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Updated: Jun 14, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Triple coronary pathologies complicated by acute cholecystitis.
1Department of Cardiac Surgery, Faghihi Hospital, Shiraz University of Medical Sciences, Zand Street, Shiraz, Iran. nemati_mhs@yahoo.com
Interactive Cardiovascular and Thoracic Surgery
|April 10, 2010
Summary
This study reports the first case of a patient with three coronary pathologies—atherosclerosis, myocardial bridge, and aneurysm—and acute cholecystitis, successfully treated with simultaneous surgery.
Area of Science:
- Cardiology
- Vascular Surgery
- Gastroenterology
Background:
- Coronary atherosclerosis, myocardial bridges, and coronary aneurysms are distinct causes of myocardial ischemia.
- Patients with cardiac ischemia are susceptible to complications like acute cholecystitis.
Observation:
- A 39-year-old male presented with chest pain and diaphoresis, requiring coronary artery bypass grafting (CABG).
- He had severe right coronary artery stenosis, left circumflex artery aneurysm, and a left anterior descending artery myocardial bridge.
- The patient developed acute cholecystitis preoperatively.
Findings:
- Simultaneous cholecystectomy and CABG were performed.
- This represents the first reported case of a single patient with three distinct coronary pathologies and acute cholecystitis undergoing combined surgical management.
Implications:
- Concurrent surgical intervention for complex coronary artery disease and acute cholecystitis is feasible.
- This case highlights the importance of considering non-coronary emergencies in patients with severe coronary artery disease.
- Management strategies may need to be individualized for patients presenting with multiple simultaneous conditions.
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