title: Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease.
abstract: We report the case of a 59-year-old woman who presented with symptoms of angina that was refractory to medical management. Although her cardiac catheterization revealed microvascular coronary artery disease, her symptoms were refractory to optimal medical management that included ranolazine. After undergoing transmyocardial revascularization, her myocardial ischemia completely resolved and her symptoms dramatically improved. This case suggests that combination of ranolazine and transmyocardial revascularization can be applied to patients with microvascular coronary artery disease.
authors.affiliation: Department of Cardiology, Harbor-UCLA Medical Center, Torrance, CA, USA; Heart Institute, Good Samaritan Hospital, Los Angeles, CA, USA.
authors.forename: Peyman Mesbah
authors.initials: PM
authors.lastname: Oskui
authors.affiliation: Heart Institute, Good Samaritan Hospital, Los Angeles, CA, USA; Department of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
authors.forename: Guy S
authors.initials: GS
authors.lastname: Mayeda
authors.affiliation: Heart Institute, Good Samaritan Hospital, Los Angeles, CA, USA; Department of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
authors.forename: Steven
authors.initials: S
authors.lastname: Burstein
authors.affiliation: Department of Cardiothoracic Surgery, Good Samaritan Hospital, Los Angeles, CA, USA.
authors.forename: Ali
authors.initials: A
authors.lastname: Gheissari
authors.affiliation: Department of Cardiology, Harbor-UCLA Medical Center, Torrance, CA, USA.
authors.forename: William J
authors.initials: WJ
authors.lastname: French
authors.affiliation: Department of Cardiology, Harbor-UCLA Medical Center, Torrance, CA, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Thomas
authors.affiliation: Heart Institute, Good Samaritan Hospital, Los Angeles, CA, USA; Department of Cardiology, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Kloner
keywords: Transmyocardial laser revascularization; coronary artery disease; microvascular angina; ranolazine