scholarly journals Left Valsalva aneurysm as acute ischemia of the left main trunk: a case report

2021 ◽  
Author(s):  
Hirotoshi Isozaki ◽  
Seika Sai ◽  
Kanji Matsuzaki ◽  
Yasunori Watanabe
Keyword(s):  
Computed Tomography ◽  
Acute Coronary Syndrome ◽  
Case Report ◽  
Left Coronary Artery ◽  
Acute Ischemia ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
Main Trunk ◽  
Left Main Trunk ◽  
Coronary Syndrome

Abstract A 79-year-old woman was brought to the emergency room for chest pain. Acute coronary syndrome was suspected and coronary angiography revealed an aneurysm-like contrast accumulation in the sinus of Valsalva. Computed tomography revealed an aneurysm of the left Valsalva compressing the left coronary artery, which required surgical treatment.

scholarly journals TCTAP C-072 Acute Coronary Syndrome with Left Main Trunk Bifurcation Lesion

2017 ◽  
Vol 69 (16) ◽  
pp. S162-S163
Author(s):  
Yoko Kurumatani ◽  
Yuya Tanaka ◽  
Mayumi Saso ◽  
Kazuyoshi Ohata
Keyword(s):  
Acute Coronary Syndrome ◽  
Left Main ◽  
Main Trunk ◽  
Left Main Trunk ◽  
Coronary Syndrome ◽  
Bifurcation Lesion

scholarly journals LEFT VENTRICLE REARRANGEMENT IN PATIENTS WITH CRITICAL OSTIAL STENOSIS OF THE LEFT MAIN TRUNK COMPLICATED WITH ISCHEMIC MITRAL REGURGITATION

2021 ◽  
Vol 11 (3) ◽  
pp. 36-39
Author(s):  
Vyacheslav Mykhaylichenko ◽  
Yuri Kostyamin ◽  
Dmitry Parshin
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Mitral Regurgitation ◽  
Ejection Fraction ◽  
Left Coronary Artery ◽  
Left Ventricular Ejection ◽  
Mitral Insufficiency ◽  
Left Main ◽  
Main Trunk ◽  
Left Main Trunk

In this work, we studied the possibility of stenting the left coronary artery trunk in patients with subacute myocardial infarction on a background of critical stenosis of the left coronary artery trunk, reduced left ventricular ejection fraction and surgically significant mitral regurgitation. We analyzed treatment outcomes of 97 patients who underwent stenting of left main trunk for subacute stage of myocardial infarction. All patients had mitral insufficiency of II–III degree. The echocardiography data were analyzed before surgery, 7 days, 30 days and 12 months after surgical treatment. Direct stenting of the left coronary artery trunk was performed in 38 (39.2%) patients. 59 (60.8%) patients underwent Culotte bifurcation stenting. A good treatment effect was achieved in 89 (91.2%) patients. As a result of the LV myocardial remodeling, EF increased by 1.44 times (p < 0.05). There was a significant decrease in the degree of mitral insufficiency by 39% to surgically insignificant from 5.9 to 3.6 mm (p < 0.05). Stent placement as an initial treatment in elderly patients with more than 24 hours after the onset of acute myocardial infarction (AMI) originated from a critical lesion of the left coronary artery trunk and concomitant pronounced mitral insufficiency proved as fully justified and safe. We assume that this treatment enables to improve ejection fraction and reduce severity of mitral regurgitation in elderly AMI patients.

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