Ventricular septal defect in the 9th decade.

This case reports the oldest patient with a large, unoperated, isolated, congenital ventricular septal defect in the literature. Issues related to the natural history of the disease and its management are discussed.

Percutaneous removal of a large mobile right atrial thrombus using a basket retrieval device.

This report documents the removal of a large mobile serpiginous right atrial thrombus using percutaneous intravascular techniques with fluoroscopic and transesophageal echocardiographic guidance. Technical aspects and potential complications are discussed.

Continuous high-dose intracoronary nitroglycerin infusion in refractory coronary vasospasm.

This case report illustrates the use of continuous high-dose intracoronary nitroglycerin infusion through a 6 French coronary guiding catheter in the treatment of a patient with cocaine-induced refractory coronary vasospasm.

Stenting of ostial saphenous vein graft disease originating from a Dacron aortic prosthesis.

This case report represents the first documented instance of using a stent to treat an ostial stenosis in a saphenous vein grafted to a dacron aortic prosthesis. Technical issues are discussed.