in this paper, we describe a case of an aneurysmal circumflex artery connected to the coronary sinus through a fistula in a 40-year-old man with a two-year history of palpitation and chest pain. we discussed surgical management for patients with coronary artery fistula (caf), particularly for asymptomatic patients with a small left-to-right shunt .

iatrogenic coronary artery dissection during coronary angiography with or without rupture is a rare but feared complication . we herein report a case of iatrogenic left main coronary artery dissection in a 49-year-old female. admitted to our hospital with a recent history of severe hypotension, she develpled apnea during angiography. she was intubated  and resuscitated with an epinephrine infus...

Ervatamia coronaria (Apocynaceae) is a glabrous, evergreen tree commonly grown in the gardens of West Pakistan. Various parts of the plant are used in the indigenous system of medicine for the treatment of ophthalmia, for application on wounds and inflammed parts of the body, as anthelmintic etc. A number of indole alkaloids have previously been reported from the leaves, stem bark and roots of ...

congenital anomalies of coronary arteries, albeit rare, may be significant contributors to angina pectoris, hemodynamic abnormalities, and sudden cardiac death. a 47-year-old man referred to us with atypical chest pain. electrocardiography demonstrated no significant ischemic changes, but cardiac troponin i test was positive. the patient underwent coronary angiography, which revealed a single c...

large intercoronary communications in the absence of obstructive coronary artery disease constitute a very rare coronary artery anomaly in which there is a readily visible connection between the 2 coronary arteries with a unidirectional or bidirectional blood flow; consequently, this anomaly may be misinterpreted as a functioning collateral vessel, indicative of an unrecognized proximal coronar...

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...

background: the existing evidence suggests that plasma adiponectin concentrations can be indicative of the presence and severity of coronary artery disease (cad). however, the results of the studies conducted hitherto on this subject are inconsistent. we sought to investigate the possible correlation between plasma adiponectin levels and the presence and severity of cad in patients undergoing n...

background and objective: obstructive sleep apnea (osa) is frequent and in some degree it affects about 24% of male and 9% of female in middle age adults. this study aimed to assess the association between risk of osa and cad. materials and methods : this case-control study was performed among 184 patients with a history of coro- nary angiography in two catheter labs at hospitals in qom, iran. ...