conclusions coronary artery aneurysm should be a differential diagnosis in cases of mediastinal cyst and mass lesion. case presentation a 32-year-old woman presented with edema of the upper and lower limbs, palpitation, and chest pain, and was diagnosed with a giant right coronary artery aneurysm that had initially mimicked a mediastinal cyst. although computed tomography (ct) suggested a media...

spontaneous coronary artery dissection (scad) is a rare and important cause of acute coronary syndrome and sudden cardiac death. various etiologies are thought to be responsible for this condition, among which underlying atherosclerosis seems to be the most common. scad is predominant in women and is usually diagnosed via coronary artery angiography. therapeutic interventions include medical th...

OBJECTIVE To investigate the associations between plasma levels of pentraxins 3 (PTX3) and C reactive protein (CRP) and the severity of coronary artery lesions. DESIGN AND METHODS 60 patients with coronary heart disease (CHD) who underwent coronary angiography (CAG) in our hospital were included. Plasma was collected during CAG. The coronary Gensini score was used to evaluate the severity of ...

traumatic coronary artery-cameral fistulas (tcaf) are rare and may present secondary to penetrating injuries (80%) or iatrogenic traumas. early operative intervention remains the recommended treatment modality for accidental traumatic coronary artery fistulas. we report the case of a 17-year-old man who presented with left anterior descending coronary artery-right ventricle fistula following pe...

Aneurysmal coronary artery disease (ACAD) comprises both coronary artery aneurysms (CAA) and coronary artery ectasia (CAE). The reported prevalence of ACAD varies widely from 0.2 to 10%, with male predominance and a predilection for the right coronary artery (RCA). Atherosclerosis is the commonest cause of ACAD in adults, while Kawasaki disease is the commonest cause in children and adolescents...

conclusions in most cases, the conus artery can be visualized in cardiac ct. a description of the conus artery should be a part of the standard clinical coronary ct angiography description. objectives to examine whether it is possible to visualize the conus artery in multi-slice computed tomography (ct). patients and methods in 79 consecutive patients (aged 56 ± 12.9 years; 13 women), 64-slice ...

ic with chest discomfort suggesting stable angina pectoris. He had hypertension and smoking as risk factors for coronary artery disease. Physical examination was entirely normal. Resting ECG revealed negative T waves on anterolateral leads. Coronary angiography demonstrated critical coronary lesions in the proximal part of the left anterior descending artery and the mid-portion of the diagonal ...

OBJECTIVES This study sought to assess the endothelial function of long-term coronary artery lesions in patients with Kawasaki disease (KD). BACKGROUND The vascular function of the coronary arteries in children with long-term KD remains uncertain. We report our findings of the vascular response of the coronary arteries to intracoronary injection of acetylcholine (ACh) in patients with KD. M...

A 55-year-old female patient was admitted with chest pain for 8 hours. She has no risk factors for coronary artery disease. There were no significant pathological findings on physical examination. ST-segment elevation in lead V 1-6 were observed on electrocardiogram. Coronary angiography revealed the left anterior descending artery originating from the left sinus valsalva alone and coursing nor...

BACKGROUND AND PURPOSE Percutaneous transluminal angioplasty (PTA) for significant stenosis involving the origin of the vertebral artery is now a well established treatment for selected patients when posterior cerebral arterial circulation is compromised. Arterial spasm, dissection, and restenosis may occur in some instances, with subsequent hemodynamic compromise. To prevent these potential co...