Reoperative transmyocardial laser revascularization for late recurrent angina.
Transmyocardial laser revascularization (TMR) reduces anginal class and is indicated for severely symptomatic patients who are not candidates for conventional revascularization. This report describes a 72-year-old man who presented 4 years following initially successful TMR with recurrent angina refractory to maximal medical management. Reoperative TMR was performed with substantial improvement in angina and functional class.
Lee
Richard
R
Divisions of Cardiothoracic Surgery and Nuclear Medicine, Washington University School of Medicine, St. Louis, Missouri 63110-1013, USA.
Fischer
Keith C
KC
Moon
Marc R
MR
D000368:Aged; D000787:Angina Pectoris / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D009204:Myocardial Revascularization / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation