Early Lead Extraction for Infected Implanted Cardiac Electronic Devices: JACC Review Topic of the Week.

Infection remains a serious complication associated with the cardiac implantable electronic devices (CIEDs), leading to substantial clinical and economic burden globally. This review assesses the burden of cardiac implantable electronic device infection (CIED-I), evidence for treatment recommendations, barriers to early diagnosis and appropriate therapy, and potential solutions. Multiple clinical practice guidelines recommended complete system and lead removal for CIED-I when appropriate.

Twenty-five-year-old man with a giant left ventricular mass.

We report a rare case of a massive 7- x 3.25-cm thrombus in the left ventricle of a 25-year-old man. He presented with a subacute febrile illness for 1 month with a sudden worsening respiratory distress and chest pain.

Chronic mitral regurgitation secondary to a perivalvular leak from remote trauma.

We report a rare case of mitral regurgitation as a result of perivalvular leak in a 49-year-old man with a history of blunt trauma. He presented with a 2-month history of progressive exertional dyspnea, angina, and heart failure. Preoperative transesophageal echocardiography demonstrated severe mitral regurgitation as a result of a perivalvular leak of the mitral valve that was not evident on transthoracic echocardiography and cardiac catheterization.

Transesophageal Echocardiographic Detection of Malignant Lymphoma.

Transesophageal echocardiography (TEE) is an excellent method for visualizing pathology of the mediastinum. We present a case in which TEE detected an unsuspected lymphoma posterior to the descending thoracic aorta in a man suspected of having endocarditis. This case illustrates the advantages of TEE over transthoracic echocardiography in examining the mediastinum and the importance of performing a complete TEE examination.