CASE (Philadelphia, Pa.)Pub Date : 2026-10-01Epub Date: 2026-08-03DOI: 10.1016/j.case.2026.05.012
Thomas Holman MD, Mikhail Torosoff MD, PhD
{"title":"A Leak before the Beat: Diastolic Atrioventricular Regurgitation in Conduction Disease","authors":"Thomas Holman MD, Mikhail Torosoff MD, PhD","doi":"10.1016/j.case.2026.05.012","DOIUrl":"10.1016/j.case.2026.05.012","url":null,"abstract":"<div><ul><li><span>•</span><span><div>Diastolic MR and TR are common findings in AVB.</div></span></li><li><span>•</span><span><div>Diastolic MR and TR reflect delayed valve closure, not primary valve disease.</div></span></li><li><span>•</span><span><div>Diastolic regurgitant jets are typically central and low velocity.</div></span></li><li><span>•</span><span><div>Diastolic MR and TR can signal elevated end-diastolic ventricular pressure.</div></span></li></ul></div><div><span><figure><span><img><ol><li><span><span>Download: <span>Download high-res image (168KB)</span></span></span></li><li><span><span>Download: <span>Download full-size image</span></span></span></li></ol></span></figure></span></div>","PeriodicalId":72532,"journal":{"name":"CASE (Philadelphia, Pa.)","volume":"10 10","pages":"Pages 448-452"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214372","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":"Postsurgical Pseudoaneurysm of the Mitral-Aortic Intervalvular Fibrosa in a 3-Year-Old Boy","authors":"Nikita Garg MD, Mamdouh Al-Ahmadi MD, Yamuna Sanil MD, Deemah Mahadin MD","doi":"10.1016/j.case.2026.05.002","DOIUrl":"10.1016/j.case.2026.05.002","url":null,"abstract":"<div><ul><li><span>•</span><span><div>MAIVF pseudoaneurysm is a rare, high-risk complication after cardiac surgery.</div></span></li><li><span>•</span><span><div>Echocardiography is the primary tool for detecting this rare MAIVF pseudoaneurysm.</div></span></li><li><span>•</span><span><div>Color-flow Doppler is essential to identify systolic expansion and flow in the MAIVF.</div></span></li><li><span>•</span><span><div>Sharp membrane excision near the MV increases iatrogenic injury risk.</div></span></li><li><span>•</span><span><div>Prompt surgical patch repair of the MAIVF curtain prevents further morbidity.</div></span></li></ul></div><div><span><figure><span><img><ol><li><span><span>Download: <span>Download high-res image (157KB)</span></span></span></li><li><span><span>Download: <span>Download full-size image</span></span></span></li></ol></span></figure></span></div>","PeriodicalId":72532,"journal":{"name":"CASE (Philadelphia, Pa.)","volume":"10 10","pages":"Pages 419-422"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214424","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}
CASE (Philadelphia, Pa.)Pub Date : 2026-10-01Epub Date: 2026-10-19DOI: 10.1016/j.case.2026.08.002
Vincent L. Sorrell MD, FACP (honorary), FACC, FASE, FSCCT, FSCMR, CASE Editor-in-Chief
{"title":"The Cover of (The Rolling Stone) CASE","authors":"Vincent L. Sorrell MD, FACP (honorary), FACC, FASE, FSCCT, FSCMR, CASE Editor-in-Chief","doi":"10.1016/j.case.2026.08.002","DOIUrl":"10.1016/j.case.2026.08.002","url":null,"abstract":"","PeriodicalId":72532,"journal":{"name":"CASE (Philadelphia, Pa.)","volume":"10 10","pages":"Pages 411-413"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214501","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}
CASE (Philadelphia, Pa.)Pub Date : 2026-10-01Epub Date: 2026-08-21DOI: 10.1016/j.case.2026.07.004
Michael Sammaan MBBCH, MRCPCH, Michael Moore, Suhair Shebani MBBCh, MSc, MD, FRCPCH
{"title":"Myocardial Work Assessment in Pediatric Subaortic Stenosis: Should the Doppler Gradient Be Added?","authors":"Michael Sammaan MBBCH, MRCPCH, Michael Moore, Suhair Shebani MBBCh, MSc, MD, FRCPCH","doi":"10.1016/j.case.2026.07.004","DOIUrl":"10.1016/j.case.2026.07.004","url":null,"abstract":"<div><ul><li><span>•</span><span><div>MW in LVOT obstruction depends on how LV pressure is estimated.</div></span></li><li><span>•</span><span><div>Whether to add LVOT gradient remains methodologically unresolved.</div></span></li><li><span>•</span><span><div>Gradient addition is physiologic but unvalidated in children.</div></span></li><li><span>•</span><span><div>Adjusted methods increase MW indices versus standard approach.</div></span></li><li><span>•</span><span><div>Consistent methods and clear reporting are essential in follow-up.</div></span></li></ul></div><div><span><figure><span><img><ol><li><span><span>Download: <span>Download high-res image (258KB)</span></span></span></li><li><span><span>Download: <span>Download full-size image</span></span></span></li></ol></span></figure></span></div>","PeriodicalId":72532,"journal":{"name":"CASE (Philadelphia, Pa.)","volume":"10 10","pages":"Pages 444-447"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214495","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}
CASE (Philadelphia, Pa.)Pub Date : 2026-10-01Epub Date: 2026-08-20DOI: 10.1016/j.case.2026.06.005
Kevin Lipat DO, PharmD, Harpreet Sodhi, Yekaterina Kim MD, FACC
{"title":"Comprehensive Echocardiographic Evaluation of Stroke in a Young Adult","authors":"Kevin Lipat DO, PharmD, Harpreet Sodhi, Yekaterina Kim MD, FACC","doi":"10.1016/j.case.2026.06.005","DOIUrl":"10.1016/j.case.2026.06.005","url":null,"abstract":"<div><ul><li><span>•</span><span><div>The incidence and etiology of stroke differ across age groups.</div></span></li><li><span>•</span><span><div>TEE can clarify the etiology of embolic stroke.</div></span></li><li><span>•</span><span><div>Comprehensive TEE requires a systematic evaluation of cardiac and aortic structures.</div></span></li></ul></div><div><span><figure><span><img><ol><li><span><span>Download: <span>Download high-res image (261KB)</span></span></span></li><li><span><span>Download: <span>Download full-size image</span></span></span></li></ol></span></figure></span></div>","PeriodicalId":72532,"journal":{"name":"CASE (Philadelphia, Pa.)","volume":"10 10","pages":"Pages 439-443"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214500","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}
CASE (Philadelphia, Pa.)Pub Date : 2026-10-01Epub Date: 2026-07-14DOI: 10.1016/j.case.2026.06.002
Omar Baqal MD, Luke Dreher MD, Reza Arsanjani MD, Dan Sorajja MD, Steven Lester MD
{"title":"Giant T-Wave Inversions and Apical Thickening in a Patient with Central Nervous System Lymphoma","authors":"Omar Baqal MD, Luke Dreher MD, Reza Arsanjani MD, Dan Sorajja MD, Steven Lester MD","doi":"10.1016/j.case.2026.06.002","DOIUrl":"10.1016/j.case.2026.06.002","url":null,"abstract":"<div><ul><li><span>•</span><span><div>Cerebral T-waves can rarely co-occur with subacute, space-occupying cerebral lesions.</div></span></li><li><span>•</span><span><div>LV thickening and apical pouch formation with cerebral T-waves have not been reported.</div></span></li><li><span>•</span><span><div>These findings may reflect transient neurocardiogenic effects.</div></span></li><li><span>•</span><span><div>Myocardial ischemia, infiltrative processes, and drug toxicity must also be considered.</div></span></li></ul></div><div><span><figure><span><img><ol><li><span><span>Download: <span>Download high-res image (300KB)</span></span></span></li><li><span><span>Download: <span>Download full-size image</span></span></span></li></ol></span></figure></span></div>","PeriodicalId":72532,"journal":{"name":"CASE (Philadelphia, Pa.)","volume":"10 10","pages":"Pages 423-427"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214497","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}
CASE (Philadelphia, Pa.)Pub Date : 2026-10-01Epub Date: 2026-06-30DOI: 10.1016/j.case.2026.05.008
Arezoo Hajiali MD, Reza Hali MD, Saba Mohammadzadeh MD
{"title":"A Self-Inflicted Intracardiac Foreign Body Traversing the Ventricular Septum","authors":"Arezoo Hajiali MD, Reza Hali MD, Saba Mohammadzadeh MD","doi":"10.1016/j.case.2026.05.008","DOIUrl":"10.1016/j.case.2026.05.008","url":null,"abstract":"<div><ul><li><span>•</span><span><div>Multimodality imaging is vital for diagnosing complex intracardiac foreign bodies.</div></span></li><li><span>•</span><span><div>Chronic needle injuries may present as masses mimicking thrombus on imaging.</div></span></li><li><span>•</span><span><div>Histopathology is essential to differentiate fibroconnective tissue from thrombi.</div></span></li><li><span>•</span><span><div>Imaging facilitates precise surgical planning for objects traversing the septum.</div></span></li><li><span>•</span><span><div>Collateral history is key when clinical narratives are unreliable or withheld.</div></span></li></ul></div><div><span><figure><span><img><ol><li><span><span>Download: <span>Download high-res image (344KB)</span></span></span></li><li><span><span>Download: <span>Download full-size image</span></span></span></li></ol></span></figure></span></div>","PeriodicalId":72532,"journal":{"name":"CASE (Philadelphia, Pa.)","volume":"10 10","pages":"Pages 428-433"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214498","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}
CASE (Philadelphia, Pa.)Pub Date : 2026-10-01Epub Date: 2026-08-22DOI: 10.1016/j.case.2026.06.006
Lars Ege Rasmussen MD, Christian Alcaraz Frederiksen MD, PhD, Thomas Krusenstjerna-Hafstrøm MD, PhD, Henrik Vase MD, PhD
{"title":"The Hidden Danger of Aortic Stenosis—Exercise-Induced Cardiac Arrest in a Young Man with Bicuspid Aortic Valve","authors":"Lars Ege Rasmussen MD, Christian Alcaraz Frederiksen MD, PhD, Thomas Krusenstjerna-Hafstrøm MD, PhD, Henrik Vase MD, PhD","doi":"10.1016/j.case.2026.06.006","DOIUrl":"10.1016/j.case.2026.06.006","url":null,"abstract":"<div><ul><li><span>•</span><span><div>BAoV is the most common congenital heart disease.</div></span></li><li><span>•</span><span><div>Underestimating AS using TTE is rare.</div></span></li><li><span>•</span><span><div>The consequences of underestimating severe AS can be fatal.</div></span></li><li><span>•</span><span><div>Extensive diagnostic workup is advised when symptoms and TTE findings are discordant.</div></span></li></ul></div><div><span><figure><span><img><ol><li><span><span>Download: <span>Download high-res image (212KB)</span></span></span></li><li><span><span>Download: <span>Download full-size image</span></span></span></li></ol></span></figure></span></div>","PeriodicalId":72532,"journal":{"name":"CASE (Philadelphia, Pa.)","volume":"10 10","pages":"Pages 414-418"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214502","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}
CASE (Philadelphia, Pa.)Pub Date : 2026-09-01Epub Date: 2026-06-26DOI: 10.1016/j.case.2026.05.004
Qui Minh Nguyen MD, MSc, Nang Thin Zar Aye MBBS, MSc, MRCP (UK), Mindy Chu Ming Choong MBBS, Mamdouh Elsmaan MD, MSc, Nirmitha Jayaratne BSc (Hons), MBBS, MRCP (UK), Sabiha Gati BSc (Hons), MBBS, MRCP (UK), PhD, FESC
{"title":"Biventricular Arrhythmogenic Cardiomyopathy: Diagnostic Insights from Cardiovascular Magnetic Resonance","authors":"Qui Minh Nguyen MD, MSc, Nang Thin Zar Aye MBBS, MSc, MRCP (UK), Mindy Chu Ming Choong MBBS, Mamdouh Elsmaan MD, MSc, Nirmitha Jayaratne BSc (Hons), MBBS, MRCP (UK), Sabiha Gati BSc (Hons), MBBS, MRCP (UK), PhD, FESC","doi":"10.1016/j.case.2026.05.004","DOIUrl":"10.1016/j.case.2026.05.004","url":null,"abstract":"<div><ul><li><span>•</span><span><div>ACM is an uncommon but important cause of chest pain.</div></span></li><li><span>•</span><span><div>ACM should be suspected in individuals presenting with VAs.</div></span></li><li><span>•</span><span><div>Echocardiography should be the initial screening tool for ACM.</div></span></li><li><span>•</span><span><div>Three-dimensional TTE or CMR may be considered if clinical suspicion of ACM persists.</div></span></li><li><span>•</span><span><div>CMR plays a crucial role in diagnosing and risk-stratifying ACM.</div></span></li></ul></div><div><span><figure><span><img><ol><li><span><span>Download: <span>Download high-res image (280KB)</span></span></span></li><li><span><span>Download: <span>Download full-size image</span></span></span></li></ol></span></figure></span></div>","PeriodicalId":72532,"journal":{"name":"CASE (Philadelphia, Pa.)","volume":"10 9","pages":"Pages 382-388"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149007148","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}