March 2005

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Volume 17 Issue 3
Selective angiography of the left main coronary artery (LMCA) in a LAO projection reveals an apparent significant stenotic lesion in its mid-portion.
Catheter-induced Spasm of the Left Main Coronary Artery Due to Anatomic “Kinking” in Its Course
Catheter-induced spasm of the left main coronary artery is rare but has been previously reported. The accurate diagnosis and differentiation of left main coronary spasm from fixed left main obstructive disease has obvious significant clinical implica…
A) Posteroanterior chest X-Ray demonstrating appropriate lead placement in the right ventricular apex.
“Twiddling” to the Extreme: Development of Twiddler Syndrome in an Implanted Cardioverter-Defibrillator
Twiddler syndrome is an infrequent but potentially dangerous complication of device therapy for dysrhythmias. This syndrome results from the manipulation of the implanted pulse generator by the patient, leading to traction and subsequent lead dislodg…
Sequence of the selective injection of the left gastric artery with aortic origin. (A) Beginning of the selective injection, proximal stenosis and vascularization of the gastric fundus. (B) and (C) The contrast fills in a retrograde manner the vessels of
Endovascular Treatment of a Stenosed Anomalous Left Gastric Artery: Unique Open Artery of the Gastrointestinal Tract
Case report. We report the case of a 46-year-old male who presented with an 18-month history of postprandial abdominal pain that had worsened during the previous two months, diarrhea, and a 12 kg weight lost. His previous medical history included sur…
Editor's Message (March 2005)
Dear Readers, This issue of the Journal of Invasive Cardiology, which coincides with the American College of Cardiology Annual Scientific Sessions, includes original research articles, case reports, editorials, a review, and articles from the journa…
Eccentric, hazy proximal stenosis in saphenous vein graft to obtuse marginal branch.
Percutaneous Management of a Saphenous Venous Graft Leaking Pseudoaneurysm
Case report. A 73-year-old male with a previous history of four-vessel coronary artery bypass graft surgery (CABG; LIMA-LAD, SVG-OM3, sequential SVG to RPDA-RPL) in 1985 presented with chest pain consistent with unstable angina. Medical history was s…
(A) In-stent restenosis on a proximal left anterior descending artery (arrow); (B) buddy wiring for balloon positioning; (C) final result.
Use of a Second, “Buddy” Wire During Percutaneous Coronary Interventions: A Simple Solution for Some Challenging Situations
The appropriate selection of the type of guide wire and its correct manipulation and positioning inside the coronary vessels are essential for successful percutaneous intervention (PCI). In most procedures, one guide wire is sufficient to allow the o…
To Pump or Not to Pump: A Surgeon’s View on Randomization
25 Years Later
Historia magistra vitae est. Cicero, Tusculanas, 2 A look at the historical evolution of coronary bypass surgery is helpful in understanding the dilemma facing cardiac surgeons today. What is the ideal technique to achieve the best surgical revascu…
100% mid-left anterior descending (LAD) coronary artery lesion (arrow).
Delayed Healing of a Coronary Artery Plaque Ulceration Associated with Acute Myocardial Infarction Related to a Paclitaxel-eluti
Drug-eluting stents (DES) have had a significant impact on restenosis rates after elective percutaneous coronary intervention (PCI) in clinical practice. The use of specially-designed coatings to release a cytostatic or cytotoxic agent within a defin…
Electrocardiogram on presentation to the emergency room.
Coronary Artery Stenting for Acute Myocardial Infarction Secondary to Mild, Blunt Chest Trauma in a Soccer Player
Case Report. A 35-year-old healthy male with no significant previous medical illness presented to the emergency room with 24 hours of dull constant pain across his chest. Prior to the onset, he had collided with another player during a competitive so…
Black Aorta: A Rare Finding at Aortic Valve Replacement
Case report. A 73-year-old male presented to his cardiologist with complaints of dyspnea on exertion over the past two years. The dyspnea had been progressively worsening over the previous three months, to the point where the patient had to stop and…