Radiation-Induced Left Main Coronary Artery Stenosis in a Patient with Atretic Internal Mammary Arteries

被引:0
|
作者
Dogra, Siddhant [1 ]
Mahajan, Asha M. [1 ]
Jung, Albert [1 ]
Attubato, Michael [1 ]
Saric, Muhamed [1 ]
Shah, Alan [1 ]
机构
[1] NYU, Leon H Charney Div Cardiol, Dept Med, Sch Med, 530 First Ave,Skirball 9U, New York, NY 10016 USA
关键词
DISEASE; PREVENTION; MANAGEMENT; DIAGNOSIS; SURGERY; THERAPY;
D O I
10.1155/2020/7970305
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronary artery disease (CAD) is a known potential complication of thoracic radiation treatment that typically affects the proximal segments of the coronary arteries, requiring coronary artery bypass grafting (CABG). We present a case of acute coronary syndrome occurring in a 57-year-old man with prior thoracic radiation therapy following resection of a chest wall chondrosarcoma. Coronary angiogram demonstrated significant areas of stenosis in the left main coronary artery (LMCA) and ostial left anterior descending (LAD) coronary artery. The patient was also found to have atretic bilateral internal mammary arteries as a consequence of his radiation therapy, rendering them unsuitable as grafts. Percutaneous coronary intervention (PCI) was thus performed with a successful outcome. To our knowledge, this is the first case of radiation-induced CAD of the LMCA with atretic internal mammary arteries treated successfully with PCI.
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页数:5
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