Source:http://linkedlifedata.com/resource/pubmed/id/18163023
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
2007-12-28
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pubmed:abstractText |
Aneurysms of the coronary arteries are rare events. In most cases, such abnormalities are clinically silent and, when they cause symptoms, there are dyspnea and/or angina. Our report describes a case presenting with dyspnea; the admission electrocardiogram demonstrated largely spread ischemia in the lower-lateral leads and myocardial necrosis in the inferior wall. Selective coronary angiography disclosed severe three-vessel disease; aortic angiography revealed a large vascular neoformation, partly thrombosed, with multilobes and a wide communication with the ascending aorta; the oxygen run showed a slight, non-significant 'jump' at the level of the right atrium, confirming a possible left-to-right shunt. On open chest surgery, these alterations were confirmed. The principal aneurysm (6-7 cm) originating in right auricle gave rise to a localized pseudoaneurysm above the superior vena cava; the other three aneurysmal structures were situated along the course of the right coronary artery. After 2 years of clinical and echocardiographic control, the patient is symptom-free under conventional medical treatment.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
1558-2027
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
8
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1061-4
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pubmed:dateRevised |
2009-5-28
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pubmed:meshHeading |
pubmed-meshheading:18163023-Aged,
pubmed-meshheading:18163023-Aneurysm, False,
pubmed-meshheading:18163023-Coronary Aneurysm,
pubmed-meshheading:18163023-Coronary Angiography,
pubmed-meshheading:18163023-Coronary Artery Bypass,
pubmed-meshheading:18163023-Coronary Artery Disease,
pubmed-meshheading:18163023-Dyspnea,
pubmed-meshheading:18163023-Heart Atria,
pubmed-meshheading:18163023-Humans,
pubmed-meshheading:18163023-Ligation,
pubmed-meshheading:18163023-Male,
pubmed-meshheading:18163023-Severity of Illness Index,
pubmed-meshheading:18163023-Tomography, X-Ray Computed,
pubmed-meshheading:18163023-Treatment Outcome,
pubmed-meshheading:18163023-Vascular Fistula
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pubmed:year |
2007
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pubmed:articleTitle |
Successful surgical treatment of a giant coronary aneurysm communicating with the right atrium.
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pubmed:affiliation |
Divisione Clinicizzata di Cardiologia, Azienda Ospedaliera Maggiore della Carità, Novara, Italy. arognoni@hotmail.com
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pubmed:publicationType |
Journal Article,
Case Reports
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