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Radiation-Induced Left Main Coronary Artery Stenosis in a Patient with Atretic Internal Mammary Arteries
Coronary artery disease (CAD) is a known potential complication of thoracic radiation treatment that typically affects the proximal segments of the coronary arteries, requiring coronary artery bypass grafting (CABG). We present a case of acute coronary syndrome occurring in a 57-year-old man with pr...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238366/ https://www.ncbi.nlm.nih.gov/pubmed/32455030 http://dx.doi.org/10.1155/2020/7970305 |
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author | Dogra, Siddhant Mahajan, Asha M. Jung, Albert Attubato, Michael Saric, Muhamed Shah, Alan |
author_facet | Dogra, Siddhant Mahajan, Asha M. Jung, Albert Attubato, Michael Saric, Muhamed Shah, Alan |
author_sort | Dogra, Siddhant |
collection | PubMed |
description | Coronary artery disease (CAD) is a known potential complication of thoracic radiation treatment that typically affects the proximal segments of the coronary arteries, requiring coronary artery bypass grafting (CABG). We present a case of acute coronary syndrome occurring in a 57-year-old man with prior thoracic radiation therapy following resection of a chest wall chondrosarcoma. Coronary angiogram demonstrated significant areas of stenosis in the left main coronary artery (LMCA) and ostial left anterior descending (LAD) coronary artery. The patient was also found to have atretic bilateral internal mammary arteries as a consequence of his radiation therapy, rendering them unsuitable as grafts. Percutaneous coronary intervention (PCI) was thus performed with a successful outcome. To our knowledge, this is the first case of radiation-induced CAD of the LMCA with atretic internal mammary arteries treated successfully with PCI. |
format | Online Article Text |
id | pubmed-7238366 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-72383662020-05-22 Radiation-Induced Left Main Coronary Artery Stenosis in a Patient with Atretic Internal Mammary Arteries Dogra, Siddhant Mahajan, Asha M. Jung, Albert Attubato, Michael Saric, Muhamed Shah, Alan Case Rep Cardiol Case Report Coronary artery disease (CAD) is a known potential complication of thoracic radiation treatment that typically affects the proximal segments of the coronary arteries, requiring coronary artery bypass grafting (CABG). We present a case of acute coronary syndrome occurring in a 57-year-old man with prior thoracic radiation therapy following resection of a chest wall chondrosarcoma. Coronary angiogram demonstrated significant areas of stenosis in the left main coronary artery (LMCA) and ostial left anterior descending (LAD) coronary artery. The patient was also found to have atretic bilateral internal mammary arteries as a consequence of his radiation therapy, rendering them unsuitable as grafts. Percutaneous coronary intervention (PCI) was thus performed with a successful outcome. To our knowledge, this is the first case of radiation-induced CAD of the LMCA with atretic internal mammary arteries treated successfully with PCI. Hindawi 2020-03-11 /pmc/articles/PMC7238366/ /pubmed/32455030 http://dx.doi.org/10.1155/2020/7970305 Text en Copyright © 2020 Siddhant Dogra et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Dogra, Siddhant Mahajan, Asha M. Jung, Albert Attubato, Michael Saric, Muhamed Shah, Alan Radiation-Induced Left Main Coronary Artery Stenosis in a Patient with Atretic Internal Mammary Arteries |
title | Radiation-Induced Left Main Coronary Artery Stenosis in a Patient with Atretic Internal Mammary Arteries |
title_full | Radiation-Induced Left Main Coronary Artery Stenosis in a Patient with Atretic Internal Mammary Arteries |
title_fullStr | Radiation-Induced Left Main Coronary Artery Stenosis in a Patient with Atretic Internal Mammary Arteries |
title_full_unstemmed | Radiation-Induced Left Main Coronary Artery Stenosis in a Patient with Atretic Internal Mammary Arteries |
title_short | Radiation-Induced Left Main Coronary Artery Stenosis in a Patient with Atretic Internal Mammary Arteries |
title_sort | radiation-induced left main coronary artery stenosis in a patient with atretic internal mammary arteries |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238366/ https://www.ncbi.nlm.nih.gov/pubmed/32455030 http://dx.doi.org/10.1155/2020/7970305 |
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