ABSTRACT
We report the case of a 54 year old man referred to the Emergency Department for rapid onset of an itchy rash and oppressive epigastric pain after assumption of amoxicillin/clavulanate. Electrocardiogram aand laboratory findings were consistent with acute coronaty syndrome. After coronary angiography, diagnosis of type II Kounis syndrome was made.
Subject(s)
Acute Coronary Syndrome , Male , Humans , Middle Aged , Acute Coronary Syndrome/diagnosis , Acute Coronary Syndrome/diagnostic imaging , Amoxicillin-Potassium Clavulanate Combination/adverse effects , Coronary Angiography , Electrocardiography , Emergency Service, HospitalABSTRACT
We report the case of a 41-year-old man presenting with a large Kommerell's diverticulum aneurysm in the right-sided aortic arch with retroesophageal component and moderate thoracic aortic dilation. Surgical treatment was performed through left thoracotomy and consisted of aneurysmectomy, closure of the distal aortic arch defect and aorta-left subclavian artery bypass. After 2 years computed tomography showed no modifications in the thoracic aortic morphology and the patency of the graft to the subclavian artery.
