Non-invasive assessment of coronary flow velocity reserve before and after angioplasty in a patient with mammary graft stenosis.
We report the diagnosis of mammary artery graft dysfunction by high-resolution transthoracic Doppler and venous adenosine infusion. The patient was treated by percutaneous balloon angioplasty, with optimal angiographic results. Coronary flow reserve in the distal left anterior descending artery was abnormal before angioplasty, and recovered soon after the procedure. The utility of this new non-invasive technique in the diagnosis of flow-limiting stenoses and follow-up of coronary angioplasty is described.
Pizzuto
F
F
Institute of Cardiac Surgery, University La Sapienza of Rome, Italy. fbpizzuto@uniroma1.it
Voci
P
P
Sinatra
R
R
Sardella
G
G
Nigri
A
A
D000241:Adenosine; D015906:Angioplasty, Balloon, Coronary; D001783:Blood Flow Velocity; D017023:Coronary Angiography; D003326:Coronary Circulation; D003327:Coronary Disease / Q000175:diagnosis / Q000601:surgery / Q000628:therapy; D015150:Echocardiography, Doppler; D006083:Graft Occlusion, Vascular / Q000175:diagnosis; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008875:Middle Aged; D014665:Vasodilator Agents
D014665:Vasodilator Agents; D000241:Adenosine