EHS
EHS

A 42-year-old woman with acute myocardial infarction

Clinical introduction

A 42-year-old woman presented with anterior ST elevation myocardial infarction. Urgent coronary angiography revealed tapering then occlusion of the distal left anterior descending (LAD) coronary artery with no flow in the distal LAD (figure 1A). Balloon angioplasty with a 2.0x8 mm balloon re-established flow into the distal LAD. An angiogram of the right external iliac artery was also performed (figure 1B).

Figure 1

Invasive angiography of the left coronary system (A) and the right external iliac artery (B). The coronary angiogram (A) shows tapering and then occlusion (arrow) of the distal left anterior descending coronary artery.

Question

Which of the following explains the abnormal appearance of the external iliac artery (figure 1B)?

  • Atherosclerosis.

  • Concertina effect.

  • Fibromuscular dysplasia.

  • Perforation.

  • Multiple aneurysms.

  • Source link

    EHS
    Back to top button