case_images: PMC11424433_01
case_images: In 2020, CAG showed LM (A) and RCA (B) stenosis. One year after percutaneous coronary intervention, the patient suffered from chest tightness and a shortness of breath again, and CAG showed LM (C) and RCA (D) in-stent restenosis.
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case_images: PMC11424433_01_fcvm-11-1451113-g001.jpg
case_images: F1
case_images: She was diagnosed with non-ST segment elevation myocardial infarction with stenosis of the left main trunk (LM) and right coronary artery (RCA) (Figure 1) and had undergone percutaneous trans-luminal coronary angioplasty and intervention, followed by secondary prevention and treatment for coronary heart disease. Upon review, coronary angiography (CAG) showed in-stent restenosis (Figure 1).
case_images: A timeline with the relevant data from the episode of care.
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case_images: F2
case_images: A comprehensive medical history (Figure 2) revealed a history of sudden hearing loss, vertigo, and nausea, with recurrent episodes from 9 years ago.
case_images: PET-CT showed an increased circular and linear 18F-FDG uptake in the subclavian and common carotid arteries (A), aortic arch (B), thoracic aorta (C), and coronary (D).
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case_images: PMC11424433_01_fcvm-11-1451113-g003.jpg
case_images: F3
case_images: Positron emission tomography/computed tomography (PET/CT) demonstrated an increased uptake of (18)F-fluorodeoxyglucose (18F-FDG) in the aorta and its primary branches, as well as in the coronary arteries (Figure 3).