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Lu Sheng - - 2009
INTRODUCTION: Male genital dysfunction was recognized as a complication following anterior approach lumbar surgery. Disruption of efferent sympathetic pathways such as the abdominal aortic plexus (AAP) and superior hypogastric plexus (SHP) which lied pre-abdominal aorta and iliac artery had been thought as the main reason. Though there were some clinical ...
Tespili Maurizio - - 2009
On a rare occasion, pulmonary artery dilatation can be complicated by an extrinsic compression of the left main coronary artery (LMCA) whose effects are immediately evident, whereas a delayed presentation is unusual. We report the uncommon case of a delayed acute coronary syndrome caused by the extrinsic compression of the ...
Panduranga Prashanth - - 2009
Coronary arteries of anomalous origin are uncommon and all three coronary arteries arising from a single sinus of Valsalva is very rare. Percutaneous coronary intervention of such arteries is technically difficult and challenging. We report the case of a patient with all three coronary arteries arising from the right sinus ...
Beerbaum Philipp - - 2009
PURPOSE: To determine the value of whole-heart three-dimensional magnetic resonance imaging (MRI) for coronary artery imaging in children/adolescents with congenital heart disease (CHD). MATERIALS AND METHODS: Forty children/adolescents (median age: 14 years, range 2.6-25.8) with CHD underwent free-breathing navigator-gated isotropic three-dimensional steady-state free-precession (3D-SSFP) MRI for cardiac morphology. Two observers ...
Balbi Manrico - - 2009
A 65-year-old man suffering from ascending aorta aneurysm and atherosclerotic three vessel disease without left main involvement underwent aortic root replacement with coronary ostia reimplantation according to the modified Bentall technique and multiple coronary artery bypass grafts. Gelatin-resorcin-formaldehyde glue was used to reinforce the aortic coronary buttons and to facilitate ...
Nowak Dariusz - - 2009
BACKGROUND: The aim of this study was to evaluate whether the type of heart vasculature is in any way related to the length of the main stem of the left coronary artery. The study was inspired by publications describing a shorter main stem of the left coronary artery in adults ...
Lloyd Julie-Ann S - - 2009
A 19-year-old man presented with gradual onset of retrosternal chest pain and hemodynamic instability. Echocardiography and computed tomography showed substantial anterior and posterior pericardial effusion with tamponade. At surgery, a 3-cm ruptured aneurysm of the left anterior descending coronary artery was identified. It was successfully bypassed using a saphenous vein ...
Rahman Shahid - - 2009
We report a case of a 26-year-old female, who presented at 34 weeks of an uncomplicated pregnancy with an acute ST elevation anterior wall myocardial infarction. Cardiac catheterization suggested a left main coronary artery dissection with pseudoaneurysm formation. The patient's course was complicated by congestive heart failure. She was initially ...
Balla Sudarshan - - 2009
A case of Aneurysm of Left Anterior Descending that has ruptured into Right Ventricular Outflow Tract and presenting as acute anterior MI was successfully treated with aneurysmal resection and coronary artery bypass surgery. Possible aetiology is discussed.
Schmitto Jan D - - 2009
Despite the existence of controversial debates on the efficiency of coronary endarterectomy (CE), it is still used as an adjunct to coronary artery bypass grafting (CABG). This is particularly true in patients with endstage coronary artery disease. Given the improvements in cardiac surgery and postoperative care, as well as the ...
Vegsundvåg Johnny - - 2009
Transthoracic echocardiography (TTE) may be used for direct inspection of various parts of the main coronary arteries for detection of coronary stenoses and occlusions. We aimed to assess the feasibility of TTE to visualise the complete segments of the left main (LM), left descending (LAD), circumflex (Cx) and right (RCA) ...
Fabricius Alexander M AM Birmingham Children's Hospital, Cardiac Surgery, Birmingham, B4 6NH, - - 2009
Currently, a three-stage surgical palliation remains the treatment of choice at Birmingham Children's Hospital. After initial introduction of the classical Norwood with pulmonary blood flow provided by a modified Blalock-Taussig shunt, a right ventricular to right pulmonary artery conduit at stage 1 Norwood palliation is now used in most cases, ...
Wynn Gareth J - - 2010
Dobutamine stress echocardiography is a sensitive tool used for the detection of ischaemia. However, on occasion, there is a discrepancy between angiographic lesion severity and what would be expected from the abnormalities seen at stress echo. When stress echo underestimates severity it may be the case that collateral vessels play ...
Ozcan Fırat - - 2010
Arising of right coronary artery from left anterior descending artery is a very rare anomaly. We present a case with this anomaly that was also demonstrated with multislice computed tomography.
Olivieri Laura - - 2009
BACKGROUND: Clinical decision making in Kawasaki disease relies on measurements of the coronary arteries obtained by 2-dimensional echocardiography. Z scores relating measured values to independent variables are invaluable in ensuring the accurate and consistent treatment of patients with Kawasaki disease. METHODS: The right coronary artery (RCA), left main coronary artery ...
Gziut Aneta I - - 2008
Coronary aneurysms represent anomalies identified in 0.15-4.9% of patients undergoing coronary angiography. At present there is no uniform definition of this pathology. According to current definitions, the term "aneurysm" refers to both diffuse over 150% dilation of the largest diameter of a coronary artery, and limited spherical or saccular dilation. ...
Turkoglu Sedat - - 2008
Dual left anterior descending coronary artery (LAD) originating from the left main stem and the right coronary artery (RCA) (Type IV dual LAD) is a very rare coronary artery anomaly. Association of this anomaly with the anomalous origin of the circumflex artery from the RCA is a very rare occurrence. ...
Sağlam Hayrettin - - 2008
Coronary arteriovenous fistula is an uncommon anomaly, representing an incidental finding in 0.1% to 0.2% of coronary angiograms. A 46-year-old man presented with a five-month history of palpitation and atypical stabbing chest pain on exertion and/or at rest. The electrocardiogram showed normal sinus rhythm, incomplete right bundle branch block with ...
Pérez-Cardona José - - 2008
A 45 year old man, intravenous drug user, without history of systemic illness, presented with fever, chills and an anterior left thorax pulsatile mass. Echocardiogram showed an anterior mediastinal fluid collection with no apparent pericardial communication and without evidence of endocarditis. Chest tomography revealed a large left anterior mediastinal abscess ...
Nerantzis Christos E - - 2009
BACKGROUND: There is a controversy in the literature concerning the origin, course, and distribution of the atrioventricular (AV) node artery. METHODS: Postmortem coronary angiography, dissection, and microscopic examination were performed in 100 human hearts specimens, providing anatomical, histological, and postmortem angiographic features of the AV node artery. RESULTS: Two anatomical ...
Herzog Bernhard A - - 2009
Diverticula of the left atrium are very rare malformations of unknown etiology and may be associated with arrhythmias, thromboembolism, or mitral valve regurgitation. We report a patient with suspected coronary artery disease (CAD) in whom we performed a low-dose computed tomography coronary angiography using prospective electrocardiogram triggering. CAD could be ...
Chiribiri Amedeo - - 2008
OBJECTIVES: To evaluate in vivo anatomical relationships between the coronary sinus-great cardiac vein (CS-GCV), the mitral valve annulus (MVA), and left circumflex coronary artery (LCX) with cardiovascular magnetic resonance. BACKGROUND: The CS-GCV has become an anatomical structure of interest because it provides a way of access to the heart for ...
Tabata Minoru - - 2008
OBJECTIVES: Coronary endarterectomy has been shown to be an effective adjunctive technique of revascularization for diffuse coronary artery disease. However, outcomes of multiple coronary endarterectomy (MCE) have not been well investigated. We sought to examine early and late results of this technique. METHODS: Between January 1992 and June 2006, 58 ...
Cheng Cheng-Chung - - 2008
Retrograde aortocoronary dissection is a rare but devastating complication of coronary angioplasty. It occurs most frequently in the right coronary artery, rarely in the left. This is a case report of an aortic dissection complicated by coronary angioplasty of the left circumflex artery. Stenting of the left main coronary artery ...
Botsios Spiridon - - 2008
BACKGROUND: Conventional coronary artery bypass grafting (CABG) is recognized as the treatment of choice for left main coronary artery stenosis (LMCA) with excellent results. Patch angioplasty is an alternative method in selected cases for ostial stenosis of the LMCA. However, the long-term outcome data of this surgical technique are lacking. ...
Palloshi Altin - - 2008
Congenital coronary-pulmonary artery fistula is a rare anomaly. We report the case of a coronary-pulmonary artery fistula with plexus-like morphology connecting the left main stem and proximal segments of the left anterior descending and circumflex coronary arteries to the main pulmonary artery in a 69-year-old woman. It caused inducible ischemia ...
Burgstahler Christof - - 2009
Multi-slice computed tomography (MSCT) is a non-invasive modality to visualize coronary arteries with an overall good image quality. Improved spatial and temporal resolution of 64-slice and dual-source computed tomography (DSCT) scanners are supposed to have a positive impact on diagnostic accuracy and image quality. However, quantitative parameters to compare image ...
Canbay Alper - - 2008
We presented three cases of anomalous single coronary artery detected incidentally during routine coronary angiography. The presenting symptoms were chest pain, angina pectoris, and exertional chest pain, respectively. In one case (male, 69 years), the single coronary artery gave off branches to the left anterior descending artery, left circumflex (LCx) ...
Byrne John G - - 2008
A hybrid strategy combines the treatments traditionally available only in the catheterization laboratory with those traditionally available only in the operating room to offer patients the best available therapies for any given set of cardiovascular lesions. Examples include hybrid coronary revascularization (coronary artery bypass grafting [CABG]/percutaneous coronary intervention [PCI]) wherein ...
Wu Eugene B - - 2008
We report on three cases of left main stem thrombosis complicating percutaneous coronary angioplasty. We focused on the issue of dealing with emboli in the non-culprit vessel, as embolism in the "virgin" vessel is often associated with severe cardiogenic shock. We describe the use of a FilterWire technique to protect ...
Pejković B - - 2008
Classic anatomical dissection of 150 heart specimens from adults aged 18 - 80 years was performed. Anatomical variations were studied in: (i) the position of the ostium of the left coronary artery; (ii) the angle between the proximal segment of the left coronary artery and the longitudinal axis of the ...
Vasheghani-Farahani Ali - - 2008
The association between coronary arterial dominance patterns and the coronary artery diameter, length, and valvular heart diseases were previously studied. However, its association with coronary artery disease (CAD) is unclear. We investigated to determine whether the extent and localization of CAD differ in right, left, or codominant coronary arterial patterns. ...
Jung Christian - - 2009
High-risk percutaneous procedures are necessary in patients with contraindications to surgery in whom the inherent risk of the underlying disease is very high. Circulatory support may be provided with an intra-aortic balloon pump. If active cardiac support is required different devices have been successfully used. We report the case of ...
Lee Jae-Hwan - - 2010
Though atherosclerotic obstruction is the major cause of the obstructive left main coronary artery (LMCA) disease, it can be associated with iatrogenic dissection during coronary angiography. Here we report a case with severe LMCA stenosis due to catheter induced dissection in a 77-year-old man which was detected 9 months later. ...
Schoen S P - - 2008
A previously healthy 46-year-old male presented to our emergency department with severe thoracic pain, dyspnea and vomiting, which had suddenly started 2 hours before. He had no history of unusual features and no cardiovascular risk factors. The 12-lead electrocardiogram indicated a posterolateral myocardial infarction. Immediate coronary catheterization revealed occlusion of ...
Prabhu Anil D - - 2008
Most patients with diffuse coronary disease require endarterectomy for revascularization. In view of the high morbidity and mortality associated with coronary endarterectomy, patch angioplasty and reconstruction of the coronary artery was developed. We retrospectively evaluated 104 patients who underwent mammary artery patch angioplasty of the left anterior descending coronary artery. ...
Okamoto Kazuma - - 2008
We performed surgical repair of a giant left coronary ostial aneurysm after aortic root replacement using composite valve graft (modified Bentall procedure) in a patient with Marfan syndrome. Aneurysmal formation in the left main stem itself is very rare. In order to avoid mobilizing the coronary ostium from severe adhesions ...
Cini Roberto - - 2008
Spontaneous coronary artery dissection is a rare and generally fatal disease. A review of the literature demonstrates that the aetiopathogenesis of the disease is unknown and that the histology is rarely described. It usually occurs in young women during the post-partum period or while taking oral contraceptives. The treatment depends ...
Kharrat Ilyes - - 2008
Radiofrequency ablation (RFA) has established itself as a first-line therapy for the curative treatment of many patients with supraventricular or atrioventricular tachycardias and has exhibited a generally low incidence of serious sequelae (N Engl J Med. 1991;324:1612; Lancet. 1991;337:1557). Coronary artery injury is a rare complication. We present a patient ...
Namboodiri Narayanan - - 2008
Dual left anterior descending coronary artery (LAD) distribution with either of the vessels originating from the left main coronary artery (LMCA) and the right aortic sinus of Valsalva is an extremely rare coronary artery anomaly. Here we discuss a 45-year-old male who presented with non-ST-elevation anterior wall myocardial infarction due ...
Husmann Lars - - 2008
In a 66-year-old patient with prolonged episodes of chest pain, catheter angiography revealed total occlusions of the right coronary artery and the distal circumflex artery (CX) as well as 2 sequential significant stenoses in the proximal CX and one significant stenosis in the proximal left anterior descending artery (LAD). To ...
Anselmino Matteo - - 2008
Trifurcating coronary artery disease is a complex atherosclerotic process involving the origin of one or more of three side branches arising from a left main coronary artery. With the emergence of drug-eluting stents, interventional cardiologists have become more aggressive in treating this kind of complex diseases, also in patients with ...
Ginghina Carmen - - 2008
Dilatation of the pulmonary artery may lead to the compression of adjacent structures. Of those, the extrinsic compression of the left main coronary artery is the most worrisome. We present the case of a 48-year-old woman who was diagnosed with pulmonary artery dilatation due to severe, thromboembolic pulmonary hypertension. She ...
Le Huy - - 2008
The determination of regional myocardial mass at risk distal to a coronary occlusion provides valuable prognostic information for a patient with coronary artery disease. The coronary arterial system follows a design rule which allows for the use of arterial branch length and lumen volume to estimate regional myocardial mass at ...
Zhu Hui - - 2009
The non-uniform distribution of atherosclerosis in the human vasculature suggests that local fluid dynamics or wall mechanics may be involved in atherogenesis. Thus certain aspects of vascular geometry, which mediates both fluid dynamics and wall mechanics, might be risk factors for coronary atherosclerosis. Cataloguing the geometry of normal human coronary ...
Saito Takahiko - - 2009
Left main coronary artery atresia is an extremely rare disease. Differential diagnosis of left main coronary artery atresia from atherosclerotic occlusion of left main coronary artery is difficult even if performing invasive coronary angiography. We present a case of a 48-year-old male with left main coronary artery atresia. Echocardiography showed ...
Biswas D - - 2009
OBJECTIVE: We present a rare and clinically relevant anomaly of the sphenopalatine artery in relation to its blood supply of the nasal mucosa, with implications for the management of epistaxis. METHOD: Case report and review of the world literature, using Medline through Pub Med (1950-2005), EMBASE (1980-2005) and Ovid (1958-2005), ...
Wei Jia-Perng Jennifer - - 2008
Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction and sudden death. It typically, but not always, occurs in healthy postpartum women without traditional risk factors for atherosclerosis. Moreover, the site of dissection usually involves the proximal, major coronary arteries: left main coronary artery and/or the left ...
White Anthony J - - 2008
The purpose of this study was to compare outcomes for drug-eluting stents (DES) and coronary artery bypass graft (CABG) surgery in patients with unprotected left main coronary artery (ULMCA) stenosis. Expert guidelines recommend coronary artery bypass graft (CABG) surgery for the treatment of significant stenosis of the unprotected left main ...
Prashanth Panduranga - - 2008
The occurrence of a single coronary artery (SCA) is rare in the absence of other associated anomalies of the heart and is often detected incidentally during coronary angiography. This anomaly is usually benign and various types of SCA have been described. We report a rare type of SCA originating from ...
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