open access

Vol 64, No 10 (2006)
Other
Published online: 2006-10-31
Submitted: 2012-12-28
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Case reports
Life saving angioplasty of left main coronary artery in a high risk patient

Jacek Arkowski, Arkadiusz Derkacz, Marta Negrusz-Kawecka, Karol Początek, Przemysław Nowicki, Marta Obremska, Ryszard Ściborski, Walentyna Mazurek
Kardiol Pol 2006;64(10):1121-1124.

open access

Vol 64, No 10 (2006)
Other
Published online: 2006-10-31
Submitted: 2012-12-28

Abstract

A case a of a life-saving angioplasty of left main coronary artery (LMCA) is presented. A 75 year old patient with a history of diabetes, previous CABG and carotid surgery was admitted to our hospital with symptoms of early post-infarct angina. Coronary angiography revealed significant stenosis of LMCA, in addition to previously known multi-vessel diffuse CAD. Taking into consideration a very high risk of repeat CABG surgery a decision was made to perform an angioplasty. The intervention was carried out with good angiographic effect and the patient was discharged home few days later, free from angina. In 9 month follow-up angiography there was no restenosis in LMCA. In patients to whom cardiac surgery presents very high risk, an angioplasty of LMCA can be life-saving, with good long term effects.

Abstract

A case a of a life-saving angioplasty of left main coronary artery (LMCA) is presented. A 75 year old patient with a history of diabetes, previous CABG and carotid surgery was admitted to our hospital with symptoms of early post-infarct angina. Coronary angiography revealed significant stenosis of LMCA, in addition to previously known multi-vessel diffuse CAD. Taking into consideration a very high risk of repeat CABG surgery a decision was made to perform an angioplasty. The intervention was carried out with good angiographic effect and the patient was discharged home few days later, free from angina. In 9 month follow-up angiography there was no restenosis in LMCA. In patients to whom cardiac surgery presents very high risk, an angioplasty of LMCA can be life-saving, with good long term effects.
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Keywords

left main coronary artery angioplasty; high risk patient; impaired renal function

About this article
Title

Case reports
Life saving angioplasty of left main coronary artery in a high risk patient

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 64, No 10 (2006)

Pages

1121-1124

Published online

2006-10-31

Bibliographic record

Kardiol Pol 2006;64(10):1121-1124.

Keywords

left main coronary artery angioplasty
high risk patient
impaired renal function

Authors

Jacek Arkowski
Arkadiusz Derkacz
Marta Negrusz-Kawecka
Karol Początek
Przemysław Nowicki
Marta Obremska
Ryszard Ściborski
Walentyna Mazurek

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