On August 5, 1980, I successfully performed the first PTCA in North Texas at Baylor University Medical Center at Dallas on Anna Margaret Simons, a 49-year-old woman with a tight mid-right coronary artery
Caption: Figure 3: Mid-right coronary artery
Caption: Figure 4: A coronary angiography image showing spontaneous dissection of mid-Right coronary artery.
Caption: Figure 6: Coronary angiography imaging revealing a long dissection with tight stenosis at mid-right coronary artery with an atheromatous aspect.
The patient had old stents to the mid-right coronary artery
and mid-left anterior descending artery, and a stent in the mid-left circumflex artery that was deployed three weeks prior to this admission.
Paradoxical heart rate deceleration during exercise: relationship to a mid-right coronary artery
She also had a 50% to 60% proximal LAD artery lesion, and 30% lesions of the proximal and mid-right coronary artery
. The apical hypokinesis persisted, and 1+ mitral regurgitation was noted.
After the resolution of sepsis and acute kidney injury, diagnostic cardiac catheterization was performed which showed 100% mid-right coronary artery
(RCA) occlusion (Figure 2), inferior wall akinesis, and 80% mid-left anterior descending (LAD) lesion (Figure 3), and ischemic cardiomyopathy was confirmed.
It showed a large encapsulated spherical mass with wall thickening in the right atrioventricular groove measuring 38.6 mm by 47.4 mm, continuous with the right coronary artery in the mid-occluded mid-right coronary artery
(RCA) segment, findings consistent with a thrombosed gRCAA (Figures 2(a)-2(c)).