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Department of Internal Medicine

Quillen College of Medicine

Cardiac Catheterization Cases

ETSU Cardiology Video Library

A repository for rare and interesting cardiology cases

Cardiac Catheterization Cases

 


That's interesting.
An unexpected guest at the catheterization party. Turned out to be a calcified bronchial mass.

 

 


Trapped sternal wires.
Sternal wires from previous surgery sometimes break. Broken sternal wires sometimes get attached or migrate to the epicardium. When that happens, this happens.

 

 


Ranks
Yamaguchi, according to wikipedia, is the 15th most common japanese name. Go Yamaguchi! Its also like my seventh favorite cardiomyopathy.

 

 


Anomalous Circumflex
Good looking anomolous circunflex. That's it.

 

 


Redundant Leads and Misplaced Arteries
2 Atrial leads can be seen in the right atrium. The LV gram also shows an anomalous RCA coming from the left cusp.

 

 


Lost and Damaged
Anomalous RCA from the left cusp with severe disease in the mid to distal segment.

 

 


Branching LIMA
Most big branches of the LIMA are usually removed during surgery. Sometimes, however, a branch is left out. This can potentially cause a steal like phenomenon.

 

 


Disaster.
A deeply engaged RCA catheter, a forceful RCA injection and a shepherds crook RCA resulted in this disastrous dissection during a diagnostic cath.

 

 


Dual ICD
No. Not a dual chamber. Not just a dual coil. 2 actual ICDs. Not a common sight.

 

 


Collaterals.
Massive collateral circulation from proximal to distal RCA (which is CTO). We will leave it up to y'all to decide whether this fits one of the many definitions for Kugel's artery.

 

 


Territory mismatch
This overzealous LAD has gone on to send one of its diagonals over to the territory of the lcx. Unusual.

 

 


Rare circumflex
If anomalous circs are a dime a dozen, anomalous dominant circs are at least a few dollars.

 

 


Spoil sport
This little bad boy spoilt a radial access catheterization for us. What is the nail doing there anyway? (Hint: Think brachial vein access).

 

 


Epicardial BivICD
for those of us who haven't had a chance to see one of these.

 

 


Left main from hell!
Nope. No previous history of bypasses.

 

 


Left main ulcer.
Left main ulcer. Nasty.

 

 


why this "Y"
You have probably seen Y grafts connecting two SVGs. Have you seen a Y graft with an arterial and vein combined. Here is a LIMA coming off of an SVG graft.

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