PMC4008539_01
Coronary angiography revealing ectasia in the (A) right coronary artery, (B) left circumflex artery (arrow), and (C) left descending artery (arrow head).
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fig1
We put a 6 French sheath by left radial artery and administered 5 French Judkin right and Judkin left coronary catheters to perform emergency coronary angiography (CAG), which demonstrated diffuse ectasia and heavy calcification of all three coronary arteries with nearly total occlusion of the mid right coronary artery (RCA) (Figure 1(A)) and the mid left circumflex coronary artery (LCX) (Figure 1(B)) accompanied by a 90% luminal narrowing at the first diagonal branch and an 80% stenosis of the second diagonal branch of left anterior descending coronary artery (Figure 1(C)).
Dual source computed tomography showing (A) diffuse calcification in RCA and LCx and (B) 3-dimensional volume rendering image demonstrating coronary arteries ectasia.
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fig2
Dual-Source computed tomography (DSCT) with ECG synchronization of the heart (Figure 2(A)) was done. CABG surgery (Figure 2(B)). Cardiopulmonary bypass with cardioplegic cardiac arrest was applied.
Coronary endarterectomy showed atherosclerotic plaques and calcification.
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fig3
The pathologic study reported atherosclerotic plaques and calcification of the coronary arteries (Figure 3).