[No-reflow phenomenon following PCI of venous graft -- a case report].
A case of a 72-year-old male with coronary artery disease, history of two myocardial infarctions, ejection fraction of 30% and CABG performed in 1990, is described. In 2001 he underwent PCI of two grafts. The procedure was complicated by ischaemic stroke. In 2003 the patient underwent another PCI of the occluded venous graft which was complicated by no-reflow phenomenon and acute myocardial infarction. A few months later cardiac resynchronization pacing system was implanted. The patient improved, however, one year later died due to progressive heart failure. Diagnosis and treatment of the no reflow phenomenon are discussed.
Dabrowski
Maciej
M
I Klinika Choroby Wieńcowej, Instytut Kardiologii, ul. Alpejska 42, 04-628 Warszawa. macidabro@yahoo.com
Witkowski
Adam
A
Kukuła
Krzysztof
K
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D002404:Catheterization; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery*; D023903:Coronary Restenosis / Q000150:complications / Q000628:therapy*; D017809:Fatal Outcome; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D020521:Stroke / Q000150:complications