Double Trouble: Bilateral Coronary Artery Fistulae - A Case Report
James Millhouse, MD, Harish Kamalanathan, MD, Kuljit Singh, MBBS, FRACP, PhD and Selvanayagam Niranjan, MD, FRACP
Article Type: Case Report | First Published: 2024/01/16
Coronary artery fistulas are abnormal communications between the coronary arteries and other cardiac or pulmonary structures. Many patients are asymptomatic; however, symptoms and complications may develop with increasing age. We discuss a rare case of a 56-year-old woman presenting with chest pain WHO was found to have bilateral coronary fistulae. We also review relevant literature regarding diagnosis and management options....
A Young African Man with Familial Hypercholesterolemia Presenting with Coronary Artery Disease
Justine Namukasa, Daniel Iraguha, Happy Lilian Mbabazi, Isaac Ssinabulya and Charles Lugero
Article Type: Case Report | First Published: 2023/12/24
40-year-old African man presented with typical anginal pain and cutaneous swelling. Examination revealed had corneal arcus, multiple tendon xanthomas and xanthelasmas. The investigation panel showed dyslipidemia with very high total cholesterol of 642.3 mg/dl, very high low-density lipoprotein of 531 mg/dl, low high-density lipoprotein of 36.7 mg/dl and high triglyceride of 248.1 mg/dl and he had a positive stress test....
Cardiac Tamponade as the First Manifestation of a Systemic Disease
Maria Inês Barradas, MD, Fabiana Duarte, MD, Inês Coutinho dos Santos, MD, Anabela Tavares, MD and Dinis Martins, MD
Article Type: Case Report | First Published: 2023/12/03
Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease characterized by multisystem inflammation, and is a common cause of pericarditis and pericardial effusion, but significant pericardial effusion and cardiac tamponade are rare and even rarer as the first manifestation. We report the case of a young male who presented with fever, recurrent pericarditis and polyserositis with pericardial and bilateral pleural effusion....
Deferred vs. Performed Percutaneous Coronary Intervention for Coronary Stenosis with Grey-Zone Fractional Flow Reserve Values
Mohamed Abdelsalam Ali Mousa, MD, Hesham Hegazy Ali, MD, Mohamed Ahmed Oraby, MD, Walid Hassan, MD, MACP, FAHA, FACC, FACP and Ahmed Hassan Abdelmoneim, MD
Article Type: Research Article | First Published: 2023/10/21
Fractional flow reserve (FFR)-guided percutaneous coronary intervention (PCI) has shown better clinical outcomes than conventional angiography-guided PCI. The optimal FFR cut-off value for revascularization is debated. With FFR ≤ 0.75, revascularization for coronary artery disease (CAD) stenosis is associated with improved clinical outcomes, whereas with FFR ≥ 0.8, medical treatment has been shown to result in favorable long-term outcomes. ...
Right Ventricular Mass: A Unique Approach to Tissue Diagnosis
Bistees George, MD, Marina Sharif, MD, Rishi Bolla, BS, Shaheen Muhammad, MD and Stephen Cook, MD
Article Type: Case Report | First Published: 2023/10/05
A 57-year-old male with history of head and neck squamous cell carcinoma (HNSCC), in remission, presented with face and neck swelling and dyspnea. He was found to have recurrence of his HNSCC at the base of his tongue and a new right ventricular mass. Two endomyocardial biopsy attempts yielded benign tissue. A trans-jugular core needle biopsy performed, under fluoroscopy and intracardiac echocardiogram (ICE) guidance, revealed metastasis of primary tumor....
A Rare Case of IgG4-Related Disease Manifesting as Constrictive Pericarditis
Bistees George, MD, Eric Bain, MD, Justin Meier, MD, Justin S Stano, MD and Upasana Jarori, MD
Article Type: Case Report | First Published: 2023/09/15
Constrictive pericarditis (CP) can occur secondary to multiple etiologies such as idiopathic pericarditis, post-cardiovascular surgeries, post-chest radiation therapy, and rarely rheumatologic diseases. We report a rare case of a 41-year-old male who was found to have IgG4-related disease (RD) manifesting as isolated constrictive pericarditis treated with pericardiectomy and immunosuppressive agents....