Acta cardiologicaPub Date : 2026-09-01Epub Date: 2026-05-11DOI: 10.1080/00015385.2026.2621452
Mengqi Tang, Yanqiu Zhang, Chao Yuan, Yafeng He, Xiaojing Ma
{"title":"Asymmetric biatrial myxoma: a case of a large left atrial tumor with an 'easily overlooked small tail' in the right atrium.","authors":"Mengqi Tang, Yanqiu Zhang, Chao Yuan, Yafeng He, Xiaojing Ma","doi":"10.1080/00015385.2026.2621452","DOIUrl":"10.1080/00015385.2026.2621452","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"850-851"},"PeriodicalIF":4.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147866242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta cardiologicaPub Date : 2026-09-01Epub Date: 2026-06-25DOI: 10.1080/00015385.2026.2690278
Jie Wang, Ping Hu, Li-Yong Ge, Di Zhou, Xiao-Jing Ma
{"title":"From complexity to cure: hybrid management of a giant Innominate artery pseudoaneurysm.","authors":"Jie Wang, Ping Hu, Li-Yong Ge, Di Zhou, Xiao-Jing Ma","doi":"10.1080/00015385.2026.2690278","DOIUrl":"10.1080/00015385.2026.2690278","url":null,"abstract":"<p><p>A 72-year-old man presented with a six-month history of intermittent fever and elevated inflammatory markers (C-reactive protein 13.6 mg/L; erythrocyte sedimentation rate 60 mm/h). He denied any history of trauma, infection, or prior cardiothoracic surgery. Contrast-enhanced computed tomography angiography revealed a 46 × 36 mm pseudoaneurysm at the terminal segment of the innominate artery, containing mural thrombus and communicating with the parent vessel <i>via</i> a 5-mm neck (Figure 1(A-C); Supplementary Video 1). Although infective work-up was declined by the patient, the clinical and imaging features raised strong suspicion for an infectious aetiology. A hybrid repair was therefore performed: first, a right carotid-subclavian bypass using an 8 mm GORE-TEX graft, followed by endovascular exclusion of the pseudoaneurysm with a 12 × 100 mm GORE PLC covered stent. Adjunctive embolisation of the residual sac was achieved using detachable coils and a 14-16-mm Amplatzer vascular plug (Figure 1(D); Supplementary Video 2). The patient recovered uneventfully, completed a two-week course of oral cefuroxime axetil, and remained afebrile at three-month follow-up with complete resolution of symptoms. Infectious pseudoaneurysms of the innominate artery are exceedingly rare, typically arising post-trauma or post-surgery [1,2]. This case presents a rare instance of an innominate artery pseudoaneurysm manifesting with systemic inflammation in the absence of preceding trauma or iatrogenic injury. The adopted hybrid strategy-combining carotid-subclavian bypass, endovascular exclusion, and adjunctive embolisation-represent a less invasive yet effective option for managing such complex supra-aortic lesions, potentially offering durable exclusion while maintaining cerebral perfusion. The uneventful recovery and symptom resolution at three months support hybrid repair as a viable strategy in select cases, though long-term surveillance remains essential given the risk of late graft infection or recurrence.</p>","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"861-862"},"PeriodicalIF":4.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta cardiologicaPub Date : 2026-09-01Epub Date: 2026-06-24DOI: 10.1080/00015385.2026.2690710
Dandan Chen, Shengpeng Guo, Zheng Liu, Qingkun Fan, Li Wang
{"title":"From 'Pseudo-Fabry' to true hypertrophic cardiomyopathy: a case of artefactual T1 reduction due to contrast contamination.","authors":"Dandan Chen, Shengpeng Guo, Zheng Liu, Qingkun Fan, Li Wang","doi":"10.1080/00015385.2026.2690710","DOIUrl":"10.1080/00015385.2026.2690710","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"863-864"},"PeriodicalIF":4.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148306651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aortic band: a rare mimicker of aortic dissection.","authors":"Damandeep Singh, Lamk Kadiyani, Niraj Nirmal Pandey","doi":"10.1080/00015385.2026.2677222","DOIUrl":"10.1080/00015385.2026.2677222","url":null,"abstract":"<p><p>We report a case of 21 years old male with Tetralogy of Fallot who underwent electrocardiogram-gated cardiac computed tomography angiography (CCTA) as part of preoperative evaluation. CCTA revealed a linear hypodense band within the ascending aorta, just proximal to origin of right brachiocephalic trunk, connecting the anterior and posterior walls. This case highlights the importance of CCTA in identifying such uncommon anatomical entities which can mimic aortic dissection on imaging and may predispose to unwarranted emergent surgical explorations, despite their indolent nature.</p>","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"857-858"},"PeriodicalIF":4.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147979969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta cardiologicaPub Date : 2026-08-26DOI: 10.1080/00015385.2026.2698745
Sebastien Selleslag, Jesse Marrannes, Lawrence Bonne, Andries Van Holsbeeck, Joost Kager, Johan Ghekiere, Eveline Claus, Jo Peluso, Annouschka Laenen, Thomas Vanassche, Marion Delcroix, Laurent Godinas, Emanuele Muscogiuri, Marijke Peetermans, Peter Verhamme, Pascal Frederiks, Tom Adriaenssens, Tom Verbelen, Peter Vanbrabant, Ken De Smet, Andreas Verstraete, Filip Van Den Brande, Evi Steen, Sarah Deseyne, Veerle Ringoet, Jan Van Der Heyden, Marie De Vos, Geert Maleux
{"title":"First Belgian experience with large-bore mechanical thrombectomy in acute pulmonary embolism using the FlowTriever<sup>®</sup> system: a bi-centre retrospective analysis.","authors":"Sebastien Selleslag, Jesse Marrannes, Lawrence Bonne, Andries Van Holsbeeck, Joost Kager, Johan Ghekiere, Eveline Claus, Jo Peluso, Annouschka Laenen, Thomas Vanassche, Marion Delcroix, Laurent Godinas, Emanuele Muscogiuri, Marijke Peetermans, Peter Verhamme, Pascal Frederiks, Tom Adriaenssens, Tom Verbelen, Peter Vanbrabant, Ken De Smet, Andreas Verstraete, Filip Van Den Brande, Evi Steen, Sarah Deseyne, Veerle Ringoet, Jan Van Der Heyden, Marie De Vos, Geert Maleux","doi":"10.1080/00015385.2026.2698745","DOIUrl":"https://doi.org/10.1080/00015385.2026.2698745","url":null,"abstract":"<p><strong>Background: </strong>Pulmonary embolism (PE) is a major cause of cardiovascular morbidity and mortality. Large-bore mechanical thrombectomy (LBMT) is an emerging treatment for high-risk and intermediate-high-risk PE, particularly in patients with contraindications to thrombolysis. We evaluated the safety, efficacy, and clinical outcomes of LBMT using the FlowTriever<sup>®</sup> system in a bi-centre cohort.</p><p><strong>Methods: </strong>We retrospectively analysed patients treated with FlowTriever<sup>®</sup> for acute PE between February 2022 and November 2024 at two high-volume Belgian centres. Clinical, hemodynamic, and procedural data were collected. Primary endpoints were reduction in mean pulmonary artery pressure (mPAP), major procedural complications, and 30-day mortality. Secondary endpoints included technical success and length of ICU and hospital stay.</p><p><strong>Results: </strong>Sixty patients (mean age 61.9 ± 13.9 years; 51.7% male) underwent LBMT; 81.7% had intermediate-high-risk and 13.3% high-risk PE. Technical success was achieved in 96.7% of cases. Mean mPAP decreased by 27% (<i>p</i> < 0.0001). Major complications occurred in 5%, including two pulmonary artery perforations in acute-on-chronic PE and one intraoperative cardiac arrest. No major bleeding events were observed. Thirty-day mortality was 5%, and survival to discharge was 93.3%. Median ICU and hospital stays were 3 [2-6] and 7 [5-12] days. Elevated lactate was significantly associated with adverse outcomes (<i>p</i> = 0.009).</p><p><strong>Conclusion: </strong>LBMT with FlowTriever<sup>®</sup> achieved rapid hemodynamic improvement and high technical success in selected patients. Careful selection and operator experience are essential. Prospective comparative studies are needed to clarify long-term benefit and optimise treatment strategies.</p>","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-11"},"PeriodicalIF":4.0,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta cardiologicaPub Date : 2026-08-26DOI: 10.1080/00015385.2026.2723344
Ilire Imeri, Stijn Lochy, Danièle Plein, Xavier Galloo, Philippe Unger
{"title":"Patent foramen ovale closure in adolescents: an anatomical and a knowledge gap.","authors":"Ilire Imeri, Stijn Lochy, Danièle Plein, Xavier Galloo, Philippe Unger","doi":"10.1080/00015385.2026.2723344","DOIUrl":"https://doi.org/10.1080/00015385.2026.2723344","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-2"},"PeriodicalIF":4.0,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}