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The follow electronic only articles are published in conjunction with this issue of Heart.
Late incomplete lesion coverage following Cypher stent deployment for diffuse right coronary artery stenosis
A Halkin, S Carlier, M B Leon
The availability of the only drug eluting stent currently approved in the USA has been limited, so that operators often resort to the deployment of multiple undersized stents and post-stenting high pressure inflations with larger balloons to achieve optimal lesion coverage and stent expansion. A case of stent fracture following percutaneous coronary intervention in which this strategy was used is reported.
Treatment of an ostial and a bifurcation lesion with a new directional atherectomy device
L Favero, J B Simpson, B Reimers
Two cases of directional coronary atherectomy performed with a new 8 French monorail device for selective plaque excision are illustrated. This report underlines the technical characteristics of this new device, which allows the negotiation of complex coronary anatomy and emphasises the potential utility of directional coronary atherectomy in bifurcation and ostial lesions.
Constrictive pericarditis and pleuropulmonary fibrosis secondary to cabergoline treatment for Parkinson’s disease
M Townsend, D H MacIver
A 63 year old man with a six year history of Parkinson’s disease presented with signs of right heart failure following a knee replacement. Constrictive pericarditis was diagnosed and a radical pericardectomy performed. Six months later, the patient remained unwell with raised inflammatory markers. An inflammatory fibrotic reaction caused by cabergoline was diagnosed. He improved after cessation of cabergoline.