A woman in her 50s developed acute coronary syndrome with de Winter pattern electrocardiogram (ECG). A coronary angiography revealed diagonal branch lesion caused by spontaneous coronary artery dissection, whereas the left-anterior descending artery was intact. The ECG change was transient and returned to normal without treatment 2 h later. ().
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http://dx.doi.org/10.1016/j.jaccas.2020.06.027 | DOI Listing |
Eur Heart J Case Rep
December 2024
Division of Cardiovascular Medicine, University of Miami, Leonard M. Miller School of Medicine, 1400 NW 12th Ave, Miami, FL 33136, USA.
Background: Coronary artery pseudoaneurysm (PSA) is a rare occurrence linked to percutaneous coronary interventions (PCIs), infection, or chest trauma, lacking established management guidelines due to its low incidence.
Case Summary: A 78-year-old male with a medical history of triple vessel disease, post coronary artery bypass grafting, heart failure, and chronic obstructive pulmonary disease, presented with intractable left-sided chest pain following a mechanical fall. The initial workup was positive for mildly elevated high-sensitivity troponin and brain natriuretic peptide raising suspicion for a pulmonary embolism; but chest computed tomography angiography revealed an enlarging pericardial haematoma.
Cureus
November 2024
Cardiology, Kasturba Medical College, Manipal, Manipal, IND.
J Cardiovasc Dev Dis
November 2024
Faculty of Medicine, Clinic of Cardiac and Vascular Diseases, Vilnius University, 01513 Vilnius, Lithuania.
Clin Ter
November 2024
Department of Anatomy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576104, India.
Cureus
October 2024
Cardiology, University of California San Francisco, Fresno, Fresno, USA.
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