Heart, Lung and Circulation
Volume 18, Issue 2 , Pages 151-154, April 2009

Case Report and Review: Epicardial Coronary Artery Fibromuscular Dysplasia

  • Anthony Camuglia, MBBS(Hons)

      Affiliations

    • The Alfred Hospital, Commercial Road, Melbourne, Victoria 3004, Australia
    • ,
  • Vance Manins, MBChB

      Affiliations

    • The Alfred Hospital, Commercial Road, Melbourne, Victoria 3004, Australia
    • ,
  • Andrew Taylor, FRACP

      Affiliations

    • The Alfred Hospital, Commercial Road, Melbourne, Victoria 3004, Australia
    • ,
  • Chris Hengel, FRACP

      Affiliations

    • The Alfred Hospital, Commercial Road, Melbourne, Victoria 3004, Australia
    • Ballarat Health Services, Drummond Street, Ballarat 3350, Australia
    • Corresponding Author InformationCorresponding author. Tel.: +61 3 5320 2498.

Received 3 July 2007; received in revised form 19 July 2007; accepted 29 October 2007.

Fibromuscular dysplasia (FMD) of the epicardial coronary arteries is an uncommon entity. We describe the first published case of this condition presenting as a transient ischaemic attack due to thromboembolism from intracardiac thrombus secondary to silent myocardial infarction. We also present the first published case of epicardial coronary FMD with sparing of the renal arteries. This case provides further evidence that FMD of the epicardial coronary arteries frequently involves the mid to distal segments of the left anterior descending artery. A brief review of the literature on FMD is presented.

Keywords: Fibromuscular dysplasia, Coronary artery, Myocardial infarction, Stroke, Peripheral vascular disease

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PII: S1443-9506(07)01078-5

doi:10.1016/j.hlc.2007.10.012

Heart, Lung and Circulation
Volume 18, Issue 2 , Pages 151-154, April 2009

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