JACC Specialty Journals

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Missed Kawasaki Disease Presenting as a Giant Coronary Aneurysm | JACC: Case Reports | ACC.25 Mar 25, 2025

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Julien Dreyfus, MD, PhD, JACC: Case Reports Associate Editor, is joined by author Khalid Shakfeh, MD, discussing this study from Shakfeh et al presented at ACC.25 and published in JACC: Case Reports. A 56 year old man with chronic chest pain syndrome presented with sudden onset of weakness. Evaluation for a stroke revealed a large mass in the right atrium measuring approximately 2.2 x 2.0 cm immediately above the tricuspid valve annulus and adjacent to the atrio-ventricular groove on TTE. Cardiac MRI ruled out intracardiac mass, but rather demonstrated an RCA fusiform aneurysm. Coronary CTA characterized this as two fusiform RCA aneurysms. A LHC confirmed this. Giant coronary aneurysms appearing as a large space-occupying intracavitary cardiac mass are rarely diagnosed. Escalating multimodal imaging is essential for accurate diagnosis and surgical planning. Kawasaki disease can have a late presentation and should be considered in the differential diagnosis of coronary aneurysms. A multimodal imaging approach is essential for accurate diagnosis and management of giant coronary aneurysms.

Conservative Management of Left Atrial Dissection and heart block | JACC: Case Reports | ACC.25 Mar 25, 2025

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Andrea Scotti, MD, JACC: Case Reports Deputy Editor, is joined by authors Richard Carrick, MD, PhD and Drew Bidmead, BS discussing this study from Carrick et al presented at ACC.25 and published in JACC: Case Reports. Left atrial dissection is a rare, but potentially serious, complication that most commonly arises following mitral valve surgeries. In this report, we describe an unusual case of left atrial dissection that occurred after multi-valve surgical replacement in a patient with hypertrophic cardiomyopathy. While permanent pacemaker placement was required due to recurrent episodes of complete heart block, the patient was otherwise managed safely using a conservative approach without surgical re-intervention.

Cardiac Sarcoidosis Presenting as a Biatrial Mass | JACC: Case Reports | ACC.25 Mar 25, 2025

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Mary Norine Walsh, MD, MACC, JACC: Case Reports Deputy Editor, is joined by author Dena Hayes, MD, discussing this study from Hayes et al presented at ACC.25 and published in JACC: Case Reports. The diagnosis of cardiac sarcoidosis (CS) is often challenging, particularly in atypical cases. The authors describe a case of a previously healthy 33-year-old woman who was found to have a biatrial mass and evidence of a diffuse inflammatory or neoplastic process on multimodality imaging. Percutaneous biopsy of the cardiac mass was performed and histopathology revealed granulomas consistent with CS. This case adds to the growing number of reports of CS presenting as an intracardiac mass.

Rotational Atherectomy, Lithotripsy, or Laser for Calcified Coronary Stenosis: The ROLLER COASTR-EPIC22 Trial | JACC: Cardiovascular Interventions Mar 20, 2025

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Mirza Umair Khalid, MD, social media editor of JACC: Cardiovascular Interventions, and Alfonso Jurado-Román, MD, PhD, discuss a recently published randomized controlled trial comparing three forms of calcium modification strategies (rotational atherectomy, lithotripsy, and laser) for calcified coronary stenosis.

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Optimizing CRT Lead Placement Accuracy with MRI-Guided On-Screen Targeting: a Randomized Controlled Trial (ADVISE-CRT III) | JACC: Clinical Electrophysiology Mar 19, 2025

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Dr. Kenneth Ellenbogen, MD, Deputy Editor of JACC Clinical Electrophysiology, discusses Optimizing CRT Lead Placement Accuracy with MRI-Guided On-Screen Targeting: a Randomized Controlled Trial (ADVISE-CRT III)

Clinical outcomes and electrophysiological characteristics of partial perforation after left bundle branch area pacing | JACC: Clinical Electrophysiology Mar 19, 2025

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Dr. Kenneth Ellenbogen, MD, Deputy Editor of JACC Clinical Electrophysiology, discusses Clinical outcomes and electrophysiological characteristics of partial perforation after left bundle branch area pacing

Pulsed-Field vs Thermal Catheter Ablation of Atrial Fibrillation in Patients with Hypertrophic Cardiomyopathy | JACC: Clinical Electrophysiology Mar 18, 2025

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Edward Gerstenfeld, MD, Executive Editor of JACC: Clinical Electrophysiology discusses a recently published original research paper on pulsed-field vs thermal catheter ablation of atrial fibrillation in patients with hypertrophic cardiomyopathy

March 2025 Part 1 Issue Summary | JACC: Asia Mar 05, 2025

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Audio Summary of the March 2025 Part 1 Issue by Dr. Jian'an Wang

Brief Introduction - Atherosclerotic Cardiovascular Disease Risk Prediction Models in China, Japan, and Korea: Implications for East Asians? | JACC: Asia Mar 05, 2025

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Commentary by Dr. Jian'an Wang

Brief Introduction - Impact of Height Exponents on the Diagnosis and Prognosis of LVH: The REMODEL Study | JACC: Asia Mar 05, 2025

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Commentary by Dr. Jian'an Wang