Rami Akel
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View article: Successful Mechanical Aspiration of Malignant Right Atrial Myoepithelial Tumor in Setting of Recurrent Lung Cancer
Successful Mechanical Aspiration of Malignant Right Atrial Myoepithelial Tumor in Setting of Recurrent Lung Cancer Open
No evidence-based guidelines exist for optimal management of malignant RA tumors. In our patient, mechanical aspiration thrombectomy was safe and effective for removal of the intracardiac mass.
View article: Uncovering the Risks and Benefits of Patent Foramen Ovale (PFO) Closure in Cryptogenic Stroke: A Case Study
Uncovering the Risks and Benefits of Patent Foramen Ovale (PFO) Closure in Cryptogenic Stroke: A Case Study Open
Patent foramen ovale (PFO) exists in 20-25% of the adult population, and about 40% of adults who present with cryptogenic stroke (CS) have a PFO. The benefit of intervention has been debated with regard to stroke prevention given the high …
View article: Bidirectional Ventricular Tachycardia in Acute Multivessel Myocardial Infarction
Bidirectional Ventricular Tachycardia in Acute Multivessel Myocardial Infarction Open
Bidirectional ventricular tachycardia (BVT) is a rare and unusual ventricular dysrhythmia that is characterized by a beat-to-beat alternation of the QRS axis. This can sometimes manifest as alternating left and right bundle branch blocks. …
View article: Anomalous Origin of the Right Coronary Artery From the First Septal Perforator
Anomalous Origin of the Right Coronary Artery From the First Septal Perforator Open
A 68-year-old white male presented to the clinic for chest pain and shortness of breath with exertion. Through coronary angiography, the patient was found to have an anomalous origin of the right coronary artery off the first septal perfor…
View article: Massive Mural Thrombus Masquerading as Myxoma
Massive Mural Thrombus Masquerading as Myxoma Open
A 75-year-old Caucasian female with a past medical history including insulin-dependent diabetes mellitus, hypertension, and dyslipidemia, presented to the emergency room for having palpitations for three weeks. Echocardiography revealed a …
View article: D-14 | Efficacy of contrast Diastolic Hyperemia-Free Ratio (Contrast - DFR) in comparison to coronary Fractional Flow Reserve with adenosine and Diastolic Hyperemia-Free Ratio (DFR)
D-14 | Efficacy of contrast Diastolic Hyperemia-Free Ratio (Contrast - DFR) in comparison to coronary Fractional Flow Reserve with adenosine and Diastolic Hyperemia-Free Ratio (DFR) Open
BackgroundCoronary fractional flow reserve (FFR) is recommended as the gold standard method in evaluating intermediate coronary stenosis. Various methodologies have been reported using Diastolic Hyperemia – Free Ratio (DFR) and Instantaneo…
View article: AngioVac Removal of an Isolated Infected Pulmonary Valve Papillary Fibroelastoma
AngioVac Removal of an Isolated Infected Pulmonary Valve Papillary Fibroelastoma Open
The AngioVac (Angiodynamics) system is indicated for the removal of right-sided venous soft thrombi and emboli. This is the first report that demonstrates the AngioVac system can be extended to the extraction of right-sided cardiac tumors,…