Occlusion of the Left Main Coronary Artery Secondary to Left Ventricular Angioma

Oglietti, Jorge; Baquero, Victor J.; Lufschanowski, Roberto; Leachman, Robert D.; Cooley, Denton A.

doi:10.1378/chest.70.4.542

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…Conservative management has been reported, 5 as has a case similar to ours of LMCA occlusion secondary to LV hemangioma. 6 We think that our 11-year experience is a reminder that conservative management can be an option in treating cardiac hemangiomas. …”

Section: Case Reportmentioning

confidence: 92%

Conservative Management of Cardiac Hemangioma for 11 Years

Gribaa¹,

Slim²,

Neffati³

et al. 2015

Texas Heart Institute Journal

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Section: Case Reportmentioning

confidence: 92%

Conservative Management of Cardiac Hemangioma for 11 Years

Gribaa¹,

Slim²,

Neffati³

et al. 2015

Texas Heart Institute Journal

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Left main coronary artery ostial stenosis: Clinical markers, angiographic recognition and distinction from left main disease

Salem

Terasawa

Mathur

et al. 1979

Cathet. Cardiovasc. Diagn.

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Among 1254 patients with coronary artery occlusive disease (CAOD) who underwent cardiac catheterization studies in our laboratory from 1975 through 1977,114 (9%) had signWicant (250%) stenosis of the left main coronary artery (LMCA). Thirty-four of the 114 (29.8%) had stenosis of the LMCA ostium (2.7% of all CAOD patients). Clinical, hemodynamlc, and anglographic data of the 34 patients wereanalyzed. Unstable angina was more frequent in these patients, most of whom were in functional classes 111 and IV, than those with other LMCA lesions. Of the 18 who underwent treadmill exercise testing, results were positive In 16 (11 of whom had ST segment depression 3 2 mm Hg), negative in none and indeterminate in two. By avoiding overlapping the coronary ostium with the sinus of Valsalva without significant foreshortening of the LMCA during angiography, LMCA ostial stenosis was recognizable in all patients in the moderate left anterior oblique position only and not in other projections. Coronary arteriography was performed without occurrence of ventricular fibrillation, infarction, or any other morbidity or mortality in the 34, as well as in the entire group of 114 patients with LMCA disease. To ensure a safe procedure, left ventricular filling pressure was monitored constantly via a catheter in the pulmonary artery, and patients experiencing sharp Increases following coronary injections were promptly treated with nitroglycerine.Coronary artery bypass, with an average of 3.2 grafts per patient, was performed in 30 patients with a survival of 97% and only one death In a patient who underwent aortic valve replacement and triple bypass. Stenosis of the ostium of the LMCA is not an uncommon lesion in patients with CAOD and should be suspected in all patients whose symptoms are severe. Coronary angiography, performed with adequate precautions, as well as aortocoronary bypass, can be accomplished successfully.

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Imaging procedures in the detection of cardiac tumors, with emphasis on echocardiography: A review

Bogren

DeMaria

Mason

1980

Cardiovasc Intervent Radiol

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Although cardiac tumors are relatively rare, their diagnosis is important because successful treatment is usually feasible if the diagnosis is made preoperatively. An analysis of 219 reports of cardiac tumors described in the English literature from 1972 through 1977 demonstrated the predominance of benign tumors, in particular myxoma, which is in agreement with past reviews. The methods of diagnosis employed included plain chest films, echocardiography, cardiac catheterization, angiocardiography, and cardiac scintigraphy. Conventional x-ray examination of the chest was abnormal in 83% of cardiac tumors but non-specific and should lead to further evaluation, first by echocardiography. Echocardiography, the most efficient diagnostic procedure for screening possible cardiac tumors, was abnormal in 94% of the cases. Cardiac catheterization was abnormal in 80% of cardiac tumors while definitive detection was made by angiocardiography in 94% of the cases. Cardiac scintigraphy has had limited use in the diagnosis of cardiac tumors, but has been diagnostic in 100% of the cases in a small series of myxomas.

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Occlusion of the Left Main Coronary Artery Secondary to Left Ventricular Angioma

Cited by 3 publications

References 7 publications

Conservative Management of Cardiac Hemangioma for 11 Years

Conservative Management of Cardiac Hemangioma for 11 Years

Left main coronary artery ostial stenosis: Clinical markers, angiographic recognition and distinction from left main disease

Imaging procedures in the detection of cardiac tumors, with emphasis on echocardiography: A review

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