scholarly journals Left main coronary angioplasty – A case report

2009 ◽  
Vol 5 (1) ◽  
pp. 40-41
Author(s):  
SM Mustafa Zaman ◽  
Masud Sinha ◽  
Prodip Kumar Karmakar ◽  
Sufia Rahman ◽  
Md Harisul Hoque ◽  
...  

A 52 years lady presented with chest pain and shortness of breath. Chest pain was initially CCS class II and gradually CCS class III. Coronary angiogram reveals triple vessel disease for which she underwent CABG (RSVG to LAD) in December 1999. On January 2003 PTCA with stent (sirolimus - 3 x 15m m) to LCX was done. She again complaints of chest pain after a short symptom less period. Recent coronary angiogram revealed TVD with left main involvement. In this article we will describe a rare case of successful stenting in left main disease.   doi: 10.3329/uhj.v5i1.3441 University Heart Journal Vol. 5, No. 1, January 2009 40-41

2015 ◽  
Vol 7 (2) ◽  
pp. 159-161
Author(s):  
Nuruddin Mohammod Zahangir ◽  
Syed Tanvir Ahmad ◽  
Firoz Ahmed ◽  
Md Mainul Kabir ◽  
Tamjid Mohammad Najmus Sakib Khan ◽  
...  

The management of combined Coronary Artery Disease and Peripheral Vascular Disease is a challenge and brings with it numerous clinical dilemmas. The 56 year old gentleman presented to our department with significant triple vessel disease with occluded lower end of aorta just before bifurcation and occluded bilateral superficial femoral arteries. CABG with aorto-femoral and femoro popliteal bypass was done on the same setting. On 12th postoperative day he was discharged from hospital in good general condition. Follow up after 6 months of operation the patient is doing well and free of chest pain and claudication pain. DOI: http://dx.doi.org/10.3329/cardio.v7i2.22266 Cardiovasc. j. 2015; 7(2): 159-161


2020 ◽  
Vol 5 (5) ◽  

Of the four cardiac valves, the pulmonic valve is the least suspected in most pathologies when one thinks of endocarditis, pulmonary valve is hardly considered. We can call it a “forgotten valve”. Isolated pulmonary valve endocarditis has less than 100 reported cases [1]. We present a case of isolated pulmonary valve endocarditis in a 27-year-old male with past medical history of IVDA, who presented to the hospital with sudden onset of chest pain and shortness of breath.


2020 ◽  
Vol 72 (1) ◽  
Author(s):  
Yash Paul Sharma ◽  
Krishna Santosh ◽  
Prashant Panda ◽  
Krishna Prasad ◽  
Lipi Uppal ◽  
...  

2017 ◽  
Vol 13 (01) ◽  
pp. 45 ◽  
Author(s):  
Carlo De Innocentiis ◽  
Marco Zimarino ◽  
Raffaele De Caterina ◽  
◽  
◽  
...  

In multivessel coronary artery disease (MVCAD), myocardial revascularisation can be achieved by percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG), with complete revascularisation on all diseased coronary segments or with incomplete revascularisation on selectively targeted lesions. Complete revascularisation confers a long-term prognostic benefit, but is associated with a higher rate of periprocedural events compared with incomplete revascularisation. In most patients with MVCAD, the main advantage of CABG over PCI is conferred by the achievement of more extensive revascularisation. According to current international guidelines, PCI is generally preferred in single-vessel disease, low-risk MVCAD or isolated left main disease; whereas CABG is usually recommended in patients with complex two-vessel disease, most patients with three-vessel disease and/or non-isolated left main disease. In patients with MVCAD, the choice on revascularisation modality should depend on a multifactorial evaluation, taking into account not only coronary anatomy, the ischaemic burden, myocardial function, age and the presence of comorbidities, but also the adequacy of myocardial revascularisation.


2017 ◽  
Vol 5 (1) ◽  
pp. 232470961668462 ◽  
Author(s):  
Venkat Gangadharan ◽  
Kamesh Sivagnanam ◽  
Ghulam Murtaza ◽  
Michael Ponders ◽  
Otto Teixeira ◽  
...  

A 36-year-old woman was seen with complaints of exertional chest pain and shortness of breath. Her medical history included atrial fibrillation and diabetes. Physical examination was unremarkable except for an irregular cardiac rhythm. Myocardial perfusion imaging revealed the presence of a large area of infarction involving the entire anterior and apical walls and part of the anteroseptal wall with minimal periinfarct ischemia. Computed tomography coronary angiogram revealed an anomalous left main coronary artery arising from the main pulmonary artery. Right and left heart catheterizations demonstrated moderate pulmonary hypertension with a slight step-up in oxygen saturation between the right ventricle and main pulmonary artery. Coronary angiography showed a large tortuous right coronary artery with collaterals to the left anterior descending artery that drained into the main pulmonary artery. She was referred for surgery. This case demonstrates a rare coronary artery anomaly in an adult where survival is dependent on collateral circulation.


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