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Her heartfailure was due to the fistula as she had no coronaryarterydisease on coronaryangiogram. Postoperatively, she developed complete heart block requiring a permanent pacemaker. She had cardiothoracic surgery for fistula repair.
Coronary angiography revealed a tortuous and extremely aneurysmal RCA, as well as multivessel coronaryarterydisease (mvCAD) involving LAD, D1, LCx, OM1. Multislice CT angiography further characterized the RCA, which extends to the coronary sinus (CS) distally forming a coronary cameral fistula (CCF).
He denied any known medical history, specifically: coronaryarterydisease, hypertension, dyslipidemia, diabetes, heartfailure, myocardial infarction, or any prior PCI/stent. Learning points 1] Acute Coronary Syndrome has many shades of clinical manifestation. Breath sounds were clear in all lung fields.
Cardiology Board Exam The ABIM Cardiology Board Exam lasts 2 days and is broken down into the Multiple-Choice Component and the ECG and Imaging Studies Component. According to the ABIM Blueprint , the following topics are covered. Start with a Free Trial.
The diagnostic coronaryangiogram identified only minimal coronaryarterydisease, but there was a severely calcified, ‘immobile’ aortic valve. Aortic angiogram did not reveal aortic dissection. The patient was brought directly to the cardiac catheterization lab for PCI, bypassing the ED.
Anything that causes pulmonary edema: poor LV function, fluid overload, previous heartfailure (HFrEF or HFpEF), valvular disease. The scan showed a bicuspid aortic valve with severe stenosis and coronaryarterydisease. What other pathology is possible?
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