Excessively Enlarged Right Coronary Artery Aneurysm With Intramural Thrombus Causing Recurrent Acute Coronary Syndrome
| Autor: | Junya Ejiri, Shinobu Ichikawa, Hiroshi Takaishi, Yoshihiro Sasaki, Sonoko Hirayama, Tomoyuki Honjo, Yoshitaka Ohashi, Kojiro Awano |
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| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Lumen (anatomy) Anterior Descending Coronary Artery medicine.disease Surgery Angina Aneurysm Physiology (medical) Internal medicine Right coronary artery medicine.artery T wave cardiovascular system medicine Cardiology cardiovascular diseases Thrombus Cardiology and Cardiovascular Medicine business Cardiac catheterization |
| Zdroj: | Circulation. 118 |
| ISSN: | 1524-4539 0009-7322 |
| Popis: | A 45-year-old man was admitted to our hospital with exertional chest pain. He had been diagnosed with membranoproliferative glomerulonephritis at the age of 20 and had undergone kidney transplantation at the age of 33. After that, he had taken some immunosuppressant drugs and steroids. Two years previously, he had presented with acute chest pain. On that occasion, cardiac enzymes were not elevated, but ECG showed the inversion of the T waves in II, III, aVF, V5, and V6 leads. We diagnosed angina pectoris and performed cardiac catheterization. Cardiac catheterization revealed a 75%-stenosed left anterior descending coronary artery (LAD) and a giant right coronary artery (RCA) aneurysm (50 mm) with intramural thrombus. Because the intravascular lumen of the RCA had been … |
| Databáze: | OpenAIRE |
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