1/32. Single coronary artery with "high take-off" origin in a patient with rheumatic mitral stenosis--a case report.In this case report, a patient with rheumatic mitral stenosis and R-1 subtype single coronary artery arising from the ascending aorta ("high take-off" origin) and coursing between the aorta and pulmonary artery is presented. The clinical significance and differential diagnosis are discussed. To the authors' knowledge, this is the first case reported in the literature with a single R-1 subtype coronary artery that shows "high take-off" origin.- - - - - - - - - - ranking = 1keywords = coronary (Clic here for more details about this article) |
2/32. calcium embolism of the coronary arteries after percutaneous mitral balloon valvuloplasty.Two cases of rare, catastrophic calcium emboli to the coronary arteries immediately after percutaneous mitral balloon valvuloplasty are presented. Preoperative echocardiographic findings may identify patients at risk for this complication. These cases should increase the awareness of calcium emboli and lead to consideration of urgent coronary angiography for patients with signs or symptoms of acute coronary occlusion after valvuloplasty.- - - - - - - - - - ranking = 1.1666666666667keywords = coronary (Clic here for more details about this article) |
3/32. Anomalous coronary artery origin associated with bicuspid aortic valve in a patient with rheumatic mitral stenosis: a case report.A rare case of an anomalous left coronary artery arising from the right sinus of Valsalva associated with bicuspid aortic valve is presented. This case is unique because these congenital anomalies were associated with rheumatic mitral stenosis. This anomalous coronary origin was found at catheterization before balloon mitral valvuloplasty. The clinical significance of this finding is discussed.- - - - - - - - - - ranking = 1keywords = coronary (Clic here for more details about this article) |
4/32. Calcified left ventricular aneurysm and non-atherosclerotic myocardial infarction in a child.A 14-year-old boy, admitted with intractable chest pain, was found to have an enlarged heart and calcification in the apical region, with electrocardiographic features of massive inferolateral myocardial infarction. Left ventricular angiography revealed a large left ventricular aneurysm. He died following resection of the aneurysm and post mortem examination showed changes of a non-specific chronic myocarditis. A vasculitis involving small coronary arterioles was also found in the vicinity of the aneurysm, and the possibility of a rheumatic vasculitis was suggested by a transient episode of an erythema marginatum-like eruption. It is concluded that the association of infarction pattern on the electrocardiogram together with calcification of the heart in children is highly suggestive of a ventricular aneurysm secondary to a myocarditis or a vasculitis involving small, intramyocardial branches of the coronary arteries.- - - - - - - - - - ranking = 0.33333333333333keywords = coronary (Clic here for more details about this article) |
5/32. Coronary artery fistulae from single coronary artery in a patient with rheumatic mitral stenosis.Here we report coronary artery fistulae (CAF) arising from a single coronary artery in a patient with rheumatic mitral stenosis. A 62-year-old woman underwent a coronary angiogram prior to mitral valve replacement (MVR). The left coronary artery angiogram showed the right coronary artery arising from the left anterior descending coronary artery. From the distal left circumflex artery, two CAF were seen draining into left atrium. The haemodynamically insignificant fistulae were left alone and patient underwent MVR. Such an association has not been reported so far.- - - - - - - - - - ranking = 1.6666666666667keywords = coronary (Clic here for more details about this article) |
6/32. giant cell arteritis confined to intramural coronary arteries. Unforeseen hazards myocardial protection.A 74-year-old woman underwent elective double valve replacement (aortic and mitral) for rheumatic valvular disease. She failed to wean from cardiopulmonary bypass due to marked left ventricular dysfunction. At autopsy, severe giant cell arteritis confined to the intramural coronary arteries was seen. Furthermore, there were multiple areas of recent microscopic myocardial infarction around the intramural coronary arteries. This report describes a rare case of giant cell arteritis confined to intramural coronary arteries which lead to inadequate myocardial protection at the time of surgery.- - - - - - - - - - ranking = 1.1666666666667keywords = coronary (Clic here for more details about this article) |
7/32. myocardial infarction complicated by rheumatic heart disease.This report describes the case of a 32-year-old woman with the sudden onset of chest pain and an evolving inferior wall infarction proved by the electrocardiogram and enzyme studies. The patient underwent embolectomy 2 months later for a thromboembolus in the right main coronary artery. An autologous patch graft was used to close the arteriotomy. Four years later, the patient is asymptomatic, having no activity limitations. The patch graft to the right coronary artery is patent. This case exemplifies and reaffirms the possibility of emboli being lodged in the coronary arteries in certain types of disease. It may be necessary to operate in order to re-establish proper coronary circulation.- - - - - - - - - - ranking = 0.66666666666667keywords = coronary (Clic here for more details about this article) |
8/32. aortic valve replacement in a patient with an aberrant left coronary artery.A 22-year-old male undergoing aortic valve replacement was found to have the left coronary ostium arising from the noncoronary cusp area in close proximity to the annulus. He could not be weaned off cardiopulmonary bypass after the operation, even after removal of a Teflon pledget thought to obstruct the left coronary ostium. He underwent bypass grafting to the left coronary system and was then easily weaned off cardiopulmonary bypass.- - - - - - - - - - ranking = 1.3333333333333keywords = coronary (Clic here for more details about this article) |
9/32. Percutaneous balloon mitral valvotomy and coronary stenting in the same sitting.rheumatic heart disease (RHD) is still highly prevalent in developing countries like india, while the incidence of coronary artery disease (CAD) is on the rise. So the occurrence of a combination of RHD with CAD becomes more likely. We describe a patient with severe mitral stenosis and tight stenosis of the left anterior descending (LAD) coronary artery who underwent two percutaneous interventional procedures (balloon mitral valvotomy and coronary stenting) simultaneously. Specific problems associated with the combination of the two procedures are discussed.- - - - - - - - - - ranking = 1.1666666666667keywords = coronary (Clic here for more details about this article) |
10/32. Atresia of coronary sinus ostium with coronary venous flow to left atrium.The rare cardiac anomaly of atresia of the coronary sinus ostium with a large communication between the coronary sinus and the left atrium was discovered during a mitral valve replacement operation in a 44-year-old woman.- - - - - - - - - - ranking = 1.6666666666667keywords = coronary (Clic here for more details about this article) |
| | Next -> |