10.14797/mdcvj.1739","url":null,"abstract":"<p><p>This 62-minute webcast features a conversation about \"Heart Transplantation\"-the focus of Issue 21.3. Led by the issue's editor, the discussion engages the authors on emerging themes and lessons learned while researching and writing the articles. View the video at https://vimeo.com/event/5134934.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 3","pages":"117-119"},"PeriodicalIF":0.0,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12716250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805842","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}
Miguel A Quiñones, Nadeen N Faza, Joe Aoun, Attila Feher, Aleesha Kainat, Purvi Parwani, Akash H Patel
{"title":"Coronary Artery Disease: Webcast October 22 2025.","authors":"Miguel A Quiñones, Nadeen N Faza, Joe Aoun, Attila Feher, Aleesha Kainat, Purvi Parwani, Akash H Patel","doi":"10.14797/mdcvj.1740","DOIUrl":"https://doi.org/10.14797/mdcvj.1740","url":null,"abstract":"<p><p>This 58-minute webcast features a conversation about \"Coronary Artery Disease\"-the focus of Issue 21.4. Led by the issue's guest editors, the discussion engages the authors on emerging themes and lessons learned while researching and writing the articles on Coronary Artery Disease. View the video at https://vimeo.com/event/5440083.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 4","pages":"136-138"},"PeriodicalIF":0.0,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12758104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901308","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}
{"title":"Cardiac MRI of a Left Ventricular Intramyocardial Suspected Hydatid Cyst.","authors":"Neda Nilforoushan, Hassan Saleem, Muhammad Umair","doi":"10.14797/mdcvj.1723","DOIUrl":"10.14797/mdcvj.1723","url":null,"abstract":"<p><p>A 19-year-old man with chest pain underwent cardiac magnetic resonance imaging (MRI), which identified a multilobulated cyst with internal septations located in the lateral left ventricular myocardium, consistent with a hydatid cyst. High-resolution cine and late gadolinium enhancement imaging demonstrated its structure and myocardial involvement. This case shows the capability of cardiac MRI in diagnosing rare cardiopericardial hydatid disease.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 1","pages":"127-131"},"PeriodicalIF":0.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12716245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805844","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}
{"title":"Split Right Coronary Artery With Sinister Intra-Atrial Course of Posterior Trunk.","authors":"Damandeep Singh, Vineeta Ojha, Niraj Nirmal Pandey, Sourabh Agstam","doi":"10.14797/mdcvj.1730","DOIUrl":"10.14797/mdcvj.1730","url":null,"abstract":"<p><p>We report the case of a 79-year-old male with atypical chest pain where electrocardiogram-gated coronary computed tomography angiography (CTA) demonstrated a split right coronary artery with an intra-atrial course of the posterior trunk. This case highlights the clinical implications of the rare anomaly and the importance of coronary CTA in detecting this unusual variant, which will be missed even on invasive coronary angiography.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"21 1","pages":"123-126"},"PeriodicalIF":0.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12700144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757676","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}