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Mitral valve prolapse (MVP) is a relatively common finding in the general population, and it is associated with ventricular tachycardia (VT) and sudden cardiac death (SCD). In this report, we present a case involving a 63-year-old male who had been previously diagnosed with MVP complicated by multiple admissions for episodes of ventricular arrhythmias.

Background Conventional treatment for chronic deep venous thrombosis (DVT) is anticoagulation. However, limited interventional endovascular options exist for patients with non-healing venous ulcers secondary to chronic DVT. Case summary We present a case of 67-year-old man with severely symptomatic post-thrombotic syndrome (PTS) with persistent high-grade femoral DVT despite prior compressive therapy and chronic oral anticoagulation. It has been successfully treated with intravascular shockwave lithotripsy and ad hoc directional venous atherectomy facilitating subsequent mechanical thrombectomy and venoplasty. The procedure was without complication and resulted in significant clinical improvement. Discussion We believe our novel endovascular interventional approach represents a unique modality of intervention for patients with chronic DVT and PTS resistant to conventional venoplasty.

High calcification of coronary artery plaque is a frequent cause of suboptimal stent expansion, which can result in stent thrombosis and restenosis. Shockwave intravascular lithotripsy (S-IVL) represents a new frontier in the treatment of highly calcified coronary lesions. It can be an excellent alternative to intracoronary atherectomy in extremely high-risk lesions. We present a case of a 57-year-old man with known severe coronary artery disease (CAD) who presented with non-ST segment elevation myocardial infarction (NSTEMI), cardiogenic shock and was successfully treated with impella-assisted shockwave-intravascular lithotripsy permitting successful percutaneous intervention of a high-risk left main coronary artery (LMCA) bifurcation in-stent restenosis.

We report a case of a 60-year-old male with decompensated heart failure secondary to severe aortic insufficiency in the setting of a complex ventricular septal defect. The case highlights the use of multimodality imaging, including transthoracic echocardiogram, transesophageal echocardiogram, and cardiac magnetic resonance imaging, which contributed to the findings and diagnosis of the defect noted and was confirmed during surgery. The images provide an exceptional understanding of a complex ventricular septal defect and the associated pathology, which resulted in severe aortic regurgitation leading to cardiomyopathy. Although traditionally ventricular septal defects can be classified into certain types, our case highlights that some of these defects are very complex and require multimodality imaging for evaluation.

A 78-year-old man with a known ischaemic cardiomyopathy presented with hypoxaemic respiratory failure and undifferentiated shock. CT head revealed a large middle cerebral artery territory infarct. Transthoracic echocardiography revealed a depressed ejection fraction of 15% and multiple wall motion

A 47-year-old woman with no prior medical history presented to an outside facility with chest pain. She was transferred to our facility for a ST-elevation myocardial infarction after an initial ECG revealed ST-elevations in leads V2–V5. Her coronary angiography showed severe coronary vasospasm of

Takotsubo cardiomyopathy (TCM) is the object of special interest in cardiology. Interestingly, increasingly often TCM is being linked to endocrine disturbances. Our case reveals unique presentation of TCM in the context of newly diagnosed primary aldosteronism (PA). A 47-year-old Caucasian woman

Acute cerebrovascular disease (ACD) commonly reported as acute stroke, affects each year, hundreds of thousands American people. It often leads to significant long term consequences on patients' quality of life and prolonged ancillary medical care. Recent cost saving strategies have been aimed to