[Advanced heart failure due to coronary aneurysms].
Ruth N Estupiñan-ParedesNelson Leandro MorenoJeffrey Castellanos-ParadaCarlos A Arias-BarreraPublished in: Archivos Peruanos de cardiologia y cirugia cardiovascular (2022)
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.
Keyphrases
- coronary artery
- heart failure
- aortic stenosis
- coronary artery disease
- ejection fraction
- left ventricular
- st elevation myocardial infarction
- percutaneous coronary intervention
- healthcare
- transcatheter aortic valve replacement
- blood pressure
- atrial fibrillation
- aortic valve
- acute myocardial infarction
- cardiovascular disease
- type diabetes
- mitral valve
- insulin resistance
- left atrial
- oxidative stress
- acute coronary syndrome
- skeletal muscle
- acute heart failure
- brain injury
- cardiovascular risk factors
- cerebral ischemia