Coronary-subclavian steal syndrome presenting with chest pain and syncope

WOS: 000225645600015PubMed: 15636453The present case is a 68-year-old patient with complaints of chest pain and syncopal attacks during physical activity of the left arm, for the last six months. He had a coronary artery bypass graft operation 10 years ago. Angiographic examination demonstrated total occlusion of the subdavian artery. The subdavian artery was stealing blood from the left anterior descending artery via the left internal mammary artery and from the brain via the left vertebral artery, leading to the diagnosis of subdavian artery steal syndrome; a rare cause of coronary and cerebral ischaemia

Sinus of Valsalva aneurysm as a cause of right proximal coronary artery spasm

WOS: 000181381000022PubMed: 12659998Sinus of Valsalva aneurysm (SVA) is an infrequent cardiac anomaly. Variations in the origin and course or distribution of the epicardial coronary arteries are rarely found in the population. SVA can be acquired, secondary to infectious, degenerative or traumatic processes. This paper describes congenital right SVA and abnormal origin of conus branch of right coronary artery as a cause of acute coronary syndrome. After surgical repair of the SVA, the prognosis is usually good, and the risk of recurrence is rare. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved

Surgical treatment of massive pulmonary embolism occurring after coronary artery bypass surgery

WOS: 000268223800012A 45-year-old woman developed acute massive pulmonary embolism two weeks after coronary artery bypass surgery. After confirmation of pulmonary embolism with echocardiography, the patient underwent pulmonary embolectomy within one hour of admission and a huge amount of clot was extracted via an incision of the pulmonary artery. The source of thrombus could not be determined. The patient was discharged uneventfully. At the three-month follow-up, there were no signs of recurrence and pulmonary hypertension

Treatment of massive pulmonary embolism after on-pump coronary artery bypass surgery: a case report

WOS: 000283410700015A 45-year-old woman developed an acute massive pulmonary embolism two weeks after four-vessel coronary artery bypass graft surgery. After confirmation of pulmonary embolism with echocardiography the patient underwent emergent pulmonary embolectomy in one hour following admission and a huge amount of clot was extracted via longitudinal pulmonary arteriotomy. Intraoperative transesophageal echocardiography revealed no remnants of thrombus either in the right atrium or right ventricle. The patient was discharged uneventfully and did not develop deep vein thrombosis or pulmonary hypertension on the 3(rd) month of follow-up

Myocardial bridging of obtuse marginal branch of the left circumflex artery associated with congenital corrected transposition of the great arteries

WOS: 000227540400021PubMed: 15708187A 54-year-old male was admitted to the emergency department with progressive dyspnea and chest paint during exercise. Congenital corrected transposition of the great arteries was detected on echocardiography. Coronary angiography revealed myocardial bridging on the obtuse marginal branch of the left circumflex coronary artery. Being a rare complex cardiac anomaly we discussed the congenitally corrected transposition of the great arteries (CCTGA) in association with myocardial bridging. (c) 2004 Elsevier Ireland Ltd. All rights reserved