A tale of four valves: outcome of Brucella endocarditis: a case series.

Background: Brucellosis is a zoonotic infection. Humans contract brucellosis through inhalation of aerosolized infected particles, or when they come in direct contact with infected animal parts, or on consuming unpasteurised dairy products. It can affect multiple organs and systems.

Coronary artery ectasia: a rare cause of acute coronary syndrome.

Coronary artery ectasia (CAE) is defined as a localised or diffuse dilatation of coronary artery lumen more than 1.5 times that of an adjacent normal segment. CAE may present with or without functionally significant stenosis.

Chronic thromboembolic pulmonary hypertension: an enigma.

Chronic thromboembolic pulmonary hypertension (CTEPH) is a form of pulmonary arterial hypertension (PAH) in which the pulmonary thrombus fails to resolve, resulting in occlusion and remodelling of pulmonary arteries. Timely diagnosis is critical since it is potentially curable by pulmonary thromboendarterectomy. Twenty five per cent of cases do not have a history of thromboembolic event.

Percutaneous coronary intervention in a case of anomalous single coronary artery.

Anomalous origin of the right coronary artery is an uncommon entity with a reported incidence of 0.26%. The anomalous origin is usually from the left sinus of Valsalva.

Successful retrieval of fractured pressure wire tip (FFR) by hybrid technique.

Coronary angiography and angioplasty are relatively safe procedures but not without complications. We report an interesting case of effort angina taken for angioplasty of the LCX and assessment of fractional flow reserve (FFR) for the LAD artery lesion in which the tip of the pressure wire was broken and embolised to the LCX while trying to retrieve it. This is the first case report using a hybrid technique with a slip catheter for the successful retrieval of a fractured FFR wire.

Spontaneous multivessel coronary artery dissection with anomalous coronary artery.

Spontaneous coronary artery dissection (SCAD) is one of the rare causes of acute coronary syndrome in young healthy individuals especially women without having any conventional risk factors for coronary artery disease. We describe a case of 34-year-old healthy man with diffuse multiple SCADs who presented with acute coronary syndrome and was managed conservatively with an uneventful course on long-term follow-up.

A false-positive ST segment elevation during exercise stress test.

A 56-year-old man with multiple risk factors undergoing evaluation for chest pain developed ST elevations in multiple leads during exercise stress test. These ST elevations were not classical of ischaemic pattern. The coronary angiogram showed normal coronaries.

A rare association of left ventricular diverticulum and noncompaction: continuum of common developmental abnormality?

A previously healthy 16-year-old girl presented with history of fever of 3 months duration without any significant clinical finding on examination. Transthoracic echocardiography (TTE) revealed moderate pericardial effusion and later diagnosed as tubercular in etiology. Besides, TTE also showed an incidental finding of large left ventricular (LV) diverticulum in submitral region along the postero-basal segment and left ventricular noncompaction (LVNC).

An interesting clinical scenario of patient with acute myocardial infarction with single coronary artery.

Anomalous origin of the left main coronary artery from the right sinus of valsalva is an extremely rare condition. Right-sided single coronary trunk associated with rudimentary left coronary artery is probably the rarest. The clinical significance of single coronary artery (SCA) depends on its relationship with the great arteries.

Cardiac lipoma at unusual location -- mimicking atrial myxoma.

Cardiac lipomas are one of the rare primary benign neoplasms composed of mature fat cells. The tumor originates mostly in the subendocardium and subepicardium but very rarely within the myocardium. Clinically, this tumor is asymptomatic and found incidentally in the vast majority of cases.