Puneet Aggarwal

Percutaneous transmitral commissurotomy in calcified, restenosed mitral valve: a technical challenge

Address for correspondence: Dr. Santosh Kumar Sinha, Department of Cardiology, LPS Institute of Cardiology, G.S.V.M. Medical College, Kanpur, Uttar Pradesh, 208002 India, fax: +91-0512-2556199, 2556521, e-mail: fionasan@rediffmail.com Conflict of interest: none declared Kardiologia Polska Copyright

TCT-638 Non-pharmaco, Non-invasive approach in treatment of coronary No-reflow phenomenon

No-reflow is a common complication of percutaneous coronary intervention (PCI) (primary, acute coronary syndrome, stable coronary disease and graft vessel disease) with adverse outcomes. Microvascular obstruction of downstream bed is the culprit. Intracoronary administration of various calcium

Nietypowe objawy po masażu zatoki szyjnej u chorej z blokiem przedniej wiązki lewej odnogi — opis przypadku

A 65-year-old diabetic and hypertensive woman was admitted for evaluation of syncope. Her baseline electrocardiogram revealed normal sinus rhythm with left anterior hemiblock. Her treadmill test, holter monitoring and external loop recorder examinations were normal. Right sided carotid sinus massage (CSM) revealed 2:1 atrioventricular block (AV) (Mobitz II type) while left sided CSM had no effect. Permanent pacemaker implantation was performed (DDIR, St Jude Medical, USA). Mobitz II type AV block due to CSM reflects enhanced vagal efferent tone on AV node and his bundle fibre.

Wewnątrznaczyniowe zamknięcie pękniętego tętniaka przeszczepu z odwróconej żyły odpiszczelowej w poddanej zabiegowi naprawczemu przetoce tętniczo-żylnej — kwestie techniczne

A 49-year-old diabetic woman who had end stage renal disease associated with membranous glomerulonephritis, was undergoing dialysis through a left brachiocephalic arteriovenous fistula. After sometime, fistula became infected and stopped functioning. It was closed and arterial segment was resected and repaired with reverse saphenous vein graft. After 6 months interval, she presented with painful, expansile swelling with intermittent bleeding. Arteriogram showed ruptured aneurysm of reverse saphenous vein graft with a proximal venous stenosis. It was successfully closed with 6 × 60 mm Fluency Plus self-expanding vascular stent graft (Bard, Tempe, AZ) with resolution of her symptoms.