Asymptomatic double aortic arch and symptomatic coronary artery disease in an elderly patient – an unusual combination

Journal Title: The Indian Practitioner - Year 2014, Vol 67, Issue 11

Abstract

A 60-year-old female patient presented with acute onset of retrosternal chest pain to the emergency room. On investigating, she was found to have ST segment depression in leads V1-V5 in Electrocardiogram (ECG), positive cardiac enzymes and upper mediastinal widening on chest X-ray (CXR). Magnetic Resonance Aortogram (MRA) revealed a double aortic arch where both the right as well as left arches were functional and balanced. Coronary angiogram showed significant block of left circumflex artery for which a successful percutaneous stent placement (PTCA) was done. Thus, the patient had acute coronary syndrome for which she was treated successfully. A balanced or co-dominant type of double aortic arch which is an uncommon congenital cardiac anomaly was an incidental finding

Authors and Affiliations

B Vaishnav, A Bamanikar, M Shahid

Keywords

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  • EP ID EP586111
  • DOI -
  • Views 65
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How To Cite

B Vaishnav, A Bamanikar, M Shahid (2014). Asymptomatic double aortic arch and symptomatic coronary artery disease in an elderly patient – an unusual combination. The Indian Practitioner, 67(11), 699-701. https://europub.co.uk./articles/-A-586111