Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research