Left main stem/LCA arising from right coronary sinus with an interarterial course. (11th July 2014)

• Record Type: Journal Article
• Authors: Waleed, Mohammad; Raza, Ali; Minhaj, Tariq; Houghton, Timothy
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-07-11
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-203780
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 67-year-old woman presented to the accident and emergency department with central chest pain for the past 4 months. She described the pain as severe, retrosternal, intermittent, indigestion/burning type, with radiations to the left arm. She had used antacids with no relief. Her medical history included hypertension, chronic obstructive pulmonary disease, pulmonary fibrosis, left mastectomy for breast cancer, hypercholesterolaemia and osteoarthritis. Her medications included anastrazole, indapamide, perindopril, aspirin, clopidogrel, atorvastatin, salbutamol and atrovent inhalers. She was a non-smoker and vegetarian. Two brothers each had a myocardial infarction when in their early 40s.