ABSTRACT
Simultaneous drug-eluting stent thrombosis in multivessel disease is a low incidence, but could cause lethal clinical event. We report a case with death caused by simultaneous subacute stent thrombosis of sirolimus-eluting stents in the proximal left anterior descending artery and in the proximal left circumflex artery.
Subject(s)
Coronary Stenosis/therapy , Drug-Eluting Stents/adverse effects , Angioplasty, Balloon, Coronary , Aspirin/administration & dosage , Cilostazol , Clopidogrel , Coronary Angiography , Coronary Occlusion/complications , Coronary Occlusion/therapy , Coronary Thrombosis/complications , Coronary Thrombosis/prevention & control , Electrocardiography , Fatal Outcome , Humans , Immunosuppressive Agents/administration & dosage , Male , Middle Aged , Platelet Aggregation Inhibitors/administration & dosage , Sirolimus/administration & dosage , Tetrazoles/administration & dosage , Ticlopidine/administration & dosage , Ticlopidine/analogs & derivatives , Ventricular Fibrillation/etiologyABSTRACT
Posteroseptal accessory pathways are often associated with coronary sinus diverticula. These diverticula contain myocardial coats which serve as a bypass tract. We report a 54-year-old woman who underwent radiofrequency (RF) catheter ablation for Wolff-Parkinson-White (WPW) syndrome. The surface electrocardiography (ECG) demonstrated pre-excitation, indicating a posteroseptal accessory pathway. A catheter ablation via a transaortic approach failed to ablate the accessory pathway. Coronary sinus venography revealed the presence of a diverticulum near the ostium. An electrogram in the neck of the diverticulum showed the coronary sinus myocardial extension potential, which was successfully ablated by delivery of RF energy.
ABSTRACT
Dysphagia aortica is difficulty in swallowing caused by extrinsic compression of the esophagus due to an ectatic, tortuous, or aneurysmatic atherosclerotic thoracic aorta. This condition is very uncommon, and it is usually associated with old age, women with short stature, hypertension, and kyphosis. We report herein a case involving a patient with dysphagia who had an aortic aneurysm.
