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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Rodrigues, Jonathan C. L. Mathias, Helen C. Lyen, Stephen M. Mcalindon, Elisa Bucciarelli-Ducci, Chiara Batchelor, Timothy J. P. Hamilton, Mark C. K. Manghat, Nathan E. |
| Description | Author Affiliation: Rodrigues JC ( NIHR Bristol Cardiovascular Biomedical Research Unit, Bristol Heart Institute, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom); Mathias HC ( NIHR Bristol Cardiovascular Biomedical Research Unit, Bristol Heart Institute, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom); Lyen SM ( NIHR Bristol Cardiovascular Biomedical Research Unit, Bristol Heart Institute, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom); Mcalindon E ( NIHR Bristol Cardiovascular Biomedical Research Unit, Bristol Heart Institute, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.); Bucciarelli-Ducci C ( NIHR Bristol Cardiovascular Biomedical Research Unit, Bristol Heart Institute, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.); Batchelor TJ ( Department of Thoracic Surgery, Bristol Royal Infirmary, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.); Hamilton MC ( NIHR Bristol Cardiovascular Biomedical Research Unit, Bristol Heart Institute, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom); Manghat NE ( NIHR Bristol Cardiovascular Biomedical Research Unit, Bristol Heart Institute, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom) |
| Abstract | We report a case of acute coronary syndrome secondary to intermittent extrinsic compression of the left anterior descending coronary artery by inward-pointing rib exostosis in an 18-year-old woman during forceful repeated expiration in labour. The diagnosis was achieved using multimodality noninvasive cardiac imaging. In particular, we demonstrated the novel role of expiratory-phase cardiac computed tomography in confirming the anatomical relationship of the bony exostosis to the left anterior descending coronary artery. The case reminds us the heart and mediastinum move dynamically, relative to the bony thorax, throughout the respiratory cycle, and that changes in cardiac physiology in pregnancy may become pathological. |
| File Format | HTM / HTML |
| ISSN | 0828282X |
| Issue Number | 10 |
| Volume Number | 31 |
| e-ISSN | 19167075 |
| Journal | Canadian Journal of Cardiology |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2015-10-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Cardiology Acute Coronary Syndrome Exostoses, Multiple Hereditary Complications Exostoses Pregnancy Complications, Cardiovascular Ribs Abnormalities Thoracic Surgery, Video-assisted Methods Diagnosis Etiology Physiopathology Adolescent Coronary Angiography Coronary Vessels Delivery, Obstetric Adverse Effects Pathology Female Humans Magnetic Resonance Imaging, Cine Multimodal Imaging Pregnancy Pressure Pulmonary Artery Surgery Tomography, X-ray Computed Treatment Outcome Case Reports Journal Article Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Cardiology and Cardiovascular Medicine |
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