title: Left Main Percutaneous Coronary Intervention and Transcatheter Aortic Valve Replacement in a Young Male with Rheumatic Heart Disease and Porcelain Aorta.
abstract: We highlight the presence of a calcified mass in the left main coronary artery without significant atherosclerosis seen in the other coronary arteries or in the peripheral large arteries. In our view, the calcified character of the obstruction and the calcification of the aortic valve are characteristic of a variant type of coronary artery disease (CAD) not associated with the same risk factors as diffuse coronary atherosclerosis, but, in this case, with rheumatic heart disease. This case report also emphasizes the interventional approach for patients with aortic valve stenosis secondary to rheumatic heart disease.
authors.affiliation: Department of Internal Medicine, Aventura Hospital and Medical Center, 20900 Biscayne Boulevard, Aventura, FL 33180, USA.
authors.forename: Vinod
authors.initials: V
authors.lastname: Chainani
authors.affiliation: Department of Internal Medicine, Aventura Hospital and Medical Center, 20900 Biscayne Boulevard, Aventura, FL 33180, USA.
authors.forename: Osman
authors.identifier: 0000-0002-0574-5728
authors.initials: O
authors.lastname: Perez
authors.affiliation: Department of Internal Medicine, Texas Tech University Health Sciences Center Permian Basin Campus, 701 W. 5th Street, Odessa, TX 79763, USA.
authors.forename: Ram
authors.initials: R
authors.lastname: Hanno
authors.affiliation: Department of Internal Medicine, Aventura Hospital and Medical Center, 20900 Biscayne Boulevard, Aventura, FL 33180, USA.
authors.forename: Patrick
authors.identifier: 0000-0002-8332-8647
authors.initials: P
authors.lastname: Hourani
authors.affiliation: University of Miami, 1600 NW 10th Avenue No. 1140, Miami, FL 33136, USA.
authors.forename: Pablo
authors.initials: P
authors.lastname: Rengifo-Moreno
authors.affiliation: University of Miami, 1600 NW 10th Avenue No. 1140, Miami, FL 33136, USA.
authors.forename: Pedro
authors.initials: P
authors.lastname: Martinez-Clark
authors.affiliation: University of Miami, 1600 NW 10th Avenue No. 1140, Miami, FL 33136, USA.
authors.forename: Carlos E
authors.initials: CE
authors.lastname: Alfonso