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Abstract Giant cell myocarditis (GCM) is a rare but fatal disease that can lead to cardiac failure. Survival with a cardiac standstill requires mechanical circulatory support or a biventricular assist device (BiVAD) and prolonged survival is extremely rare. Drug‐induced hypersensitivity syndrome (DIHS) is a severe cutaneous adverse reaction. Some cases of DIHS are reportedly associated with the onset of GCM. We present a case of a 28‐year‐old woman who developed GCM during steroid tapering after DIHS. She went into continuous cardiac standstill but survived for 74 days under BiVAD support. Our case is noteworthy because the histopathologic specimens obtained on three occasions contributed to the diagnosis of this particular condition over time. We also reviewed previous literature on concomitant cases of GCM and DIHS. We found that two are potentially associated and most cases of GCM occur within 3 months of DIHS during steroid tapering.

Key Clinical Message Right‐sided heart failure, including tricuspid regurgitation (TR), can cause cardiac cirrhosis. The pathophysiology is reduced arterial perfusion and passive congestion secondary to increased systemic venous pressure. However, hepatic encephalopathy due to cardiac cirrhosis is rare. This is the first case of hepatic encephalopathy with cardiac cirrhosis caused by persistent TR.

Key Clinical Message May‐Thurner syndrome (MTS) can be caused by abdominal aortic aneurysm (AAA) compressing the left common iliac vein against the lumbar vertebra. We reported a rare case of MTS due to AAA Compression successfully treated with anticoagulation.

Abstract The patients after heart transplantation usually present resting tachycardia, a slower increase in heart rate (HR) at the onset of exercise, a blunted chronotropic response to exercise in general, maximal HR being attained in the recovery period rather than at peak exercise, and a slower decline in HR after exercise.

Abstract Corrigan’s pulse is characterized by the abrupt distension and quick collapse of carotid arteries in aortic regurgitation, whereas water hammer pulse is the characteristic pulse observed in peripheral arteries.

Abstract A 29‐year‐old woman presented with fever and amenorrhea. Laboratory findings showed no elevation inflammatory markers; however, hormonal evaluation revealed panhypopituitarism. She was finally diagnosed with pituitary abscess, and underwent transsphenoidal excision. The patient was treated with antibiotics and oral hormonal supplementation, and her pituitary function finally normalized.

Abstract The winking earlobe sign is a sign of tricuspid regurgitation, characterized by the movement of the earlobe coincident with the pulse.