The large and multiple spontaneous coronary artery dissections of a 54-year-old man.
نویسندگان
چکیده
The large and multiple spontaneous coronary artery dissections of a 54-year-old man Coronary angiography demonstrated spiral dissection of right coronary artery (RCA) and of proximal and second diagonal branch the left descending coronary artery (LAD) (Figs. 1 and 2), and significant obstruction of the proximal segment of LAD. Revascularization was performed with LIMA to LAD and saphenous vein to distal RCA grafts. Fig. 1. Right coronary artery, LAO projection. Arrows delineate the extent of the spontaneous dissection. Fig. 2. Left coronary artery, RAO cranial projection. White arrows delineate the spontaneous dissection. Black arrow shows occlusion of left anterior descending artery (LAD, left descending coronary artery; LCX, left circumflex coronary artery).
منابع مشابه
Management of a large coronary artery aneurysm with graft-coated stent during the acute phase of myocardial infarction
Coronary aneurysms in adults are rare clinical entities. Herein, we presented a 54-year-old man who was admitted with an acute extensive anterior myocardial infarction. The emergency coronary angiography revealed an isolated large aneurysm at the proximal segment of the left anterior descending coronary artery. The patient was successfully treated with a graft-coated stent
متن کاملMultiple myocardial bridge in a 59 year-old woman
Introduction: Myocardial bridging is a congenital condition in which a segment of a major epicardial coronary artery has an intra myocardial route. Myocardial bridging is usually confined to a single vessel and is typically the mid segment of the left anterior descending artery. Bridging may be associated with chest pain, myocardial infarction, and sudden cardiac death, or usually asymptomati...
متن کاملA patient with myocardial infarction and tamponade as a result of spontaneous rupture of an ectatic coronary artery
Introduction: Spontaneous rupture of ectatic vessels is possible in different vascular beds and it can be life-threatening. Rapid diagnosis and initiation of appropriate treatment are essential. Case report: A 63-year-old man presented with chest pain in a state where he was sleepy. Vital signs at the time of admission included a systemic blood pressure of 90/70 mm Hg, heart rate of 100 beats p...
متن کاملA Case Report for Ischemic Heart Disease Treatment in a 53-Year-Old Man Based on Iranian Integrative Medicine in Bojnurd
Background: Coronary artery disease is one of the most common causes of death in the world. Despite significant advances in the diagnosis and treatment of these diseases, they are still considered a major health problem in the world. The purpose of this report is to provide the clinical experience of Iranian Integrative Medicine, which has the greatest therapeutic effect in the...
متن کاملDifferent Presentation of Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in Adults: Case Reports
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital cardiac malformation. We report three cases of ALCAPA who survived to adulthood. The first case was a 51-year-old woman who complained of typical chest pain that was diagnosed with ALCAPA using cardiac catheterization and coronary computed tomographic angiography (CTA). The second case was a 30-...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
دوره 34 2 شماره
صفحات -
تاریخ انتشار 2008