No abstract

Venous thromboembolism (VTE) encompasses pulmonary embolism (PE) and deep vein thrombosis (DVT). The clinical manifestations of pulmonary embolism are highly variable and non-specific. We report five cases of pulmonary embolism, each with a unique clinical profile and degree of severity. The clinical, electrocardiographic, and radiologic findings of each patient are described in this case series along with the appropriate therapy based on hemodynamic stability. It is crucial to distinguish between hemodynamically stable and unstable pulmonary embolism and treatment should be started right away to reduce morbidity and mortality secondary to obstructive shock.

Coarctation of the aorta (CoA) is one of the common congenital cardiovascular diseases. CoA can be diagnosed over a wide range of ages, with varying degrees of severity, and in various presentations. The most common presenting age of CoA is 3 - 6 months with only a small proportion of adolescents and adults diagnosed with primary aortic coarctation of the aorta. Intracranial aneurysms that undergo spontaneous rupture causing subarachnoid hemorrhage (SAH) are rare in young patients with CoA. We report a 22-year-old young female successfully underwent right pterional craniotomy, clipping of aneurysm and balloon dilatation of coarctation of the aorta.

Background: The present study was conducted for assessing efficacy of Coronary CT angiography to guide percutaneous coronary intervention. Materials & methods:A total of 100 patients of chronic total occlusion (CTO) were enrolled in the present study. The CT-guided PCI procedure involved placing CT and fluoroscopic images side-by-side on the screen. Images were analysed for location, segment, plaque characteristics, calcification, and proximal lumen diameter of the CTO before PCI. The guidewire was advanced and manipulated under CT guidance. The PCI was carried out and the results were compared.  Results:Mean age of the patients with success (n=88) and failure (n=12) was 62.3 years and 61.8 years respectively. There were 56 males and 32 females among the successful PCI group while there were 8 males and 4 females in the failure PCI group respectively. Location of CTO and length of occlusion were significantly different among patients divided on the basis of prognosis. Conclusion:From the above results, the authors conclude that CT Guidance can delineate the routes of CTOs and clearly characterize plaques and hence improve the outcome.

We report a case of a 16-year-old boy with symptomatic recurrent atrial septal defect due to patch degradation of an autologous pericardial patch, done 10 years back. He successfully underwent transcatheter closure of the recurrent defect after meticulous assessment of patch rims for stability.