a 48-year-old woman was admitted to the emergency department with complaints of typical chest pain, cold sweat, and dyspnea of 24 hours’ duration. she had a history of hypertension, hyperlipidemia, and diabetes mellitus for many years. on admission, her electrocardiogram (ecg) revealed normal sinus rhythm and dynamic t inversion in the precordial leads. her enzyme levels were normal. transthora...

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...

aneurysms of the left main coronary artery are exceedingly rare clinical entities, encountered incidentally in approximately 0.1% of patients who undergo routine angiography. the most common cause of coronary artery aneurysms is atherosclerosis. angiography is the gold standard for diagnosis and treatment. depending on the severity of the coexisting coronary stenosis, patients with left main co...

the coronary slow flow phenomenon (csfp) is characterized by a delayed coronary blood flow in the absence of an obstructive coronary artery disease. although the relation between the csfp and myocardial ischemia has been reported previously, there is no knowledge about the relationship between the csfp and the conduction system disorder. in this case report, we describe a patient with the csfp ...

background: isolated right bundle branch block (rbbb) is a common finding in the general population. the atrioventricular node (avn) artery contributes to the blood supply of the right bundle branch. our hypothesis was that the anatomy of the avn artery and the pattern of dominancy differ between subjects with and without rbbb. methods: w e retrospectively studied the coronary angiography of 92...

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...

results the mean ages in case and control groups were 60.8 ± 6.8 and 57.5 ± 11.5 years, respectively, with no significant difference (p = 0.09). thirty patients (54.5%) in case and 32 (58.2%) in control groups were male with no significant difference (p = 0.7). cmv-dna was present in 8 (14.5%) of the cases and 2 (4%) of the controls. cmv-dna was associated with higher risk of atherosclerosis (o...

conclusions following cabg, the most severity of pain was reported at surgical incision on time t2. pain began to decrease from the third day following the operation. age, sex and bmi along with operation-related factors such as duration of cbp or chest tube drainage may affect the pain pattern following cabg surgery. patients and methods the present study was conducted on 138 patients who unde...

the acute coronary syndrome due to the left main coronary artery (lmca) thrombosis is a clinically rare and catastrophic event.   we describe a young man ( smoker, alcoholic, and drug abuser) with a history of recent surgery and typical chest pain who had non-occlusive lmca thrombosis in coronary angiography. the thrombosis was successfully treated with two 180 µ/kg intracoronary boluses of ept...

the anomalous origin of the right coronary artery (rca) as a branch from the left anterior descending artery (lad) is a very rare variation of the single coronary artery anomaly. the anomalous vessel arises from the proximal or midportion of the lad and courses anterior to the pulmonary artery trunk in most instances. in this case report, a 61-year-old woman is introduced who underwent coronary...