Among patients with unstable angina or myocardial infarction without ST-segment elevation, prasugrel did not significantly reduce the frequency of the primary end point, as compared with clopidogrel, and similar risks of bleeding were observed. (Funded by Eli Lilly and Daiichi Sankyo; TRILOGY ACS ClinicalTrials.gov number, NCT00699998.).

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Cardiac cysticercosis is a rare and typically asymptomatic infection. We report a case of a young man from Cameroon with a left ventricular cyst discovered during a screening echocardiogram. Computed tomography and plain films did not reveal additional cysts. Serology was negative. The patient had the cyst surgically removed for suspected echinococcosis. Sectioning demonstrated a cysticercus. The literature on cardiac cysticercosis is reviewed.

These images are from a 51-year-old man who presented to the emergency department with an anterior ST-segment elevation myocardial infarction, Killip class I. During emergency coronary angiography, we were unable to engage the right coronary artery (RCA) with a JR4 catheter (Cordis, Bridgewater, New Jersey) and proceeded to engage the left coronary artery with an XB3.5 guiding Figure 1. Angiographic Images (A) LAO caudal angiography pre-PCI. (B to D) RAO caudal, AP cranial, and LAO caudal angiography, respectively, post-PCI. (E) CT angiography. CT ϭ computed tomography; LAO ϭ left anterior oblique; PCI ϭ percutaneous coronary intervention; RAO ϭ right anterior oblique.

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