[Life saving angioplasty of left main coronary artery in a high risk patient].
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.
Arkowski
Jacek
J
Klinika Kardiologii AM, ul M. Skłodowskiej-Curie 66, 53-369 Wrocław. aderkacz@chirs.am.wroc.pl
Derkacz
Arkadiusz
A
Negrusz-Kawecka
Marta
M
Poczatek
Karol
K
Nowicki
Przemysław
P
Obremska
Marta
M
Sciborski
Ryszard
R
Mazurek
Walentyna
W
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000601:surgery; D003422:Critical Care / Q000379:methods; D006801:Humans; D008297:Male; D015607:Stents; D016896:Treatment Outcome