|  Case
Summary
A
62 year old gentleman presented with Coronary
Artery Disease,
Post CABG, unstable Angina,
Aorta Hemodynamics 130/80.
ECHO LVEF-60%,
LIMA to LAD patent,
SVG to OM blocked, native RCA disease.
Coronaries
| Left
Main |
: Normal |
| LAD |
: Proximal LAD shows
CTO.LIMA to LAD patent with good flow |
| Lcx |
: Mid LCx shows tight
90% lesion giving rise to sizable branch. |
| RCA |
: Dominant mid RCA
shows 90% lesion. SVG to OM are blocked. |
| Renals |
: B/L Normal |
Procedural
Steps
PTCA
and stent to LCX: LCx was engaged with 6
FL 3.5 guiding catheter. The coronary shows
90 % tight mid artery stenosis (Fig
1)The lesion was crossed with
0.014 Whisper guide wire(Fig
2) . It was pre dilated with
2.0X15 mm Voyager at 10ATM(Fig
3) showing a good result (Fig
4).The proximal LAD was then
stented which 2.75X12mm Vision (Fig
5) deployed at 16ATM resulting
in good end result.(Fig
6).
PTCA
and stent to RCA: RCA was hooked with 6
JR 4 Guiding catheter .The lesion was then
crossed with Whisper 0.014 guide wire(Fig
7).It was pre dilated 2.0X15
mm Voyager(Fig
8) at 10 atm showing good result(Fig
9) RCA was then stented with
3.0X18 mm Trimaxx stent(Fig
10) deployed at 10 ATM resulting
in good end result.(Fig
11)
Result
Excellent.
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