Warning leak of intracranial aneurysm masquerading as sinus node dysfunction: A case report.

We describe the successful endovascular repair of an intracranial aneurysm causing subarachnoid hemorrhage in a 62-year-old man, who was initially diagnosed and treated as a case of symptomatic sinus bradycardia. The aim of this report and following discussion is to discuss the subtle warning signs of intracranial aneurysm that may masquerade as sinus node dysfunction.

Large spontaneous coronary artery dissections-a study of three cases, literature review, and possible therapeutic strategies.

Spontaneous coronary artery dissection is rare, but is now being increasingly recognized as a prominent cause of acute ischemic coronary events occurring usually in relatively young patients, predominantly females. The authors describe the clinical course of 3 patients (1 woman) in whom large spontaneous coronary artery dissections developed. All had diverse clinical presentations;1 presenting with heart failure, the second with post-myocardial infarction angina, and the third with syncope. The second patient underwent coronary angioplasty with multiple overlapping stents while in the other two, it was the considered opinion to continue aggressive medical therapy. The 1-year follow-up was uneventful in all 3 patients. The risk factors ascertained in our patients were diabetes mellitus, smoking, and hypertension.

Delayed embolization of Amplatzer septal occluder device: an unknown entity--a case report.

A case of delayed embolization of Amplatzer septal occluder, occurring at 2 weeks postimplantation in a 10-year-old girl with an oval-shaped secundum atrial septal defect is reported. The structurally intact device dislodged into the left atrium owing to reversal of transatrial pressure gradients and embolized to the left ventricular outflow tract from where it was retrieved surgically.