Radiation-Induced Left Main Coronary Artery Stenosis in a Patient with Atretic Internal Mammary Arteries
| Autor: | Muhamed Saric, Siddhant Dogra, Alan Shah, Albert Jung, Michael J. Attubato, Asha M. Mahajan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome business.industry medicine.medical_treatment Percutaneous coronary intervention Case Report Left Main Coronary Artery Stenosis medicine.disease Coronary arteries Coronary artery disease Stenosis surgical procedures operative medicine.anatomical_structure RC666-701 Internal medicine Conventional PCI medicine Cardiology Diseases of the circulatory (Cardiovascular) system cardiovascular diseases Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Case Reports in Cardiology, Vol 2020 (2020) Case Reports in Cardiology |
| ISSN: | 2090-6412 2090-6404 |
| DOI: | 10.1155/2020/7970305 |
| Popis: | Coronary artery disease (CAD) is a known potential complication of thoracic radiation treatment that typically affects the proximal segments of the coronary arteries, requiring coronary artery bypass grafting (CABG). We present a case of acute coronary syndrome occurring in a 57-year-old man with prior thoracic radiation therapy following resection of a chest wall chondrosarcoma. Coronary angiogram demonstrated significant areas of stenosis in the left main coronary artery (LMCA) and ostial left anterior descending (LAD) coronary artery. The patient was also found to have atretic bilateral internal mammary arteries as a consequence of his radiation therapy, rendering them unsuitable as grafts. Percutaneous coronary intervention (PCI) was thus performed with a successful outcome. To our knowledge, this is the first case of radiation-induced CAD of the LMCA with atretic internal mammary arteries treated successfully with PCI. |
| Databáze: | OpenAIRE |
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