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9. Multimodality Imaging Assessment of Anomalous Aortic Origin of the Left Main Coronary Artery Presenting With Syncope and Non-ST Elevation Myocardial Infarction

Author

Cho, Jonathan J, Fabrizio, Samantha D, Tabing, Ariana K, Boswell, Gilbert E, and Condos, Gregory J

Abstract

Anomalous aortic origin of a coronary artery (AAOCA) is a rare congenital abnormality associated with myocardial ischemia and sudden cardiac death. We present a case of a 20 year old previously healthy male presenting with exertional syncope and non-ST elevation myocardial infarction. Coronary computed tomography angiography showed an anomalous left main coronary artery arising from the right coronary cusp with a slit-like appearance, acute angle origin, intramural course, and a subsequent inter-arterial course between the main pulmonary artery and the proximal aorta. Cardiac magnetic resonance imaging demonstrated myocardial infarction in the distribution of the left main coronary artery. The patient underwent successful surgical correction with unroofing of the left main coronary artery. He has had no syncopal episodes or recurrence of chest pain and returned to full duty status in the United States Marine Corps. This case report demonstrates the evaluation and management of a patient with AAOCA.

Published
2023
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15. Up-Regulation of Genes Involved in Folate Metabolism Characterize Late but Not Early Relapse in Childhood Acute Lymphoblastic Leukemia.

Author

Hogan, Laura, primary, Bhojwani, Deepa, additional, Wang, Jinhua, additional, Morrison, Debra, additional, Yang, Jun J, additional, Zhang, Yutong, additional, Zavadil, Jiri, additional, Condos, Gregory, additional, Hunger, Stephen P, additional, Willman, Cheryl L., additional, Relling, Mary V., additional, Raetz, Elizabeth, additional, and Carroll, William L., additional

Published
2009
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16. Intracoronary snaring of the retrograde guidewire: A novel method to solve compartment mismatch in complex retrograde CTO PCI.

Author

Moscardelli S, Condos G, Lombardi WL, and Azzalini L

Subjects
Humans, Treatment Outcome, Coronary Angiography methods, Chronic Disease, Percutaneous Coronary Intervention adverse effects, Percutaneous Coronary Intervention methods, Coronary Occlusion therapy, Coronary Occlusion surgery
Abstract

The retrograde approach has allowed a remarkable improvement in the success rate of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). After collateral channel crossing, the most crucial aspect of retrograde CTO PCI is creating the connection between the antegrade and retrograde system. Currently, the most common technique to achieve this is reverse controlled antegrade and retrograde subintimal tracking. However, this maneuver sometimes fails due to compartment mismatch (intraplaque situation of one wire and extraplaque situation of the other). New approaches are therefore needed to overcome challenges in this important step of the procedure. Here we present an innovative solution to this problem, which involved capturing the retrograde guidewire (advanced into a side branch at the distal cap) with a microsnare that had been advanced antegradely: this severed the dissection flap separating the antegrade and retrograde system, thus allowing us to successfully recanalize the CTO., (© 2024 Wiley Periodicals LLC.)

Published
2024
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17. Effects of Process Improvement on Guideline-Concordant Cardiac Enzyme Testing.

Author

Condos G, Tesema YB, Joshi M, Lin A, and Rockswold PD

Abstract

Easily implemented ordering practices in the electronic health record increased the rate of guideline-concordant testing, decreased cost, and furthered the goal of high-value medical care., Competing Interests: Author disclosures The authors report no actual or potential conflicts of interest with regard to this article.

Published
2019

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