Procedural and clinical utility of transulnar approach for coronary procedures following failure of radial route: Single centre experience.

Objectives: To assess the feasibility and safety of transulnar approach whenever transradial access fails.

Background: Radial access for coronary procedures has gained sound recognition. However, the method is not always successful.

Primary isolated chronic chylopericardium.

Primary isolated chylopericardium is a rare entity. Its exact pathophysiology is still unknown. A case of chronic isolated primary pericardium diagnosed 12 years after the initial diagnosis of an asymptomatic pericardial effusion is reported.

Aortic valve papillary fibroelastoma.

Cardiac papillary fibroelastomas are rare tumors of the heart and affect primarily the cardiac valves. These lesions are responsible for embolic accidents that clinically manifest as neurological and cardiovascular symptoms. We describe the case of a 40-yr-old woman who presented with a neurological deficit caused by a papillary tumor of the aortic valve.