July 2003

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Volume 15 Issue 9
Coronary artery bypass graft surgery (CABG) is an established form of revascularization, typically associated with improved survival. However, CABG has its own inherent deficiencies, including recurrent ischemia, venous graft failure and the need for…
Dear Readers, This issue of the Journal of Invasive Cardiology marks the beginning of a new home for the journal and for the editor-in-chief. Management of the journal will now be coordinated from the office of the Joint Cardiac Program of Sutter He…
Coronary subclavian steal syndrome is a variant of subclavian steal syndrome. It consists of obstructive atherosclerotic disease of the proximal subclavian artery in the presence of a patent internal mammary artery that has been previously used as an…
Cardiogenic shock occurs in about 10% of hospitalized patients with acute myocardial infarction (AMI).1 Despite the use of early reperfusion therapies with thrombolysis or percutaneous coronary intervention (PCI), the mortality in these patients rema…
Atrial septal defect (ASD) is one of the most common congenital cardiac anomalies encountered in adults.1 Surgical ASD closure leads to improved functional status, reduces the risk of progressive right-sided failure and prevents the development of se…
Since the initial description in the mid 1970s by King and Mills et al.1–3 of an atrial septal defect occluding device, a number of other devices have been studied, including: Rashkind’s devices (hooked and double umbrella), Clamshell occluder, butto…
Unfractionated heparin (UFH) is the current antithrombotic agent utilized during peripheral angioplasty procedures (PTA). UFH has an unpredictable anticoagulation response, is an indirect thrombin inhibitor, does not inhibit bound thrombin and activa…
Pseudoaneurysms of saphenous vein grafts are rare following coronary artery bypass surgery. They occur most often at the proximal anastomosis secondary to vessel layer disruption. Rarely do they occur distally. We report the case of a pseudoaneurysm…
Aortic dissection is a rare complication of percutaneous coronary intervention (PCI).1,9 It can be life-threatening and warrants immediate diagnosis and treatment, which may be conservative,1,3 surgical, or stenting.4–6,8,9 We describe a patient in w…
Patent foramen ovale (PFO) is a common phenomenon, affecting approximately one-quarter of the normal healthy population. The prevalence of PFO in patients with ischemic stroke is significantly higher than in the normal population.1 Many patients with…