Calcific Monckeberg’s Arteriosclerosis of Radial Artery with Porcelain Coronary Arteries

Abstract

Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons AttributionNonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-Commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https:// us.sagepub.com/en-us/nam/open-access-at-sage). A 60 year old nonsmoker, nondiabetic gentleman with normal lipid and renal profile presented with acute anterior wall ST elevated myocardial infarction with mild left ventricular systolic dysfunction. He was subjected to transradial coronary angiogram but could not be accomplished from both right and left side as bilateral radial pulses were feeble (Grade 1); we could roll the radial artery bilaterally more than 10 cm from the radial styloid process and patient had pseudo hypertension (Osler’s sign positive), and radial angiogram revealed long segment radial arteriosclerosis (Monckeberg s arteriosclerosis)with heavy calcification1 (Figure1).It is very rare to see such long segment calcification of radial artery in routine clinical practice. Right brachial coronary angiogram revealed