A young man with biventricular dysfunction and severe malperfusion to multiple organs is put on ECMO and Impella support. Despite Impella malfunction and subsequent stroke, he recovered to undergo heart-kidney transplant.
Off- vs. On-Pump CABG: Here’s What Drives the Choice
A veteran cardiothoracic surgeon draws on two case profiles and a meta-analysis–based consensus statement to share how he chooses whether to do bypass surgery on or off pump.
Case Study: CTEPH and Mediastinal Venous Malformation
Pulmonary thromboendarterectomy provides significantly prolonged life expectancy for heart-lung transplant patient at Cleveland Clinic.
Case Study in Cardiac Amyloidosis: Daunting But Ever More Treatable
Heart failure is central to cardiac amyloidosis, yet patients cannot be treated like other heart failure patients. Here’s why — plus an example of how this once-incurable malady can increasingly be tamed.
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Image of Note: Septal Wall Subtleties in a Young Athlete
This case shows how concerning echo findings in a young athlete are not always what they seem — and not necessarily reason for sports disqualification — in the absence of other signs or symptoms.
Images of Note: In Aortic Valve Replacement, Two Parts May Be Better than One
Novel two-part aortic bioprosthetic valve offers smaller incisions, greater intraoperative visibility, and leaflet exchangeability during re-do valve replacement procedures.
Case Study: Occluded Stent Removal in Setting of Infection
An occluded stent, infected femorofemoral bypass graft and external iliac artery plaque were removed with remote endarterectomy, restoring circulation through a single incision and avoiding another bypass operation.
Case Study: Shortness of Breath and a Systolic Heart Murmur of Variable Intensity
Examination and echocardiography can play a critical role in diagnosis especially when there is a change in the character of mechanical heart sounds.
Case Study: A Role for Vascular Surgery in a Curious Case of Abdominal Pain and Major Weight Loss
Median arcuate ligament syndrome is controversial because of its lack of proved mechanism. The main evidence for it is patients’ relief following release of the median arcuate ligament — typically after a long, agonizing diagnostic journey.
Case Study: Wound Care
Amputation can often be avoided by taking a multidisciplinary, state-of-the-art approach to limb revascularization that includes addressing underlying risk factors.