Abstract

CACHAY-FIGUEROA, Rodrigo et al. Lesion of the coronary arterial trunk in patients with chronic renal disease undergoing dialysis: Case report and literature review. Rev Med Hered [online]. 2018, vol.29, n.1, pp.29-35. ISSN 1018-130X.  http://dx.doi.org/https://doi.org/10.20453/rmh.v29i1.3258.

Coronary arterial trunk disease is found in 5-7% of patients undergoing coronary arteriography. Acute coronary syndrome (ACS) resulting from complications of an atheromatous plaque in the distal portion of the arterial trunk has a mortality rate of 50% in the following 3 months. We present the case of a 20-year-old woman with end stage renal disease undergoing dialysis who presented an acute history of chest pain during the procedure, her EKG and heart ultrasound images were compatible with ACS, and 95% obstruction of the main left coronary artery in its distal portion was found in the coronary angiography. The two possible interventions were discussed, surgery and percutaneous procedures opting for the second one with success.

Keywords : Coronary disease; chronic renal insufficiency; renal dialysis.

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