Aortic aneurysm a rare complication of ulcerative colitis
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Dosyalar
Tarih
2007
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Anadolu Kardiyol Derg 2007; 7: 459-62.
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
A 48-year-old man who was admitted to hospital because of
syncope, transient ischemic attack, palpitations and chest pain. On
physical examination, he had sight deficiency on the right eye.
Electrocardiography revealed T-wave inversion in leads V1 through V6.
The cardiac enzymes (creatine phosphokinase-MB and Troponin-T)
were normal. Laboratory analysis was normal. Echocardiogram showed
an apical mass resembling thrombus in apical region of the left ventricle
(Video 1, 2. See corresponding video/movie images at
www.anakarder.com). The coronary angiography (CAG) of the patient
showed that the patient’s left anterior descending (LAD) artery was
irregular, dissected, and recanalized spontaneously following the
dissection; it also revealed the presence of double lumen structure and
no aneurysm any where on ventricle (Fig. 1). The other coronary arteries
were normal. Brain computed tomography revealed infarction in the
occipital region. It was judged by neurologists that this lesion would not
hinder open heart surgery. Anticardiolipin antibodies were negative.
There was no stigma of connective tissue disorder. Due to the prolonged
existence of mass and continuance of the patient’s complaints despite
the maximal anticoagulant treatment (keeping INR 2-3), we decided to
operate the patient with the techniques of standard cardiopulmonary
bypass using moderate hypothermia and cardioplegia arrest. In the
operation, a mass including thrombus with diameters of 20x15 mm
adjacent to the papillary muscles on the left ventricular apical region
was resected. Apical region was closed with felt (Fig. 2). However, we
did not perform coronary artery bypass grafting (CABG) because of the
absence of significant stenosis
Açıklama
Anadolu Kardiyol Derg 2007; 7: 459-62.
Anahtar Kelimeler
Kaynak
Anadolu Kardiyol Derg 2007; 7: 459-62.
WoS Q Değeri
Scopus Q Değeri
Cilt
7
Sayı
0
Künye
Karakurt, C., Kocak, G., Selimoglu, A., Ozen, M. (2007). Aortic aneurysm a rare complication of ulcerative colitis. Anadolu Kardiyol Derg 2007; 7: 459-62.
