Acute Coronary Syndrome With Giant Pancoronary and Ascending-Descending Aortic Aneurysms
Gamaliel Alejandro Velasquez-Orozco1, Elias Noel Andrade-Cuellar1, Vincenzo Arenas-Fabbri2
1Clinical Cardiology, National Medical Center "November 20th", ISSSTE, Mexico City, Mexico.
Abstract:
A 62-year-old man with a history of hypertension and chronic obstructive pulmonary disease presented with an anterior ST-segment elevation myocardial infarction. Thrombolysis preceded imaging, which showed a 31-mm left main coronary aneurysm and ≥20-mm right coronary aneurysm with diffuse thrombosis and arch dilatation. Triple coronary artery bypass grafting and aortic arch endografting were performed 10 days later; however, the patient developed refractory mixed shock and, without ECMO/Impella, died 48 hours postoperatively.
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