Letter to the editor Systolic compression of left main coronary artery by left ventricular pseudoaneurysm complicated by critical stenosis of left main coronary artery

Duncan, Kurt; Sukhija, Rishi; Aronow, Wilbert S.; DeLuca, Albert J.; Monsen, Craig E.; Pucillo, Anthony L.

doi:10.5114/aoms.2012.31624

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…In our case solely the LM was involved leading to overt congestive heart failure. Possible treatment options include coronary stent placement in the LM, transcatheter transapical device occlusion of the abscess cavity entry, and surgical repair . Since both interventional approaches would primarily improve symptoms without targeting the cause imposed by the mycotic abscess as source for recurrent endocarditis and due to the inherent risk of abscess rupture, it was decided to perform surgical repair.…”

Section: Discussionmentioning

confidence: 99%

Unusual cause of myocardial infarction and congestive heart failure in a patient with prosthetic valve endocarditis

Bloechlinger

Nebiker

Windecker

2013

Cathet Cardio Intervent

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In a patient with staphylococcus lugdunensis prosthetic aortic valve endocarditis and coronary septic embolism accompanied by antero-lateral myocardial infarction, embolic material was successfully aspirated from the bifurcation of the left anterior descending coronary artery and the first diagonal branch. A good angiographic result was documented six months thereafter when the patient presented with a second complication, pulsatile compression of the left main coronary artery by an abscess cavity originating between the aortic and mitral annulus, leading to congestive heart failure. The patient underwent successful surgical replacement of the aortic valve prosthesis with concomitant patch reconstruction of the annulus as well as tricuspid annuloplasty.

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Section: Discussionmentioning

confidence: 99%

Unusual cause of myocardial infarction and congestive heart failure in a patient with prosthetic valve endocarditis

Bloechlinger

Nebiker

Windecker

2013

Cathet Cardio Intervent

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“…The 3-month criterion was chosen because many pa tients received cardiac catheterization with coronary angiography shortly before starting treatment at our cardiology outpatient practice. Coronary artery disease was diagnosed as previously described [11][12][13][14][15][16][17][18][19].…”

Section: Methodsmentioning

confidence: 99%

Risk factor reduction in progression of angiographic coronary artery disease

Lai¹,

Aronow²,

Mercando³

et al. 2012

aoms

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A b s t r a c tIntroduction: To investigate differences between outpatients with progressive and nonprogressive coronary artery disease (CAD) measured by coronary angiography. Material and methods: Chart reviews were performed in patients in an outpatient cardiology practice having ≥ 2 coronary angiographies ≥ 1 year apart. Progressive CAD was defined as 1) new non-obstructive or obstructive CAD in a previously disease-free vessel; or 2) new obstruction in a previously non-obstructive vessel. Coronary risk factors, comorbidities, cardiovascular events, medication use, serum low-density lipoprotein cholesterol (LDL-C), and blood pressure were used for analysis. Results: The study included 183 patients, mean age 71 years. Mean follow-up duration was 11 years. Mean follow-up between coronary angiographies was 58 months. Of 183 patients, 108 (59%) had progressive CAD, and 75 (41%) had nonprogressive CAD. The use of statins, β-blockers, angiotensin-converting enzyme inhibitors or angiotensin receptor blockers, and aspirin was not significantly different in patient with progressive CAD or nonprogressive CAD Mean arterial pressure was higher in patients with progressive CAD than in patients with nonprogressive CAD (97 ±13 mm Hg vs. 92 ±12 mm Hg) (p < 0.05). Serum LDL-C was insignificantly higher in patients with progressive CAD (94 ±40 mg/dl) than in patients with nonprogressive CAD (81 ±34 mg/dl) (p = 0.09). Conclusions: Our data suggest that in addition to using appropriate medical therapy, control of blood pressure and serum LDL-C level may reduce progression of CAD.

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“…Dates of the events as well as dates of medication initiation and discontinuation were recorded. Coronary artery disease was diagnosed as previously described [10–16]. …”

Section: Methodsmentioning

confidence: 99%

The impact of statin therapy on long-term cardiovascular outcomes in an outpatient cardiology practice

et al. 2011

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SummaryBackgroundStatins reduce coronary events in patients with coronary artery disease.Material/MethodsChart reviews were performed in 305 patients (217 men and 88 women, mean age 74 years) not treated with statins during the first year of being seen in an outpatient cardiology practice but subsequently treated with statins. Based on the starting date of statins use, the long-term outcomes of myocardial infarction (MI), percutaneous coronary intervention (PCI), and coronary artery bypass graft surgery (CABGS) before and after statin use were compared.ResultsMean follow-up was 65 months before statins use and 66 months after statins use. MI occurred in 31 of 305 patients (10%) before statins, and in 13 of 305 patients (4%) after statins (p<0.01). PCI had been performed in 66 of 305 patients (22%) before statins and was performed in 41 of 305 patients (13%) after statins (p<0.01). CABGS had been performed in 56 of 305 patients (18%) before statins and was performed in 20 of 305 patients (7%) after statins (p<0.001). Stepwise logistic regression showed statins use was an independent risk factor for MI (odds ratio=0.0207, 95% CI, 0.0082–0.0522, p<0.0001), PCI (odds ratio=0.0109, 95% CI, 0.0038–0.0315, p<0.0001), and CABGS (odds ratio=0.0177, 95% CI=0.0072–0.0431, p<0.0001)ConclusionsStatins use in an outpatient cardiology practice reduces the incidence of MI, PCI, and CABGS.

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Letter to the editor Systolic compression of left main coronary artery by left ventricular pseudoaneurysm complicated by critical stenosis of left main coronary artery

Cited by 5 publications

References 6 publications

Unusual cause of myocardial infarction and congestive heart failure in a patient with prosthetic valve endocarditis

Unusual cause of myocardial infarction and congestive heart failure in a patient with prosthetic valve endocarditis

Risk factor reduction in progression of angiographic coronary artery disease

The impact of statin therapy on long-term cardiovascular outcomes in an outpatient cardiology practice

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