October 2011

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Volume 23 Issue 10
A Case of Effective Reduction in the Amount of Contrast Medium Using Selective Coronary Angiography with a Thrombus Aspiration Catheter
ABSTRACT: A 78-year-old male presented with exertional chest pain and renal dysfunction. Diagnostic coronary angiogram revealed severe subtotal occlusion in intermediate left anterior descending artery. We conducted percutaneous coronary intervention…
Complicated Transcatheter Closure of Postinfarction Ventricular Acute Septal Defect
ABSTRACT: The ventricular septal rupture is an uncommon complication of myocardial infarction (MI) with a reported incidence of 0.2% in the thrombolytic era. The outcome remains extremely poor, and surgical defect closure still remains the only thera…
Large Perfusion Defect on Scintigraphy Explained by Severe Microcirculatory Dysfunction
Case DescriptionA 71-year-old woman with a history of hypertension and intermittent atrial fibrillation was referred for evaluation of shortness of breath (New York Heart Association II-III) and atypical chest pain. The resting electrocardiogram was…
A Rare Anomaly of the Aortic Arch: Aberrant Right Subclavian Artery Associated with Common Carotid Trunk
ABSTRACT: With increasing use of transradial access (TRA) to perform coronary angiography, arterial anomalies of the upper extremity are more frequently encountered. We describe a patient with an aberrant right subclavian artery (RSCA) originating as…
Coronary Embolus Complicating Peripartum Cardiomyopathy
ABSTRACT: Peripartum cardiomyopathy is a rare disorder in which heart failure occurs during the last month of pregnancy or within 5 months of delivery, in the absence of any other etiology or prior heart disease.1 We present the case of a 42-year-old…
Aortic Regurgitation Following Transcatheter Closure of Aortopulmonary Window
ABSTRACT: Natural history of aortic regurgitation (AR) following transcatheter closure (TCC) of intracardiac or aortopulmonary shunt needs to be explored. AR can appear immediately or later after TCC and may increase or regress.1,2 We describe a prev…
Occlusion of a Left Internal Mammary Artery Graft Side Branch During Attempts to Deliver an Amplatzer Vascular Plug
ABSTRACT: We present a case of angina in a patient with a left internal mammary artery graft that had a large side branch. Closure was attempted using an Amplatzer vascular plug but during attempts to position the device, the side-branch occluded, li…
The Changing Paradigm of Hemodynamic Support Device Selection for High-Risk Percutaneous Coronary Interventions
Clinical VignetteA 59-year-old man has 3 hours of chest pain and is transported to the emergency department. He is confused, combative, hypotensive (80/60), tachypneic, and tachycardic, with bilateral rales, hypoxia. The patient is intubated in the E…
Editor's Message
Dear Readers,The goal of the Journal of Invasive Cardiology is to provide state-of-the-art information that will support clinicians in the effective management of patients with cardiovascular disease.  There are many selections in this issue that I h…
Achieving Optimal Arterial Access for PCI
Achieving optimal arterial access for performance of percutaneous coronary intervention (PCI) should involve considerations of safety, efficacy, timeliness, and patient satisfaction with safety paramount. In this regard, there has been a heightened a…