IHJ Cardiovascular Case Reports (CVCR)最新文献

We report a successful transcatheter exclusion of supra-celiac saccular aneurysm using duct occluder. Stent graft or covered stent was not considered in view of calcified irregular aorta with mild luminal narrowing. Duct occluder was positioned in reverse direction using bioptome. Follow-up assessment by CT angiogram showed complete exclusion of the aortic aneurysm.

We present the case of a 19-year-old woman who presented with cyanosis and on investigation (Multi Modality imaging) was found to have biventricular non-compaction associated with pulmonary arteriovenous malformation - an association not hitherto reported.

Intravascular lithotripsy (IVL) use in carotid artery stenting helps in debulking calcium. Vascular calcium remains a major predictor of failure of interventional procedure. There is fear of hemodynamic worsening and distal embolization with aggressive predilatation which can be prevented by use of IVL. Although it is an off-label use, we hereby report the first case of IVL use in carotid artery from India.

Entrapment of an undeflatable angioplasty balloon is a rare yet fatal complication of modern percutaneous coronary intervention that can lead to fatal sequelae such as myocardial infarction and life-threatening arrhythmia. We report a case of successful percutaneous retrieval of an entrapped inflated balloon with a broken shaft in a 65-year-old male. After a few failed endeavours, we succeeded using the buddy balloon technique to deflate the entrapped balloon, followed by snaring of the disrupted shaft with a goose neck snare.

Device embolization is an uncommon complication in the course of percutaneous coronary intervention (PCI). Newer balloon-mounted stents and advanced techniques have significantly reduced the incidence of stent dislodgement and embolization. However, it has not completely eliminated the risk. Here, we are reporting a case series of stent dislodgements while performing coronary angioplasty through radial artery access, which were managed by various approaches.

We report a case of CC-TGA with left AV mechanical prosthetic valve with systemic ventricular dysfunction who underwent successful transvenous permanent dual chamber pacing using coronary sinus.

Cardiac arrhythmias are common in patients of COVID -19 and frequently complicate the clinical course of critically ill patients. Life threatening arrhythmia including ventricular fibrillation less common but are reported to be more common in patients with elevated cardiac troponins. The mechanisms of arrhythmia in COVID 19 are multifactorial and arise from either direct cardiac involvement, from consequences systemic affection or drug interactions. The successful management requires correct identification of the cause. We report a case of VF storm in a patient with COVID 19 who responded to steroid therapy. Controlling the fulminant inflammation may reduce the burden of arrhythmia in appropriate cases.

Coronary artery perforation (CAP) is a potentially lethal complication of percutaneous coronary intervention. The risk of coronary perforation is associated with the complexity of the lesion. Severe coronary artery perforations is a rare but potentially life threatening complication which requires immediate intervention. We report a case of severe coronary artery perforation and its management using dual guide technique or ping pong technique.

Recurrent valvular pulmonary stenosis in patients with Tetralogy of Fallot (TOF) after corrective surgery is rare, with a few cases being reported. Repeat surgery is the usual management, and there is minimal experience with balloon valvuloplasty. Besides, the response of the reconstructed pericardial valve to balloon dilation is not known. We report valvular restenosis after TOF surgery in two patients, one of whom had a reconstructed pulmonary valve. The effectiveness of balloon valvuloplasty in these patients is discussed.

Primary Biliary Cholangitis (PBC) is a debilitating autoimmune disorder involving intrahepatic biliary ducts. It is characterized by chronic inflammation followed by fibrous obliteration of biliary ducts. This condition is rarely associated with pericardial effusion. The association of pericarditis and PBC is rare and identifies the existence of extensive systemic inflammation. In the literature, only 5 cases of this association are reported. As a specific systemic syndrome, this association should be evaluated and its prognostic consequences should be analyzed in depth. We report a case of life-threatening pericardial effusion progressing to tamponade with pericarditis in a 38-year-old female patient with PBC.