Slides
[April 29] CTO LIVE_Severance Hospital, Seoul, Korea: Case #7
- Operator : Kenya Nasu
1st Operator: Kenya Nasu / 2nd Operator: Jung-Hee Lee
Brief Case Summary
55-year-old female patient was referred due to RWMA at LAD territory found during treatment of ischemic stroke.
Past Medical History
- Previous MI: N
- Previous CABG : N
- Previous PCI: N
Demographic Characteristics
- Diabetes: N
- Hypertension: Y
- Hyperlipidemia: N
- Smoking: N
- Family History: N
- Age: 55
- Sex: Female
Clinical Presentation
Stable angina
Non-invasive Studies
Echocardiography [2018. Jan]
RWMA at akinesia without thinning at anterior and anteroseptal wall of low-mid to apical LV
Cardiac Catheterization Findings
Total occlusion of mLAD (TIMI 0)
Collateral flow from PD, cornus branch of RV to LAD
Ipsilateral collateral flow from diagonal branch to dLAD
Case Notes
Target Lesion(s)
mLAD
Adjunctive Medication
- ASA: Y
- LMWH: N
- Clopidogrel: Y
- Heparin: N
- Nitrates: N
- IIb/IIIa: N
- Other: Carvedilol SR 8 mg, Losartan 50 mg, atorvastatin 40 mg
Heart CT (2017.10.31)
Coronary angiography (2018.03.15)
- Previous MI: N
- Previous CABG : N
- Previous PCI: N
- Diabetes: N
- Hypertension: Y
- Hyperlipidemia: N
- Smoking: N
- Family History: N
- Age: 55
- Sex: Female
Echocardiography [2018. Jan]
RWMA at akinesia without thinning at anterior and anteroseptal wall of low-mid to apical LVCollateral flow from PD, cornus branch of RV to LAD
Ipsilateral collateral flow from diagonal branch to dLAD
Target Lesion(s)
mLAD- ASA: Y
- LMWH: N
- Clopidogrel: Y
- Heparin: N
- Nitrates: N
- IIb/IIIa: N
- Other: Carvedilol SR 8 mg, Losartan 50 mg, atorvastatin 40 mg
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