[Advanced heart failure due to coronary aneurysms]
Ruth N Estupiñán-Paredes1, Nelson L Moreno-Ruiz1, Jeffrey Castellanos-Parada1
1Clínica Universitaria Colombia. Bogotá, Colombia. Clínica Universitaria Colombia Bogotá Colombia.
Insights
A 61-year-old man with multiple comorbidities experienced advanced heart failure due to coronary artery aneurysms. A heart transplant was recommended for this severe ischemic heart disease case.
Area of Science:
- Cardiology
- Vascular Medicine
- Cardiovascular Surgery
Background:
- Coronary artery aneurysms are rare but can lead to severe ischemic heart disease and heart failure.
- This case highlights the challenges in managing advanced heart failure secondary to complex coronary artery abnormalities.
Abstract:
We present the case of a 61 years old man with hypothyroidism, hypertension, type 2 diabetes mellitus, and ischemic cardiopathy, who was admitted with a diagnosis of non-ST elevation myocardial infarction. The coronary angiography describes coronary ectasia with giant aneurysm and slow flow in the right coronary and aneurysm with slow flow anterior descending coronary. The echocardiogram shows contractility disorders with severely decreased left ventricular ejection fraction (20%) despite optimal medical management. This case presents a patient with ischemic heart disease and advanced heart failure secondary to coronary aneurysm, the proposed optimal treatment was a heart transplant given the disease's progression.
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