Multivessel coronary artery ectasia and severe calcification in a patient with pheochromocytoma:a case report
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摘要
Multivessel coronary artery ectasia with severe calcification is rare among patients with coronary artery disease. A 74-year-old Chinese woman suffered from acute myocardial infarction on a background of 50 years of poorly controlled hypertension secondary to pheochromocytoma, which was surgically removed in June 2012 prior to the presentation. Coronary angiography revealed total occlusion of the proximal left anterior descending artery, and multiple ectasias with severe calcification in the left main, circumflex and right coronary artery. After an aspiration thrombectomy and balloon angioplasty, grade 3 coronary flow was restored in the left descending coronary artery. No cardiac events were found in the 12-month follow-up. We conclude that multivessel coronary artery ectasia and severe calcification may be present in patients with a long-standing history of hypertension secondary to pheochromocytoma.
Multivessel coronary artery ectasia with severe calcification is rare among patients with coronary artery disease. A 74-year-old Chinese woman suffered from acute myocardial infarction on a background of 50 years of poorly controlled hypertension secondary to pheochromocytoma, which was surgically removed in June 2012 prior to the presentation. Coronary angiography revealed total occlusion of the proximal left anterior descending artery, and multiple ectasias with severe calcification in the left main, circumflex and right coronary artery. After an aspiration thrombectomy and balloon angioplasty, grade 3 coronary flow was restored in the left descending coronary artery. No cardiac events were found in the 12-month follow-up. We conclude that multivessel coronary artery ectasia and severe calcification may be present in patients with a long-standing history of hypertension secondary to pheochromocytoma.
Multivessel coronary artery ectasia with severe calcification is rare among patients with coronary artery disease. A 74-year-old Chinese woman suffered from acute myocardial infarction on a background of 50 years of poorly controlled hypertension secondary to pheochromocytoma, which was surgically removed in June 2012 prior to the presentation. Coronary angiography revealed total occlusion of the proximal left anterior descending artery, and multiple ectasias with severe calcification in the left main, circumflex and right coronary artery. After an aspiration thrombectomy and balloon angioplasty, grade 3 coronary flow was restored in the left descending coronary artery. No cardiac events were found in the 12-month follow-up. We conclude that multivessel coronary artery ectasia and severe calcification may be present in patients with a long-standing history of hypertension secondary to pheochromocytoma.
引文
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[8]Jesuraj ML, Mukerjee D, Jesuraj AV, et al.Coronary artery ectasia in a patient with myocardial infarction[J].Cardiovasc J Afr, 2011, 22(1):36-37.
[9]Yokokawa T, Ujiie Y, Kaneko H, et al.Lone aspiration thrombectomy without stenting for a patient with ST-segmentelevation myocardial infarction associated with coronary ectasia[J].Cardiovasc Interv Ther, 2014, 29(4):339-343.
[10]Bajaj S, Parikh R, Hamdan A, et al.Covered-stent treatment ofcoronary aneurysm after drug-eluting stent placement:case report and literature review[J].Tex Heart Inst J, 2010, 37(4):449-454.
[2]Boles U, Rakhit R, Shiu MF, et al.Coronary artery ectasia as a culprit for acute myocardial infarction:review of pathophysiology and management[J].Anadolu Kardiyol Derg, 2013, 13(7):695-701.
[3]Sultana R, Sultana N, Ishaq M, et al.The prevalence and clinical profile of angiographic coronary ectasia[J].J Pak Med Assoc, 2011, 61(4):372-375.
[4]Zografos TA, Korovesis S, Giazitzoglou E, et al.Clinical and angiographic characteristics of patients with coronary artery ectasia[J].Int J Cardiol, 2013, 167(4):1536-1541.
[5]de Mendonca WC, Espat PA.Pheochromocytoma associated with arterial fibromuscular dysplasia[J].Am J Clin Pathol,1981, 75(5):749-754.
[6]Gunduz H, Demirtas S, Vatan MB, et al.Two cases of multivessel coronary artery ectasias resulting in acute inferior myocardial infarction[J].Korean Circ J, 2012, 42(6):434-436.
[7]Summaria F, Mustilli M, Lanzillo C, et al.Diffuse coronary ectasia complicated by myocardial infarction in a patient with multiple sclerosis-transradial dethrombosis and one-year coronary computed tomography angiography follow-up[J].Am Heart Hosp J, 2011, 9(1):E48-E51.
[8]Jesuraj ML, Mukerjee D, Jesuraj AV, et al.Coronary artery ectasia in a patient with myocardial infarction[J].Cardiovasc J Afr, 2011, 22(1):36-37.
[9]Yokokawa T, Ujiie Y, Kaneko H, et al.Lone aspiration thrombectomy without stenting for a patient with ST-segmentelevation myocardial infarction associated with coronary ectasia[J].Cardiovasc Interv Ther, 2014, 29(4):339-343.
[10]Bajaj S, Parikh R, Hamdan A, et al.Covered-stent treatment ofcoronary aneurysm after drug-eluting stent placement:case report and literature review[J].Tex Heart Inst J, 2010, 37(4):449-454.