ABSTRACT
A 56-year-old man presented with right coronary arterial spasm accompanied by ST segment elevation in the inferior leads. A reperfusion arrhythmia, accelerated idioventricular rhythm (AIVR), developed 1 hour after a nitroglycerin infusion. The AIVR was sustained for 5 days without hemodynamic instability, and resolved spontaneously during hemodynamic monitoring in the coronary intensive care unit.
Subject(s)
Humans , Middle Aged , Accelerated Idioventricular Rhythm , Angina Pectoris , Arrhythmias, Cardiac , Hemodynamics , Intensive Care Units , Myocardial Infarction , Nitroglycerin , Reperfusion , SpasmABSTRACT
Intracardiac metastasis of hepatocellular carcinoma with functional tricuspid valve stenosis is not common. Furthermore, hepatopulmonary syndrome associated with hepatocellular carcinoma is rarely encountered. We present a case of intracardiac metastasis of hepatocellular carcinoma presenting with functional tricuspid valve stenosis accompanied with hepatopulmonary syndrome.
Subject(s)
Carcinoma, Hepatocellular , Echocardiography , Heart Ventricles , Hepatopulmonary Syndrome , Neoplasm Metastasis , Tricuspid Valve , Tricuspid Valve StenosisABSTRACT
Single anomalous coronary artery is a rare congenital anomaly of the coronary circulation. Right coronary artery (RCA) arising from the left anterior descending artery is an extermely rare variety of single coronary artery. We report a 68-year-old patient with a single coronary artery system, in whom the right coronary artery originated from the mid left anterior descending artery.