Mysterious Abdominal Pain
| Autor: | Alberto Margonato, Monica Mazzavillani, Nicole Cristell, Alberto Cappelletti |
|---|---|
| Přispěvatelé: | Cappelletti, Alberto, Cristell, Nicole, Mazzavillani, Monica, Margonato, Alberto |
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Aortography medicine.diagnostic_test business.industry medicine.medical_treatment Case Report medicine.disease Right gastroepiploic artery Surgery Stenosis Coronary artery bypass surgery medicine.anatomical_structure Internal medicine Angioplasty Right coronary artery medicine.artery medicine Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | International Journal of Angiology. 20:181-184 |
| ISSN: | 1615-5939 1061-1711 |
| Popis: | A man presented to the emergency room with recurrent episodes of abdominal pain. He had a history of coronary artery bypass grafting of the left internal mammary artery (LIMA) to the left anterior descending (LAD) artery and the right gastroepiploic artery to the posterior descending artery. After numerous gastrointestinal evaluations, a stress test was performed, which was positive. Coronary angiography showed a proximal occlusion of the LAD and right coronary artery and a normal functioning LIMA bypass. Aortography showed a 95% stenosis of the celiac trunk. Angioplasty and stent implantation of the celiac trunk was successfully performed. Six months later the patient was completely asymptomatic with a negative stress test. In conclusion, abdominal pain in patients who have undergone coronary artery bypass surgery using the right gastroepiploic artery should raise suspicion not only of a stenosis of the arterial conduit but also of a potential stenosis of the celiac trunk. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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