Title: Multivessel coronary artery ectasia and severe calcification in a patient with pheochromocytoma: a case report


Authors: Daokuo Yao1, Xiangyu Gao1, Huiqiang Zhao1, Hui Chen1, Lexin Wang2,3


Institutions: 1Department of Cardiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China; 2Department of Cardiology, Liaocheng Peoples Hospital, Liaocheng, Shandong 252000, China; 3School of Biomedical Sciences, Charles Sturt University, Wagga Wagga, NSW 2650, Australia.


Abstract: Multivessel coronary artery ectasia with severe calcification is rare among patients with coronary artery disease. A 74-year-old Chinese woman suffered from acute myocardial infarction on a background of 50 years of poorly controlled hypertension secondary to pheochromocytoma, which was surgically removed in June 2012 prior to the presentation. Coronary angiography revealed total occlusion of the proximal left anterior descending artery, and multiple ectasias with severe calcification in the left main, circumflex and right coronary artery. After an aspiration thrombectomy and balloon angioplasty, grade 3 coronary flow was restored in the left descending coronary artery. No cardiac events were found in the 12-month follow-up. We conclude that multivessel coronary artery ectasia and severe calcification may be present in patients with a long-standing history of hypertension secondary to pheochromocytoma.


Keywords: myocardial infarction, coronary artery ectasia, percutaneous coronary intervention, pheochromocytoma, hypertension


Full Text: JBR-2017-0047.pdf


J Biomed Res published on 26 July 2018, https://doi.org/10.7555/JBR.32.20170047