Triple coronary pathologies complicated by acute cholecystitis.
Coronary atherosclerosis, myocardial bridge, and coronary aneurysm are different causes of myocardial ischemia. Patients with cardiac ischemia can be complicated by acute cholecystitis. A 39-year-old man referred with chest pain and cold sweating and scheduled for coronary artery bypass grafting (CABG) because of severe stenosis in right coronary artery, aneurysm of left circumflex artery, and long-segment muscle bridge in the middle part of left anterior descending artery. He developed acute cholecystitis before operation. Concomitant cholecystectomy and CABG was done. He is the first patient with three different coronary pathologies and simultaneous cholecystitis in the English-language literature who was operated on in a single session.
Nemati
Mohammad Hassan
MH
Department of Cardiac Surgery, Faghihi Hospital, Shiraz University of Medical Sciences, Zand Street, Shiraz, Iran. nemati_mhs@yahoo.com
D000328:Adult; D002763:Cholecystectomy; D041881:Cholecystitis, Acute / Q000150:complications* / Q000601:surgery; D003323:Coronary Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D054084:Myocardial Bridging / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D012720:Severity of Illness Index; D016896:Treatment Outcome