Recurrent myocardial infarction due to obstruction of the RCA ostium by an aortic papillary fibroelastoma

A 69-year-old healthy woman was hospitalized twice within a few weeks for management of acute inferior myocardial infarction with thrombolysis and stenting of the right coronary artery (RCA) ostium. After the second myocardial infarction, follow-up angiography showed subocclusion of the proximal RCA...

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Veröffentlicht in:The Journal of invasive cardiology 2002-11, Vol.14 (11), p.686-688
Hauptverfasser: Boulmier, Dominique, Ecke, Jean-Emmanuel, Verhoye, Jean-Philippe
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creator Boulmier, Dominique
Ecke, Jean-Emmanuel
Verhoye, Jean-Philippe
description A 69-year-old healthy woman was hospitalized twice within a few weeks for management of acute inferior myocardial infarction with thrombolysis and stenting of the right coronary artery (RCA) ostium. After the second myocardial infarction, follow-up angiography showed subocclusion of the proximal RCA, and transesophageal echocardiography and chest computed tomography revealed the presence of a mobile, 2-cm diameter spherical mass partially adherent to the RCA ostium and penetrating the stent. A benign papillary fibroelastoma was surgically excised, the stent was removed, and vein bypass grafting of the RCA was performed. The literature relevant to this case report is reviewed.
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subjects Aged
Coronary Angiography
Coronary Disease - diagnosis
Coronary Disease - etiology
Coronary Disease - surgery
Echocardiography
Female
Fibroma - complications
Fibroma - diagnosis
Fibroma - surgery
Heart Neoplasms - complications
Heart Neoplasms - diagnosis
Heart Neoplasms - surgery
Humans
Myocardial Infarction - etiology
Myocardial Infarction - surgery
Recurrence
title Recurrent myocardial infarction due to obstruction of the RCA ostium by an aortic papillary fibroelastoma
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