Background: We have presented our experience with a novel percutaneous approach for axillary artery implant of intra-aortic balloon pumps. The axillary approach permits up-right posture and ambulation, but such enhanced mobility may predispose to higher risk of IABP malposition with unique complications. We present a few complications here. Methods: We conducted a retrospective review of […]

Case Presentation: A 77-year-old female with a history of hypertension and diabetes, presented to the ER with sudden syncope. She reported severe retrosternal chest pain, associated with nausea and vomiting. She stated she has been under extreme emotional stress due to sudden death of a family member. Examination was remarkable for hypotension (70/40 mmhg), cold […]

Case Presentation: 81 year-old man with a history of atrial fibrillation on Warfarin and bioprosthetic aortic and mitral valves presented with dark urine and shortness of breath. He described progressive shortness of breath and reduced exercise tolerance, unable to walk upstairs to his apartment. His urine had become “the color of eggplant”. On exam, he […]

Case Presentation: A 12-year-old boy presents with 8 days of chest pain. He describes the pain as sudden onset, stabbing, located over his left chest with radiation to his right chest and left flank. The pain initially lasts between 5 to 10 minutes, but has been increasing in duration to span the entire day. The […]

Case Presentation: 1 year old otherwise healthy twins present to the ED after Twin A became acutely unresponsive. The twins had been ill with a GI virus with fever, vomiting, and decreased activity for a week. The night of presentation, Twin A started vomiting, developed perioral cyanosis, and became unresponsive. On arrival to the ED, […]