Database : MEDLINE
Search on : C14.280.647.250.250 [DeCS Category]
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  1 / 3545 MEDLINE  
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PMID:29390352
Author:Jiang LC; Cao JY; Chen M
Address:Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Title:Coronary artery aneurysm combined with other multiple aneurysms at multiple locations: A case report and systematic review.
Source:Medicine (Baltimore); 96(50):e9230, 2017 Dec.
ISSN:1536-5964
Country of publication:United States
Language:eng
Abstract:BACKGROUND: Coronary artery aneurysm (CAA) with concomitant aneurysms at multiple sites is quite unusual and rare. The characteristics and the etiology of this phenomenon are unknown. METHODS: Herein, we present a case with right coronary aneurysm with concomitant abdominal aorta as well as right renal artery aneurysm. A systematic review of the literatures regarding CAA with other coexisting aneurysms at multiple locations was also conducted on Medline and Embase databases. RESULTS: A total of 76 patients (male gender: 58; age: 37.4 ±â€Š26.5) including the present case were included in the final study. The most common etiology of CAA with multiple aneurysms was Kawasaki (43.3%) and atherosclerotic disease (16.4%). CAA was the most frequently found at the right coronary artery (62.7%), following, left anterior descending (51%), left main (43.1%), and left circumflex (35.3%). The most common concomitant aneurysms were abdominal aorta (52.6%) and iliac artery (50%). In addition, 60.5% of the patients had an involved bilateral peripheral artery. CONCLUSION: CAA with coexisting systemic aneurysms in multiple sites is quite rare. And it usually involves multiple aneurysms at the coronary and bilateral peripheral arteries simultaneously. Currently, there are no general consensus regarding the clinical characteristics, diagnostic method, and treatment of these cases.
Publication type:CASE REPORTS; JOURNAL ARTICLE; REVIEW
Name of substance:0 (Biomarkers)


  2 / 3545 MEDLINE  
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PMID:29390439
Author:Chen PF; Tang L; Liu ZZ; Hu X
Address:Department of Cardiology, The Second Xiangya Hospital of Central South University, Chang Sha, China.
Title:Superior vena cava syndrome secondary to recurrent coronary artery fistula: A case report and literature review.
Source:Medicine (Baltimore); 96(51):e9111, 2017 Dec.
ISSN:1536-5964
Country of publication:United States
Language:eng
Abstract:RATIONALE: Coronary artery fistula (CAF) is characterized by an abnormal communication of a coronary artery with a cardiac chamber or a great vessel bypassing the capillary bed. Surgical closure of large or symptomatic CAF is the gold standard treatment. However the previously closed CAF still has the possibility to reopen. Superior vena cava syndrome (SVCS) is defined as a condition that occurs when the obstruction of the superior vena cava interrupts blood flow from the head, upper extremities, and thorax to the right atrium and can present a life-threatening situation. In this report, we described a case of SVCS, which was secondary to the compression by a huge aneurysm formed in a recurrent CAF, as a long-term complication associated with surgical treatment of CAF. PATIENT CONCERNS: A 47-year-old woman presented with chief complaint of progressive exertional dyspnea for one month. DIAGNOSES: Superior vena cava syndrome and recurrent coronary artery fistula. INTERVENTIONS: Reoperation for ligation of the fistulous and excision of the aneurysm were performed. OUTCOMES: The patient made an uneventful recovery and her postoperative course through 1-year follow-up was uneventful. LESSONS: First, SVCS is a rare but clinically important postoperative complication of surgical ligation of CAF. Second, surgical ligation of the fistula alone is unlikely to prevent the ectatic course. Therefore, long-term follow-up is mandatory for patients with CAF undergoing surgical closure.
Publication type:CASE REPORTS; JOURNAL ARTICLE; REVIEW


  3 / 3545 MEDLINE  
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PMID:29375112
Author:Oshima T; Minatsuki S; Myojo M; Kodera S; Nawata K; Ando J; Akazawa H; Watanabe M; Ono M; Komuro I
Address:Department of Cardiovascular Medicine, The University of Tokyo Hospital.
Title:Coronary Artery Aneurysm Caused by a Stent Fracture.
Source:Int Heart J; 59(1):203-208, 2018.
ISSN:1349-3299
Country of publication:Japan
Language:eng
Abstract:Coronary stent fracture (SF) is rare as a complication of percutaneous coronary intervention (PCI), and its adverse events are increasingly being recognized with the development in devices of PCI. The major adverse events caused by SFs are in-stent restenosis due to neointimal overgrowth caused by poor drug delivery. A coronary artery aneurysm (CAA) is a rare complication of SF, but may lead to lethal events such as acute coronary syndrome or rupture of the CAA further leading to cardiac tamponade. However, the management of CAAs is controversial with or without SF. Herein, we report a case of a CAA caused by an SF and discuss the management of CAA complicated with SF, along with a literature review. We suggest that surgical treatment should be considered the higher-priority strategy in the cases of CAA with SF as compared to CAA without SF.
Publication type:CASE REPORTS; JOURNAL ARTICLE; REVIEW


  4 / 3545 MEDLINE  
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PMID:28452820
Author:Nakao K; Sawai T; Nakahira J; Hamakawa A; Ishii H; Minami T
Address:From the *Department of Anesthesiology, Osaka Medical College, Takatsuki, Japan; and †Department of Anesthesiology, Tenri Hospital, Tenri, Japan.
Title:Left Main Coronary Artery Dissection During Aortic Valve Replacement.
Source:Anesth Analg; 124(6):1789-1791, 2017 Jun.
ISSN:1526-7598
Country of publication:United States
Language:eng
Publication type:CASE REPORTS; JOURNAL ARTICLE


  5 / 3545 MEDLINE  
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PMID:29233354
Author:Karliova I; Fries P; Schmidt J; Schneider U; Shalabi A; Schäfers HJ
Address:Department of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg/Saar, Germany. Electronic address: irem.karliova@uks.eu.
Title:Cardiac Computed Tomography as an Imaging Modality in Coronary Anomalies.
Source:Ann Thorac Surg; 105(1):e15-e17, 2018 Jan.
ISSN:1552-6259
Country of publication:Netherlands
Language:eng
Abstract:Coronary artery fistulae and coronary aneurysms are rare anomalies. When they become symptomatic, they require precise anatomic information to allow for planning of the therapeutic procedure. We report a case in which both fistulae and aneurysm were present. The required information could only be obtained by electrocardiogram-gated computed tomography with reformation. This imaging modality should be considered in every case of fistula or coronary aneurysm.
Publication type:CASE REPORTS; JOURNAL ARTICLE


  6 / 3545 MEDLINE  
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PMID:29173297
Author:Ebato T; Ogata S; Ogihara Y; Fujimoto M; Kitagawa A; Takanashi M; Ishii M
Address:Department of Pediatrics, Kitasato University, Kanagawa, Japan.
Title:The Clinical Utility and Safety of a New Strategy for the Treatment of Refractory Kawasaki Disease.
Source:J Pediatr; 191:140-144, 2017 Dec.
ISSN:1097-6833
Country of publication:United States
Language:eng
Abstract:OBJECTIVE: To assess the clinical utility and safety of a strategy for refractory Kawasaki disease, defined by Egami score ≥3. STUDY DESIGN: First-line treatment was with intravenous methylprednisolone (30 mg/kg, 2 hours, 1 dose) plus intravenous immunoglobulin (2 g/kg, 24 hours) treatment. Patients resistant to first-line treatment received additional intravenous immunoglobulin as a second-line treatment. Patients resistant to second-line treatment who had received Bacillus Calmette-Guérin vaccination 6 months earlier were treated with infliximab; otherwise, plasma exchange was performed. A total of 71 refractory patients with Kawasaki disease (median age: 2.4 years) of 365 patients with Kawasaki disease were treated according to our strategy from April 2007 to April 2016. Treatment resistance was defined as a persistent fever at 36 hours after treatment. We evaluated coronary artery lesions at the time of the diagnosis, at 1 month, and at 1 year after the diagnosis in accordance with the American Heart Association guidelines and the criteria of the Japanese Ministry of Health, Labour, and Welfare. RESULTS: First-line therapy was effective for 58 of 71 patients (81.6%), and second-line therapy was effective for 9 of 13 patients (69.2%). At third line, 3 patients were treated by infliximab, and 1 was treated with plasma exchange. Of the 18 patients with coronary artery abnormalities at diagnosis, 13 patients at 1 month and 6 patients at 1 year had coronary artery dilatation (median z score 3.0, 2.6, and 1.4, respectively). There were no patients with coronary artery aneurysm (CAA). CONCLUSIONS: Our strategy for refractory Kawasaki disease was safe and effective in preventing CAA.
Publication type:CLINICAL TRIAL; JOURNAL ARTICLE
Name of substance:0 (Anti-Inflammatory Agents); 0 (Immunoglobulins, Intravenous); 0 (Immunologic Factors); B72HH48FLU (Infliximab); X4W7ZR7023 (Methylprednisolone)


  7 / 3545 MEDLINE  
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PMID:29054234
Author:Sponga S; Napgal D; Beltrami AP; Ferrara V; Nalon S; Finato N; Livi U
Address:Cardiothoracic Department, University Hospital of Udine, Udine, Italy. Electronic address: sandro_sponga@yahoo.com.
Title:Coronary Dissection Discovered During Ex Vivo Organ Preservation: Avoiding a Fatal Complication.
Source:Ann Thorac Surg; 104(5):e383-e384, 2017 Nov.
ISSN:1552-6259
Country of publication:Netherlands
Language:eng
Abstract:This report describes the case of undiagnosed posttraumatic coronary artery dissection in a young multiorgan donor. Ex vivo preservation with the Organ Care System (TransMedics, Inc, Andover, MA) revealed the presence of coronary disease and avoided transplantation of an organ at high risk for failure.
Publication type:CASE REPORTS; JOURNAL ARTICLE


  8 / 3545 MEDLINE  
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PMID:29054232
Author:Wang Y; Zheng X; Liu K
Address:Department of Cardiovascular Surgery, Second Hospital of Jilin University, Changchun, Jilin, China.
Title:Surgical Repair of Bland-White-Garland Syndrome With Giant Right Coronary Artery Aneurysm.
Source:Ann Thorac Surg; 104(5):e375-e377, 2017 Nov.
ISSN:1552-6259
Country of publication:Netherlands
Language:eng
Abstract:A 61-year-old man was diagnosed with adult-type anomalous left coronary artery from pulmonary artery (or Bland-White-Garland syndrome) and a giant right coronary artery aneurysm. He underwent a thorough anatomic correction to excise the aneurysm and reconstruct a coronary system of two vessels. The postoperative period of this patient was uneventful.
Publication type:CASE REPORTS; JOURNAL ARTICLE; REVIEW


  9 / 3545 MEDLINE  
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PMID:28935322
Author:Fridman MD; Owada CY; Gregory RD; Birnbaum PL
Address:Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Title:Off-Pump Double Coronary Artery Bypass in a 14-Year-Old With Kawasaki Disease.
Source:Ann Thorac Surg; 104(4):e307-e309, 2017 Oct.
ISSN:1552-6259
Country of publication:Netherlands
Language:eng
Abstract:A 14-year-old male patient with a history of atypical Kawasaki disease at age 2 presents with triple vessel giant coronary aneurysms. Over the last several years, he began experiencing angina and dyspnea on exertion, which was a result of fully occluded right coronary and left circumflex arteries and 90% stenosis in the left anterior descending artery. He underwent off-pump coronary artery bypass using the left and right internal mammary arteries. At 18-month follow-up, there is no evidence of ischemia. Off-pump bypass is a feasible option for surgical management of the stenotic and occlusive complications of Kawasaki disease.
Publication type:CASE REPORTS; JOURNAL ARTICLE


  10 / 3545 MEDLINE  
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PMID:28921836
Author:Altman CA
Address:Division of Pediatric Cardiology, Texas Children's Hospital, Houston, Texas, USA.
Title:Clinical assessment of coronary arteries in Kawasaki disease: Focus on echocardiographic assessment.
Source:Congenit Heart Dis; 12(5):636-640, 2017 Sep.
ISSN:1747-0803
Country of publication:United States
Language:eng
Abstract:Echocardiography is an excellent noninvasive imaging modality for evaluation and follow-up of cardiac lesions, especially coronary artery changes occurring as a result of Kawasaki disease. The information obtained has prognostic implications and can be complemented with other modes of imaging for risk stratification and optimization of both medical and interventional therapy. The aim of this article is to describe the time line of echocardiographic follow-up of patients affected with Kawasaki disease. The classification of coronary artery changes and transthoracic echocardiographic views recommended for detailed evaluation of the coronary arteries are delineated in detail in this report.
Publication type:JOURNAL ARTICLE; REVIEW



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