Aneurysm of the Pulmonary Artery in Fallot’s Tetralogy

Introduction. Pulmonary artery aneurysms are a rare entity. Etiologies of these findings are multiple, but they are exceptionally associated with Fallot’s Tetralogy. In this study, we present an unusual case of an important aneurysm of the left pulmonary artery associated with Fallot’s Tetralogy disease. Case Presentation. A 30-year-old woman has been admitted for dyspnea and cyanosis. The data which had been obtained from echocardiography, cardiac catheterization, and angio-magnetic resonance imaging (MRI) suggested the existence of an important aneurysm of the left pulmonary artery associated with a regular Fallot’s disease with a pulmonic stenosis. We have noticed the presence of a small restrictive patent ductus arteriosus (PDA). Therefore, the patient was referred to surgical correction. Conclusion. Pulmonary artery aneurysms associated with Fallot’s Tetralogy are rarely reported. The natural history of these rare arterial aneurysms has to be clarified

Spontaneous Coronary Dissection Revealed by Ventricular Tachycardia in a Female Patient: A Case Report and Review of Literature

Spontaneous coronary artery dissection is an uncommon cause of acute coronary syndrome or sudden death, typically observed in patients with minimal atherosclerotic risk factors. A 53-year-old female patient presented to the emergency department with episodes of palpitations and sudden, intense chest pain radiating to the back. Following the chest pain, she experienced a brief loss of consciousness. The initial electrocardiogram (EKG) revealed a self-resolving episode of ventricular tachycardia. A transthoracic echocardiogram displayed enlarged ventricles with significant regional wall motion abnormalities and reduced left ventricular ejection fraction. Cardiac catheterization revealed an intimal dissection in the middle segment of the left anterior descending artery. The patient was managed conservatively and exhibited stable angiographic findings during a follow-up evaluation one month later