The latest issue of JACC: Case Reports includes mini-focus sections on congenital heart disease and imaging. Learn about the use of direct percutaneous cardiac access to recanalize an atretic right pulmonary artery in an adolescent with complex congenital heart disease and right heart failure; view an exceptional case of a quadricuspid aortic valve associated with a left atrial myxoma that highlights the importance of a careful echocardiographic evaluation for early management; and read more about imposter syndrome and get tips on how to cope with it. Check out the full issue.