Document Detail

Fibrosing mediastinitis causing acute ostial left main myocardial infarction.
MedLine Citation:
PMID:  20814057     Owner:  NLM     Status:  MEDLINE    
This report describes an unusual etiology of acute coronary syndrome. A 48-year-old female presented with anginal chest discomfort and was found to have evidence of acute pulmonary edema requiring mechanical ventilation. She underwent emergency coronary angiography and stenting of the culprit left-main artery ostial discrete stenosis. Subsequent echocardiography and magnetic resonance imaging revealed severe aortic regurgitation and periaortic valve tissue infiltrates. Pericardiectomy and mediastinal mass biopsy were performed which indicated the pathology of fibrosing mediastinitis.
Domingo T Addatu; Huay Cheem Tan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  22     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-03     Completed Date:  2011-01-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  456-60     Citation Subset:  IM    
National University Heart Centre 5, Lower Kent Ridge Road, Singapore 119074.
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MeSH Terms
Acute Coronary Syndrome / diagnosis,  etiology*,  therapy
Aortic Valve Insufficiency / complications*,  diagnosis,  therapy
Coronary Angiography
Magnetic Resonance Imaging
Mediastinitis / complications,  diagnosis,  therapy
Middle Aged
Myocardial Infarction / diagnosis,  etiology*,  therapy
Pulmonary Edema / complications,  diagnosis,  therapy
Sclerosis / complications,  diagnosis,  therapy
Shock, Cardiogenic / diagnosis,  etiology,  therapy
Ultrasonography, Interventional

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