ABSTRACT
Dual left anterior descending coronary artery is a rare congenital anomaly with 4 subtypes. Double left anterior descending coronary artery originating from the left main stem and the right coronary artery (type IV dual left anterior descending artery) has been reported to occur in 0.01% to 0.7% of patients undergoing cardiac catheterization. We report a case of a 49-year-old woman who was found to have this anomaly during coronary angiography. The patient had been complaining of chest pain that mimics angina pectoris and exercise tolerance test was positive for myocardial ischemia.
Subject(s)
Coronary Stenosis/etiology , Sutures/adverse effects , Anticoagulants/therapeutic use , Aortic Valve Stenosis/complications , Atrial Fibrillation/complications , Coronary Stenosis/diagnostic imaging , Female , Heart Valve Prosthesis Implantation/adverse effects , Humans , Middle Aged , Mitral Valve/surgery , Radiography , Treatment OutcomeABSTRACT
Pulmonary autograft replacement of the aortic valve (Ross procedure) has potential advantages, with favorable rates of survival and freedom from reoperation. The procedure itself, however, involves insertion of a homograft in the pulmonary position. The development of severe homograft stenosis is an uncommon but clinically important complication. We report the case of a young female who developed a symptomatic homograft stenosis a year after she underwent the Ross procedure. The lesion was stented successfully and the homograft's patency, together with a markedly improved pressure gradient, was still maintained eight months after percutaneous stenting.
Subject(s)
Aortic Valve/transplantation , Cardiac Surgical Procedures , Pulmonary Valve Stenosis/diagnosis , Pulmonary Valve Stenosis/surgery , Stents , Adult , Female , Humans , Hypertrophy, Right Ventricular/surgery , Pulmonary Valve Stenosis/diagnostic imaging , Pulmonary Valve Stenosis/physiopathology , Radiography , Reoperation , Transplantation, Homologous , Tricuspid Valve Insufficiency/surgery , Ultrasonography , Vascular PatencyABSTRACT
The classical clinical picture of the antiphospholipid syndrome (APS) is characterized by venous and/or arterial thromboses, fetal losses and thrombocytopenia, in the presence of antiphospholipid antibodies (aPL). We present the case of a young male patient who suffered a transient ischemic cerebrovascular attack and whose cardiac investigation revealed a cardiac source of embolus, namely non-bacterial vegetations of the mitral valve. Laboratory testing confirmed the diagnosis of primary APS.