CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2021; 11(01): 47-49
DOI: 10.1055/s-0040-1721154
Case Report

Double Trouble: A Rare Association between Chronic Total Occlusion of the Left Main Coronary Artery and Colonic Malignancy

Ashida Thulaseedharan Sarojadevi
1  Department of Cardiology, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India
,
Arunkumar Arasappa
2  Cardiothoracic and Vascular Surgery, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India
,
Priscilla Rubavathy Eugin
3  Department of General Medicine, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India
,
Krishna Prabu Ramaraj
4  Department of Anaesthesiology, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India
,
Anto Mariadoss Fernando
5  Department of General Surgery, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India
› Author Affiliations

Abstract

Emerging evidence has shown an association between cardiovascular (CV) disease and cancer due to shared risk factors and biological mechanisms especially chronic inflammation. The objective of this case report is to highlight the association between these two lethal diseases and the challenges in the management of coronary artery disease in patients with coexisting malignancy.

A 65-year-old nonsmoker, nondiabetic, and normotensive male presented with a history of abdominal pain and significant weight loss. Colonoscopy and biopsy showed adenocarcinoma of the ascending colon, and he was planned for right hemicolectomy. Electrocardiogram exercise stress test performed as a part of preoperative evaluation was strongly positive. Coronary angiography was suggestive of Chronic total occlusion of the left main coronary artery. Though the syntax score was intermediate, coronary artery bypass grafting was decided as the revascularization strategy as he needed early surgery for the colonic malignancy. A month later, he underwent right hemicolectomy.

Clinicians should be aware of the association between CV disease and cancer as they are likely to face similar situations where both coexist. Understanding the connections between heart disease and cancer will help to formulate combined preventive guidelines.



Publication History

Publication Date:
10 November 2020 (online)

© 2020. Nitte University (Deemed to be University). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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