Unicorn: Anomalous Double Ostium Left Main Coronary Artery With Intra-Mural Connection - Diagnosed with Multi-Modality Imaging

2022 ◽  
pp. 215013512110580
Author(s):  
David Horne ◽  
Hina Mohsin ◽  
Robert P. Chen
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Surgical Intervention ◽  
Three Dimensional ◽  
Left Main

Case report of a unicorn: anomalous double ostium left main coronary artery with common intra-mural connection. Three-dimensional virtual endo-luminal angioscopy and catheter-based imaging confirmed the diagnosis, subsequently avoiding cardiac surgical intervention.

scholarly journals Case Report: Post transcatheter aortic valve replacement shock: Value of multimodal imaging

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 2032 ◽  
Author(s):  
Sujatha P. Bhandary ◽  
Andrew J. Otey ◽  
Thomas J. Papadimos ◽  
Juan A. Crestanello ◽  
Barry S. George ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Multimodal Imaging ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Transcatheter Aortic Valve

Complications resulting from the delayed clinical presentation of a left main coronary artery obstruction can be catastrophic. This case report presents a 73-year-old woman with severe aortic stenosis who underwent transcatheter aortic valve replacement with a core valve who, approximately 20 minutes after heparin reversal with protamine, became hypotensive and was unresponsive to vasopressor and inotropic therapy. Transesophageal echocardiography demonstrated global hypokinesis, which was highly consistent with the occlusion of the left main coronary artery. Angiography confirmed this diagnosis and demonstrated that valve positioning had not changed compared to post-placement examination. Here we report the partial covering of the ostium of the left main coronary artery by a core valve skirt that converted into a total occlusion following the initiation of heparin reversal with protamine and the value of multimodal imaging in the management of this case.

PP-187 A CASE REPORT OF ASYMPTOMATIC PLAQUE RUPTURE AT LEFT MAIN CORONARY ARTERY DETECTED BY IVUS

2012 ◽  
Vol 155 ◽  
pp. S160
Author(s):  
U.Ç. Yüksel ◽  
T. Çelik ◽  
A. İyisoy ◽  
M. Çelik ◽  
B. Buğan ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Plaque Rupture ◽  
Left Main

scholarly journals Left main coronary artery bifurcation angioplasty and stenting after aortic valve replacement: a case report

2012 ◽  
Vol 64 (1) ◽  
pp. 80-83
Author(s):  
Sanjeeb Roy ◽  
Ajeet Bana ◽  
Rajeev Gupta ◽  
Rakesh Chittora ◽  
Sameer Sharma ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Angioplasty And Stenting

Does an Absent Left Main Lead to a Main Event?

2018 ◽  
Vol 47 (3) ◽  
pp. 184-186
Author(s):  
Sheila MacDonnell ◽  
Lisa M. Papazian
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Life Insurance ◽  
Left Main Coronary Artery ◽  
Sinus Of Valsalva ◽  
Circumflex Coronary Artery ◽  
Left Main ◽  
Male Applicant ◽  
Anatomic Variants ◽  
Left Sinus Of Valsalva

This is a case report of a 29-year-old, male applicant for life insurance who was discovered to have an absence of the left main coronary artery (LMCA), with the left anterior descending coronary artery (LAD) and left circumflex coronary artery (LCX) each arising directly from the left sinus of Valsalva. A brief review of several types of coronary artery anatomic variants will be presented.

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