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A 43-year-old woman presented with dyspnea and cough, initially misdiagnosed as respiratory syncytial virus. Persistent symptoms led to pulmonary thromboembolism treatment, but worsening issues revealed recurrent pericardial effusion. Imaging and biopsy confirmed pulmonary artery intimal sarcoma, mimicking thromboembolism, and autoimmune disease, underscoring diagnostic challenges.

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Coronary artery anomalies (CAAs) are rare and challenging, with increased diagnoses due to advanced cardiovascular imaging, even in low-income countries where diagnostic and therapeutic approaches can be difficult. This case report details a 65-year-old Black male patient with a history of hypertension and smoking who presented with a myocardial infarction. Despite no significant abnormalities apart from the infarction, invasive coronary angiography revealed a dominant right coronary artery (RCA) and an anomalous left main coronary artery (LMCA) originating from the right coronary sinus, bifurcating into the left anterior descending artery and circumflex artery.

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Article Synopsis
  • - Systemic lupus erythematosus (SLE) is a serious autoimmune disease that can affect multiple systems in the body, and while cardiovascular issues are common, aneurysms and aortic dissection are rare but deadly complications.
  • - A case study details a 16-year-old girl with SLE who experienced severe chest pain, leading to imaging that revealed a dilated aortic arch and a descending aortic aneurysm, despite no initial signs of cardiovascular disease.
  • - Unfortunately, after starting antihypertensive treatment and a Valsalva maneuver, the patient suffered an aneurysmal rupture and died within 12 hours, emphasizing the need to consider these serious complications when a patient with SLE presents with
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Article Synopsis
  • - The case report discusses a rare condition where the right coronary artery originates from the pulmonary artery instead of the aorta, which was diagnosed using angiotomography.
  • - Surgical intervention included reimplanting the right coronary artery back into the ascending aorta and reconstructing the pulmonary artery to restore normal blood flow.
  • - This procedure highlights the complexity of cardiac anomalies and the innovative techniques required for surgical correction.
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Background: Pulmonary artery trunk aneurysm (PATA) is a rare and complex vascular anomaly characterized by the abnormal dilation of the initial portion of the pulmonary artery, posing significant diagnostic and therapeutic challenges.

Purpose: This clinical case report aims to describe the follow-up of a patient with PATA, emphasizing the role of imaging in diagnosis and monitoring, as well as discussing potential associations with other conditions.

Research Design: The study is designed as a clinical case report, detailing the longitudinal follow-up of a single patient with PATA.

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