A challenging case due to uncommon aberrancies.

Abstract

A 71-year-old man was referred to a rapid access chest pain clinic by his general practitioner. He presented with a 6-month history of twice weekly central chest pain lasting 2-3 min with walking and exertion, relieved with rest or co-codamol tablets. After initial investigations and a positive myoview scan, he was listed for an elective coronary angiogram. Unfortunately, the procedure was abandoned due to unclear course of the guide wire and a possible aberrant aortic course. Further non-invasive tests were arranged to clarify the anatomy of the vessels. After getting a clear idea of the aberrancies, coronary angiogram was replanned, and the patient underwent successful angiography with angioplasty to one of the coronary arteries, without any complications.

• Authors: Mohammad Waleed, Ali Raza, Tariq Minhaj, Timothy Houghton
• Journal: BMJ case reports (BMJ Case Rep) Vol. 2015 (Sep 24 2015) ISSN: 1757-790X [Electronic] England
• PMID: 26404545 (Publication Type: Case Reports, Journal Article)
• Copyright: 2015 BMJ Publishing Group Ltd.

Chemical References

• Drug Combinations
• acetaminophen, codeine drug combination
• Acetaminophen
• Codeine

Topics

• Acetaminophen
• Aged
• Angioplasty (methods)
• Chest Pain (etiology)
• Codeine
• Coronary Angiography
• Coronary Vessels (pathology)
• Drug Combinations
• Heart Block (diagnosis, physiopathology, surgery)
• Humans
• Male
• Treatment Outcome