Diffuse aneurysmal and obstructive coronary artery disease: A do-not-intervene patient | Zendy

Eulália Pereira | Zendy; Bruno Melica | Zendy; João Primo | Zendy; João Carlos Mota | Zendy; Nuno Ferreira | Zendy; Gustavo Pires de Morais | Zendy; Marta Ponte | Zendy; Daniel Caeiro | Zendy; Mónica Carvalho | Zendy; Nuno Bettencourt | Zendy; Luís Vouga | Zendy; Vasco Gama | Zendy

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Diffuse aneurysmal and obstructive coronary artery disease: A do-not-intervene patient

Author(s) -

Eulália Pereira,

Bruno Melica,

João Primo,

João Carlos Mota,

Nuno Ferreira,

Gustavo Pires de Morais,

Marta Ponte,

Daniel Caeiro,

Mónica Carvalho,

Nuno Bettencourt,

Luís Vouga,

Vasco Gama

Publication year - 2013

Publication title -

revista portuguesa de cardiologia

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.266

H-Index - 26

eISSN - 2174-2030

pISSN - 0870-2551

DOI - 10.1016/j.repc.2012.11.009

Subject(s) - medicine , coronary artery disease , cardiology

Coronary artery aneurysms are uncommon but potentially hazardous entities found on a small percentage of coronary angiograms. The best management strategy remains to be determined; the coexistence of obstructive coronary artery disease is the main determinant of prognosis. We report the case of a middle-aged woman with mixed aneurysmal and obstructive coronary artery disease presenting as an acute myocardial infarction, probably due to atherosclerosis. The unusual severity and complexity of the angiographic presentation of this case, with involvement of all major coronary arteries, raises important issues in terms of the patient's treatment options.

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