scholarly journals Cardiac Hemangioma of RVOT in a Patient with Atypical Chest Pain

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Hossein Vakili ◽  
Isa Khaheshi ◽  
Mahnoosh Foroughi ◽  
Hamid Ghaderi ◽  
Shooka Esmaeeli ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Angiography ◽  
Right Ventricle ◽  
Transthoracic Echocardiography ◽  
Cardiac Tumor ◽  
Preoperative Diagnosis ◽  
Atypical Chest Pain ◽  
Cardiac Hemangioma ◽  
The Right

A 40-year-old man presented with atypical chest pain and fatigue from 15 days ago a suspicious mass in the right ventricle based on a bed side transthoracic echocardiography. Preoperative diagnosis of a cardiac hemangioma comes to mind in a minority of cases. In our case, a cardiac tumor was diagnosed and the vascular nature of the tumor was suggested by vascular blush on the coronary angiography. In addition, right ventriculotomy was the approach of choice in our case because of its inaccessibility and its particular location.

scholarly journals Solitary coronary artery: An unusual cause of atypical chest pain

2019 ◽  
Vol 16 (1) ◽  
pp. 55-56
Author(s):  
Laxman Dubey ◽  
Ridhi Adhikari ◽  
Suresh Deep
Keyword(s):  
Computed Tomography ◽  
Congenital Anomaly ◽  
Chest Pain ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Coronary Sinus ◽  
Sinus Of Valsalva ◽  
Atypical Chest Pain ◽  
Rare Congenital Anomaly ◽  
The Right

Coronary arteries arising from single coronary sinus is a rare congenital anomaly. We report a 30-year-old male who presented with atypical chest pain and computed tomography coronary angiography revealed a solitary coronary artery originating from a single ostium in the right sinus of Valsalva. 

P633 Murmuring the diagnosis

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
G Tiucu ◽  
F Ait Yahia
Keyword(s):  
Case Report ◽  
Coronary Angiography ◽  
Right Ventricle ◽  
Heart Transplant ◽  
Endomyocardial Biopsy ◽  
Distal Segment ◽  
Covered Stent ◽  
Spontaneous Resolution ◽  
Cardiac Murmur ◽  
The Right

Abstract INTRODUCTION Coronary-cameral fistulas (CCF) are mostly congenital, rarely acquired malformations that create a communication between one or more coronary arteries and one of the cardiac chambers resulting in arterio-venous or arterio-arterial connections, giving rise to left-right or left-left shunts. CASE REPORT A 64 year-old man with history of heart transplant in September 2018 for severe post-ischemic heart failure, was transferred in our cardiology service after a three months cardiac reeducation program. The patient was to be discharged on the same day but the accidental discovery of a myocardial septo-apical infarction with ST segment elevation motivated his admission for urgent coronary angiography. The patient did not present any thoracic pain, only a slight numbness in his right shoulder. Troponin T value was 1735pg/ml. The coronary angiography showed a recent occlusion in the distal segment of the left anterior descending artery presenting with an aneurismal dilatation and CCF. Further we completed the exam with a transthoracic echocardiography showing an akinetic apex in the presence of a fistula between the left anterior descending artery and the apex of the right ventricle with a high velocity flowing (Vmax = 1.8m/s) preferentially directional to the right ventricle. Reviewing the medical history we found out that the patient had had a endomyocardial biopsy three days before this episode. Clinically a continuous cardiac murmur could be heard and the patient presented NYHA II dyspnea. Following this clinical presentation we decided to discuss the case within a heart team reunion and the decision taken was to place a covered stent in the distal segment of the left descending artery so as to permit the occlusion of the fistula. The evolution was favorable and the patient was discharged five days later. DISCUSSION Diagnosis of acquired CCF is suspected by clinical history and recurrence of symptoms, occurrence of a new continuous machinery cardiac murmur and a palpable thrill. Normally conservative medical management is sufficient to relieve symptoms in these acquired fistulas and spontaneous resolution is very common in CCF acquired following endomyocardial biopsy. In our case report we noted the occurrence of a systolo-diastolic murmur following endomyocardial biopsy with a patient who was symptomatic of myocardial infraction. The literature describes report cases of symptomatic patients who needed a surgical or endovascular occlusion of the acquired CCF following endomyocardial biopsy by implanting a covered stent or with a covered balloon. CONCLUSION The termination site of acquired iatrogenic CCF following endomyocardial biopsy in the heart transplant population is usually the right ventricle with an elevated ratio of spontaneous resolution of this coronary-cameral communications. However in sysmptomatic patients a surgical or endo-vascular occlusion may be needed. Abstract P633 Figure. Transthoracic echography findings

scholarly journals A Remnant Sewing Needle in the Right Ventricle as a Cause of Chest Pain

2009 ◽  
Vol 33 (1) ◽  
pp. E23-E25 ◽  
Author(s):  
Hasan Gungor ◽  
Hamza Duygu ◽  
Bekir Serhat Yildiz ◽  
Ilker Gul ◽  
Mehdi Zoghi ◽  
...  
Keyword(s):  
Chest Pain ◽  
Right Ventricle ◽  
Sewing Needle ◽  
The Right

scholarly journals A Rare Coincidence of Two Coronary Anomalies in an Adult

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Cesar Cruz ◽  
Dalton Mclean ◽  
Matthew Janik ◽  
Paolo Raggi ◽  
A. Maziar Zafari
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Chest Pain ◽  
Coronary Angiography ◽  
Coronary Arteries ◽  
Coronary Anomalies ◽  
Left Main ◽  
Atypical Chest Pain ◽  
Selective Coronary Angiography ◽  
Type Iv

Anomalous right-sided left main coronary arteries and dual type IV left anterior descending arteries are rare coronary anomalies. In this case report, we present a 59 year old man with atypical chest pain and a combination of the above coronary anomalies as identified by selective coronary angiography and computed tomography angiography. To the best of our knowledge, the coincidence of these coronary anomalies has not been previously described.

Spontaneous intramyocardial hematoma mimicking a cardiac tumor of the right ventricle

2004 ◽  
Vol 17 (4) ◽  
pp. 394-396 ◽  
Author(s):  
Hui-Wen Cheng ◽  
Kuo-Chun Hung ◽  
Fun-Chung Lin ◽  
Delon Wu
Keyword(s):  
Right Ventricle ◽  
Cardiac Tumor ◽  
The Right

Absence of the coronary sinus with coronary venous drainage into the main pulmonary artery

2012 ◽  
Vol 23 (5) ◽  
pp. 759-762
Author(s):  
Kiyoshi Ogawa ◽  
Takashi Hishitani ◽  
Kenji Hoshino
Keyword(s):  
Coronary Angiography ◽  
Pulmonary Artery ◽  
Right Ventricle ◽  
Contrast Medium ◽  
Coronary Arteries ◽  
Coronary Sinus ◽  
Main Pulmonary Artery ◽  
Venous Drainage ◽  
Anterior Wall ◽  
The Right

AbstractWe describe the case of a 9-year-old girl demonstrating isolated absence of the coronary sinus with abnormal coronary venous drainage into the main pulmonary artery. Coronary angiography showed normal coronary arterial trees and contrast medium from both coronary arteries drained into the main pulmonary artery via an abnormal cardiac vein on the anterior wall of the right ventricle.

scholarly journals Cardiac hemangioma at the apex of the right ventricle: A case report and literature review

2014 ◽  
Vol 147 (3) ◽  
pp. e18-e21 ◽  
Author(s):  
Wen-Jian Jiang ◽  
Jin-Hua Li ◽  
Jiang Dai ◽  
Yong-Qiang Lai
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Right Ventricle ◽  
Cardiac Hemangioma ◽  
The Right

scholarly journals COMPARATIVE STUDY OF TREADMILL STRESS TEST(TMT) WITH INVASIVE CORONARY ANGIOGRAPHY (CAG) IN PATIENTS WITH SUSPECTED CORONARY ARTERY DISEASE

2020 ◽  
pp. 21-24
Author(s):  
Ameta Deepak ◽  
Sharma Mukesh ◽  
Singh Pal Shalinder ◽  
Yadav Sushil
Keyword(s):  
Chest Pain ◽  
Coronary Angiography ◽  
Stress Test ◽  
Invasive Coronary Angiography ◽  
Suspected Coronary Artery Disease ◽  
Atypical Chest Pain ◽  
Obstructive Lesion ◽  
Important Diagnostic Tool ◽  
Treadmill Stress Test ◽  
Treadmill Stress

Background- There are few studies which compared invasive coronary angiography (CAG) in patients presenting with chest pain (atypical, probably ischemic) in outpatient department with negative or inconclusive treadmill stress test (TMT). Objective- To assess CAG findings in patient with suspected iscemic chest pain, with negative or inconclusive TMT. Methods- Patients with chest pain (atypical, probably ischemic) underwent TMT and classified as TMT negative or inconclusive. These patients underwent CAG and findings were analysed. Results - 50 patients completed the study protocol. Of these 50 patients who underwent TMT, 31 (62%) were TMT negative and 19 (38%) were TMT inconclusive. In TMT negative group CAG showed obstructive lesion in 6(19.4%), and non obstructive lesion in 25(80.6%). In TMT inconclusive group CAG showed obstructive lesion in 11(57.8%), while non obstructive lesion in 8(42.2%). Conclusion-In patients with atypical chest pain with negative or inconclusive TMT with suspicion of coronary ischemia CAG provides an important diagnostic tool for assessing, especially with TMT inconclusive group.

Sign in / Sign up

Export Citation Format

Share Document