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IMAGING VIGNETTE
Year : 2018  |  Volume : 1  |  Issue : 2  |  Page : 172-173

Aging to stone age: Extensive coronary arteriovenous calcification in a septuagenarian!


Department of Cardiology, Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh, India

Date of Web Publication13-Dec-2018

Correspondence Address:
Dr. Rajeev Agarwala
Department of Cardiology, Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IHJI.IHJI_27_18

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How to cite this article:
Agarwala R. Aging to stone age: Extensive coronary arteriovenous calcification in a septuagenarian!. Indian Heart J Interv 2018;1:172-3

How to cite this URL:
Agarwala R. Aging to stone age: Extensive coronary arteriovenous calcification in a septuagenarian!. Indian Heart J Interv [serial online] 2018 [cited 2019 Jul 21];1:172-3. Available from: http://www.ihji.org/text.asp?2018/1/2/172/247450




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A 74-year-old man, who was nondiabetic, non-hypertensive, and nonsmoker and had previously undergone permanent pacemaker implantation for complete heart block, presented with significant dyspnea on exertion. Echocardiography showed normal left ventricular ejection fraction with no significant valvular heart disease. As his dyspnea seemed to be “angina equivalent,” coronary angiography was performed, which revealed double-vessel coronary artery disease involving distal right coronary artery and obtuse marginal artery. The left anterior descending artery was free of significant obstructive disease. However, strikingly, his entire coronary vasculature, including coronary sinus, was calcified and visible on fluoroscopy [Figure 1]. No secondary cause of vascular calcification in the form of any renal or parathyroid disease was reported. Accordingly, aging appeared to be the only underlying reason for this calcification. However, such extensive coronary calcification involving coronary sinus also is very rare to encounter.
Figure 1: Extensive calcification of the entire coronary arterial tree and coronary sinus. Pacemaker leads are also seen. (A) Left anterior descending artery (red arrows) and diagonal branch (blue arrow). (B) Left main coronary artery (red arrow) and obtuse marginal branches (blue arrows). (C) Right coronary artery (red arrows) and coronary sinus (blue arrows)

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There are no conflicts of interest.




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