Timely embolectomy in acute massive pulmonary embolism prevents catastrophe: An experience from two cases.

Acute massive pulmonary embolism is a life-threatening emergency that must be promptly diagnosed and managed. Over the last several years, the use of computed tomography scanning has improved the clinician's ability to diagnose acute pulmonary embolism. We report two cases of acute massive pulmonary embolism who presented with sudden onset of dyspnea and underwent successful open pulmonary embolectomy.

Imaging essentials before transcatheter closure of an atrial septal defect: Detection of an unusual contraindication.

Currently there are few contraindications to transcatheter closure of secundum atrial septal defects (ASDs). Known device-related complications of percutaneous ASD closure are worsening of aortic regurgitation and cardiac erosion. Interference of a septal occluder with anatomic variant coronaries is a rare but important complication that can result in post-interventional fatalities.

Bilateral coronary ostial lesions in cardiovascular syphilis treated by means of percutaneous coronary stenting.

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Novel transcatheter closure of internal iliac arteriovenous malformation.

Arteriovenous malformations arising from iliac arteries are rare anomalies. Percutaneous embolization of such malformations is an established therapeutic option. In this paper, we will describe a case, wherein the internal iliac artery feeding a giant arteriovenous fistula was closed using a patent ductus arteriosus (PDA) duct occluder percutaneously.

A clinically masked normotensive aortic coarctation.

A rare variety of aortic coarctation in which both the left subclavian and aberrant right subclavian arteries arose at the coarcted segment is described. Clinically this case was misleading since pulse volume and the blood pressure in all four limbs were equal and chest radiograph was lacking classical features of coarctation of aorta. Multi slice CT aortogram typically demonstrated the relationship of major aortic arch branches.

Removal of broken balloon mitral valvotomy coiled guidewire from giant left atrium using indigenous snare.

Balloon mitral valvotomy (BMV) is a safe and effective therapy for rheumatic mitral stenosis. During the procedure, the coiled portion of 0.025 in.

Accelerated coronary atherosclerosis and H syndrome.

A 12-year-old boy with insulin dependent diabetes mellitus, presented with acute myocardial infarction. Intracoronary thrombolysis with urokinase restored TIMI III flow in the culprit vessel. After stabilisation with medical therapy, unusual clinical findings in the form of cutaneous hyperpigmentation and hypertrichosis, affecting the lower extremities, were appreciated.

Spontaneous asymptomatic coronary artery dissection in a young man.

Spontaneous coronary artery dissection (SCAD) is a rare condition that most often presents as acute coronary syndrome or sudden cardiac death. Here we present the case of a young man of 25 years, who had remained asymptomatic in spite of SCAD. This case highlights the fact that spontaneous dissections can occur at a young age and can involve more than one coronary artery, without producing clinical symptoms.

The challenge produced by familial homozygous hypercholesterolemia when treating premature coronary arterial disease in the young.

Background: Familial hypercholesterolemia is a monogenic, autosomal dominant disorder caused by mutations in the LDL receptor gene. Familial homozygous hypercholesterolemia results when both the alleles have the defective mutation. It is characterized by cutaneous and tendinous xanthomas, premature corneal arcing, and is associated with an increased risk of coronary arterial disease.