Role of Real-Time 3D-Echocardiography in Predicting Success of Redo-Percutaneous Balloon Mitral Valvuloplasty.

Background: Echocardiographic predictors of procedural success of redo-percutaneous balloon mitral valvuloplasty (redo-pBMV) have not been extensively studied, and current indications are primarily based on the Wilkins score (WS).

Aim: This study aims to evaluate the role of real-time 3D echocardiography in predicting the success rates of redo-pBMV.

Methodology: We analyzed 42 patients who underwent pBMV at our center from January 2022 to November 2022.

Left atrial strain as a surrogate parameter for successful percutaneous ballon mitral valvotomy?

Background: Severe mitral stenosis (MS) leads to morphological and functional changes in the left atrium (LA) causing dysfunction. Relieving mitral obstruction improves the LA mechanics and structural remodelling. However, this is not taken as a measure of successful Ballon Mitral Valvotomy (BMV) in clinical practice.

Natural history of coronary stents: 14 year follow-up of drug eluting stents versus bare metal stents.

Background: Several randomized trials have shown the effectiveness of drug-eluting stents (DES) over bare metal stents (BMS) in terms of repeat revascularization at 1 year; however long term data in this context is conflicting.

Aim: To assess the long term clinical outcomes after coronary artery stenting with drug-eluting stents and bare metal stents.

Methods: This is a retrospective cohort study, including 100 consecutive patients with Coronary Artery Disease who underwent successful percutaneous intervention (PCI) with implantation of DES and contemporary 100 patients who underwent PCI with implantation of BMS in the years 2005 and 2006 at our center.

A Giant Coronary Aneurysm in a Suspected Kawasaki Disease Causing Asymptomatic Myocardial Ischemia.

Coronary involvement in Kawasaki disease is not uncommon; however, giant coronary aneurysm exceeding 50 mm is extremely rare. In this article, we presented a case of giant coronary aneurysm involving right coronary artery with associated asymptomatic myocardial ischemia as evident by multimodality imaging.

Acute ST-elevation myocardial infarction with Guillain-Barre syndrome in Fontan circulation.

Total cavopulmonary connection, commonly referred to as the Fontan procedure, is the established destination therapy for univentricular hearts. While the procedure permits a longer survival of these patients, this circulation involves several compromises from normal human circulation and poses several challenges with increasing age after surgery. We present an instance of acute ST-elevation myocardial infarction with Guillain-Barre syndrome in an adult after Fontan palliation and discuss the challenges in management.