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Interesting images: Multiple coronary artery aneurysms


1 Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach, Florida, USA
2 Florida International University School of Medicine, Miami Beach, Florida, USA
3 Columbia University Division of Cardiology, Mount Sinai Heart Institute, Miami Beach, Florida, USA

Correspondence Address:
Gerald P Rosen
Department of Anesthesiology, Mount Sinai Medical Center, 4300 Alton Road, Suite 1401, Miami Beach, FL 33140
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_22_17

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Year : 2017  |  Volume : 20  |  Issue : 3  |  Page : 331-332

 

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We present the case of a 65-year-old male who presented with stable angina and dyspnea on exertion. His initial workup yielded a positive treadmill stress test for reversible apical ischemia, and transthoracic echocardiogram demonstrated impaired systolic function. Cardiac catheterization was then performed, revealing severe atherosclerotic disease including multiple coronary artery aneurysms. As a result, the patient was advised to and subsequently underwent a coronary artery bypass graft. This case highlights the presence of multiple coronary artery aneurysms and the ability to appreciate these pathologic findings on multiple imaging modalities, including coronary angiogram, transesophageal echocardiography, and direct visualization through the surgical field.






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 INTERESTING IMAGES
 




1 Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach, Florida, USA
2 Florida International University School of Medicine, Miami Beach, Florida, USA
3 Columbia University Division of Cardiology, Mount Sinai Heart Institute, Miami Beach, Florida, USA

Correspondence Address:
Gerald P Rosen
Department of Anesthesiology, Mount Sinai Medical Center, 4300 Alton Road, Suite 1401, Miami Beach, FL 33140
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_22_17

Rights and Permissions

We present the case of a 65-year-old male who presented with stable angina and dyspnea on exertion. His initial workup yielded a positive treadmill stress test for reversible apical ischemia, and transthoracic echocardiogram demonstrated impaired systolic function. Cardiac catheterization was then performed, revealing severe atherosclerotic disease including multiple coronary artery aneurysms. As a result, the patient was advised to and subsequently underwent a coronary artery bypass graft. This case highlights the presence of multiple coronary artery aneurysms and the ability to appreciate these pathologic findings on multiple imaging modalities, including coronary angiogram, transesophageal echocardiography, and direct visualization through the surgical field.






[FULL TEXT] [PDF]*


        
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