Résumé
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.
Sujets)
Humains , Adulte d'âge moyen , Rythme idioventriculaire accéléré , Angine de poitrine , Troubles du rythme cardiaque , Hémodynamique , Unités de soins intensifs , Infarctus du myocarde , Nitroglycérine , Reperfusion , SpasmeRésumé
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.
Sujets)
Carcinome hépatocellulaire , Échocardiographie , Ventricules cardiaques , Syndrome hépatopulmonaire , Métastase tumorale , Valve atrioventriculaire droite , Sténose tricuspidienneRésumé
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.