Both congenital coronary anomalies are high risk. 1: Single coronary ostium from right sinus and LM traverses through the septum, see the septal perforators. 2: RCA coming from the left sinus. Look at the high takeoff and pinching of the ostium as it traverses inter-arterial.

2/2: medical Rx vs.. Revascularization

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1/2 coronary anomalies. What would you do? Medical Rx vs. revascularization.

All good answers. The pressure trace shows ventricularized aortic pressure either due to guide misalignment or ostial VG disease. If injected while the pressures are damped can lead to prompt venous opacification/arrhythmias. That is why always look at the pressures before inj.

Here is a hint that explains the angiographic findings!

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Your diagnosis and what would you do next? ⁦@AbdullahAlabcha⁩

1: ASD Eisenmenger. Dilated PA, CE 2: VSD Eisenmenger, dilated Pa, pruning & upturned apex. 3: Valvular PS, disproportionate LPA enlargement

Your diagnosis and what would you do next? ⁦@AbdullahAlabcha⁩

Three different diagnosis on similarly appearing CXR!

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Several observations can be made: 1: Drop in aortic pressure 2: Rise in EDP 3: Spike & Dome aortic pattern 4: ^ of LVOT gradient with Valsalva

What is your diagnosis?

The Mayo Clinic PCI risk score identifies ACS patients at risk of in-hospital mortality, bleeding, contrast associated-AKI, and #stroke. #AHAJournals @antoniolandii @AndreaZito66 @mandeep_mayo @DFCapodanno @vlgmrc https://t.co/8Di72aTjXQ

Porcelain Aorta= Higher Stroke Risk During TAVI

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One needs to know the benefits and disadvantages of radial access for coronary angiography and PCI

External Validation of the Mayo Clinic PCI Risk Model. Use single pre-procedural model to calculate 4 outcomes: Mortality, AKI, Bleeding 🩸, and Stroke Thanks 🙏🏽 @vlgmrc @svrao @drdangiolillo @DFCapodanno Our research just got published in JAHA https://t.co/8YP3G1206K

Pericardial Cyst Suspect when you see an extra shadow bordering commonly the right heart. Lateral view shows three shadows, one of the cyst and 2 of the diaphragms. Prognosis is excellent, surgical rarely required, only if causes Sx/compression.

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Once in a lifetime chance to see this anomaly!

Activate Cath Lab when you see these EKG patterns in absence of STEMI

Coronary Dissections at the Ostium are Preventable Pay Close Attention to the Procedural Techniques