1.“Bead to death,” Fibromuscular dysplasia presenting as a rapidly enlarging right anterior axillary mass
Andre Russell F. Banluta ; Renelene A. Macabeo
Philippine Journal of Cardiology 2024;52(2):43-49
Fibromuscular dysplasia (FMD) is a rare non-inflammatory, non-atherosclerotic arterial diseasecharacterized by abnormal cellular proliferation and distorted architecture. It commonly affects therenal and extracranial carotid and vertebral arteries, but nearly all arterial beds may be affected,and multivessel involvement is common. We report a rare case of a 31-year-old Filipino femalewho presented with a rapidly enlarging right anterior axillary mass. Initial consideration was ableeding soft tissue sarcoma as seen on chest CT scan, while whole abdominal CT scan withIV contrast revealed incidental findings of multiple aneurysms in the superior mesenteric artery,both renal arteries and right common iliac artery, suggestive of fibromuscular dysplasia. Furthervascular imaging studies showed a looped left internal carotid, and a tortuous left brachial arterywith beading pattern.
Human ; Female ; Adult: 25-44 Yrs Old ; Fibromuscular Dysplasia
2.One artery to rule it all: A case of 30-year-old male with single coronary artery
Andre Russell F. Banluta ; Jill Buensuceso ; Mylene Cornel ; Semilla-Lim Bernadette ; Renelene Macabeo
Philippine Journal of Cardiology 2021;49(1):39-42
Single coronary artery (SCA) is a rare congenital anomaly in which there is an isolated coronary artery that arises from a single coronary ostium and provides coronary blood supply to the entire myocardium. SCA is classified based on Lipton Classification which includes the origin, branching pattern and course. We aim to present a rare case of congenital anomaly that presented with atypical symptoms and to discuss the features and classification of a single coronary artery. This is a case of a 30-year-old Filipino, male, known type 1 diabetes mellitus came in with diarrhea and vomiting, which later had severe abdominal pain. A consideration of Mesenteric ischemia was entertained due to abdominal pain not compatible with physical exam findings. He then underwent CT angiogram of the abdomen which was unremarkable, so a consideration of atypical presentation of chest pain was considered since patient is diabetic hence he underwent CT coronary angiogram and was noted to have SCA as an incidental finding.