Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Five clinical pediatric CT cases; the first case has dysnea, respiratory distress, cardiomegaly and gallop. Echocardiography showed dilated left ventricle with impaired contractility EF 20%, FS 10%. CT angiography showed absent left main coronary artery, anomalous origin of the LCX and LAD by separate ostia from the left side of the main pulmonary artery, diffuse dilatation of the RCA, Many dilated inter-coronary collaterals (adult type of ALCAPA). The second case has dysnea, recurrent pneumonia, respiratory distress, cardiomegaly and gallop. Echocardiography demonstrated dilated left ventricle with impaired contractility EF 22%, FS 10%, suspected ALCAPA. CT revealed anomalous origin of the LAD from the left side of the main pulmonary artery, left circumflex arises from the left coronary sinus of Valsalva and runs its normal course, mild diffuse dilatation of the RCA (ALCAPA). Th...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Introduction Fibromuscular dysplasia (FMD) is a condition predominantly affecting the renal and cervicocranial arteries. Isolated involvement of the iliac arteries is a rare manifestation of this disease. We describe a case of incidentally detected left external iliac artery fibromuscular dysplasia in a 53 year old female. Case Report A 53 year old female was referred for computed tomography (CT) angiogram of the abdomen and pelvis to evaluate the deep inferior epigastric artery perforators prior to breast reconstruction surgery. (Figure 1A & 1B). The CT angiogram revealed a beaded appearance of the left external iliac artery. There was no significant stenosis or aneurysm of the artery. The remaining major arteries of the abdomen showed normal appearance. A diagnosis of isolated left external iliac artery fibromuscular dysplasia was made. As the patient was...