A case of a previously fit young woman admitted with chest pain, who was found at coronary angiography to have dissection of the left main stem which extended to the left anterior descending and circumflex coronary arteries, is presented. Emergency coronary artery bypass grafting was performed (vein grafts to the left anterior descending, the diagonal, and circumflex arteries). The patient made...

Background: Coronary heart disease is a rising cause of adult death in Nepal. Diagnostic and interventional facilities such as coronary angiography and angioplasty have also collaterally improved in Nepal over the last decade. This study explores the most common coronary vessels involved in the Nepalese population based on the coronary angiographic findings. Methods: This is a retrospective stu...

A 63-year-old woman was diagnosed with ovarian cancer and peritoneal carcinomatosis. The day after paclitaxel was administered, an acute myocardial infarction occurred. Emergency coronary angiography revealed a filling defect in the left main coronary artery and total occlusion in the distal left anterior descending coronary artery, with no luminal irregularity or narrowing. Intravascular ultra...

BACKGROUND Disrupted atherosclerotic plaques in the left anterior descending coronary artery are discussed controversially as a potential pathophysiological mechanism in Takotsubo syndrome (TTS). Therefore, the aim of the present study was to assess plaque burden and morphology by using optical coherence tomography in patients with TTS. METHODS AND RESULTS A total of 23 consecutive TTS patien...

We have presented a 7-week and 8-year postoperative angiographic follow-up of a 36-year-old man who had an anomalous left coronary artery arising from the pulmonary artery and who had an aortocornary bypass graft to the left anterior descending artery. The late study showed 1) a large, well functioning patent graft, 2) lack of significant postoperative change in the size of the right coronary a...

Fig. 1. LAO angiographic view failing to visualize the accurate course of distal LAD (black arrowheads) (A). CT curved multiplanar reconstruction demonstrating clearly the distal segment of LAD (B). Cx: circumflex artery; Dg: diagonal branch; LAD: left anterior descending artery. Fig. 2. CT sagittal maximum intensity projection performed 12 months after surgical revascularization confirmed good...

The amount of cross-sectional area narrowing by atherosclerotic plaque in each 5-mm-long segment from the entire lengths of the right, left main, left anterior descending and left circumflex coronary arteries and the size, predominant location and extent of myocardial scarring were determined in 59 necropsy patients with a healed transmural myocardial infarct (MI). The mean number of the four m...