Author/Authors :
Chainani, Vinod Department of Internal Medicine - Aventura Hospital and Medical Center, Aventura, USA , Perez, Osman Department of Internal Medicine - Aventura Hospital and Medical Center, Aventura, USA , Hanno, Ram Department of Internal Medicine - Texas Tech University Health Sciences Center Permian Basin Campus, Odessa, USA , Hourani, Patrick Department of Internal Medicine - Aventura Hospital and Medical Center, Aventura, USA , Rengifo-Moreno, Pablo University of Miami, Miami, USA , Martinez-Clark, Pedro University of Miami, Miami, USA , Alfonso, Carlos E. University of Miami, Miami, USA
Abstract :
We highlight the presence of a calcified mass in the left main coronary artery without significant atherosclerosis seen in the other
coronary arteries or in the peripheral large arteries. In our view, the calcified character of the obstruction and the calcification of
the aortic valve are characteristic of a variant type of coronary artery disease (CAD) not associated with the same risk factors as
diffuse coronary atherosclerosis, but, in this case, with rheumatic heart disease. This case report also emphasizes the interventional
approach for patients with aortic valve stenosis secondary to rheumatic heart disease.
Keywords :
Coronary Left , Percutaneous Coronary , Transcatheter Aortic Valve Replacement , Rheumatic Heart Disease , Porcelain Aorta
