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[Neoplastic coronary obstruction as an uncommon cause of ischemic cardiopathy. A case description]
Giornale Italiano Di Cardiologia
|January 1, 1982
Insights
Neoplastic infiltration of the left anterior descending coronary artery caused angina in a 64-year-old man. Surgical intervention with an aorto-coronary bypass graft successfully relieved his symptoms.
Area of Science:
- Cardiology
- Oncology
- Vascular Surgery
Background:
- Coronary artery disease (CAD) can manifest with diverse etiologies.
- Neoplastic infiltration of coronary arteries is a rare cause of myocardial ischemia.
Observation:
- A 64-year-old male presented with angina pectoris.
- Coronarography revealed a stenotic segment in the left anterior descending coronary artery.
- The stenotic segment exhibited impaired motion during cardiac contraction, suggesting extrinsic compression or infiltration.
Findings:
- The patient's angina was attributed to neoplastic infiltration of the left anterior descending coronary artery.
- Aorto-coronary bypass vein grafting was performed to restore coronary blood flow.
Implications:
- This case highlights the importance of considering rare etiologies, such as neoplastic infiltration, in the differential diagnosis of coronary artery stenosis.
- Successful surgical management via bypass grafting offers a viable therapeutic option for such cases.
- Further research into the mechanisms and management of neoplastic coronary artery involvement is warranted.
Abstract:
The case of a 64 year-old man suffering from angina caused by neoplastic infiltration of the left anterior descending coronary artery is reported. The coronarographic examination of the vessel disclosed that it had a stenotic segment, which did not move with the cardiac contraction. An aorto-coronary by-pass vein graft relieved the symptoms.