Life saving angioplasty of left main coronary artery in a high risk patient
Arkowski, J.; Derkacz, A.; Negrusz-Kawecka, M.; Poczatek, K.; Nowicki, P.ła.; Obremska, M.; Sciborski, R.; Mazurek, W.
Kardiologia Polska 64(10): 1121-1124; Discussion 1125
2006
ISSN/ISBN: 0022-9032 PMID: 17089246 Document Number: 602726
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.