RESUMO
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.
Assuntos
Humanos , Pessoa de Meia-Idade , Ritmo Idioventricular Acelerado , Angina Pectoris , Arritmias Cardíacas , Hemodinâmica , Unidades de Terapia Intensiva , Infarto do Miocárdio , Nitroglicerina , Reperfusão , EspasmoRESUMO
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.
Assuntos
Carcinoma Hepatocelular , Ecocardiografia , Ventrículos do Coração , Síndrome Hepatopulmonar , Metástase Neoplásica , Valva Tricúspide , Estenose da Valva TricúspideRESUMO
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.