ABSTRACT
Coronary artery aneurysms are detected rarely during coronary angiography, and are associated with injury to the mechanical vessel wall during percutaneous coronary intervention. Potential causes also include atherosclerosis, congenital defects, connective tissue disorders, vasculitis, infection, drug-related injury, and trauma; it can also be idiopathic. The complications of coronary artery aneurysms vary, but they rupture only rarely. However, there is no consensus treatment strategy for coronary artery aneurysm after coronary intervention. We report a case of a 55-year-old male who developed a coronary artery aneurysm and in-stent restenosis after percutaneous coronary intervention with a drug-eluting stent. The aneurysm was treated successfully with the implantation of a graft stent.
Subject(s)
Humans , Male , Middle Aged , Aneurysm , Atherosclerosis , Congenital Abnormalities , Connective Tissue , Consensus , Coronary Angiography , Coronary Vessels , Drug-Eluting Stents , Percutaneous Coronary Intervention , Rupture , Stents , Transplants , VasculitisABSTRACT
Acute myocardial infarctions involving multiple coronary arteries simultaneously are infrequent and causative risk factors of the occlusions are unclear. However, severe complications arise, such as congestive heart failure or death. We report a case of two simultaneously occluded coronary arteries. A 39-year-old Korean man with simultaneous total occlusion of the left anterior descending artery and the right coronary artery presented with chest discomfort and cardiogenic shock. Immediate percutaneous coronary intervention was performed and a transvenous temporary pacemaker and intra-aortic balloon counterpulsation catheter were inserted. Through continuous effort he was discharged 8 days post intervention without any complaints.
Subject(s)
Adult , Humans , Arteries , Catheters , Coronary Occlusion , Coronary Vessels , Counterpulsation , Heart Failure , Myocardial Infarction , Percutaneous Coronary Intervention , Risk Factors , Shock, Cardiogenic , ThoraxABSTRACT
Secondary lymphedema is an acquired condition resulting from damage to or obstruction of previously normal lymphatic channels, resulting in interstitial accumulation of protein-rich fluid, subsequent inflammation, adipose tissue hypertrophy, and finally fibrosis. It usually develops from infection, trauma, or malignancy or is a malignancy related to therapy. It has been rarely reported after a femoral vein cannulation procedure. We report a case of secondary lymphedema in a lower extremity after a femoral vein cannulation trial in a patient with chronic kidney disease.