Case 21

Published on 02/03/2015 by admin

Filed under Internal Medicine

Last modified 03/03/2015

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Case 21

A 45-year-old Caucasian male who is a truck driver and hauls sand and stones started experiencing palpitations and shortness of breath 2 months previously, which progressively worsened to four-pillow orthopnea. He is a heavy drinker (6 to 12 beers per day) and chronic smoker. He was admitted to an outside hospital in frank pulmonary edema, where he underwent catheterization after diuresis.

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He was found to have complete occlusion of the LCX, severe disease of the D1 and D2, normal RCA, and aneurysm of the lateral wall. He was referred to our hospital for further evaluation and surgical treatment.

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