Partially Protected Left Main Stenting in a Patient with Complete Obstruction of Left Internal Mammary Graft

Authors

  • Ilias Karabinos Euroclinic Hospital, Athens
  • Vassilis Spanos Euroclinic Hospital, Athens

DOI:

https://doi.org/10.2015/hc.v5i1%20Sup.346

Abstract

We present a 59-year-old patient with a previous history of coronary artery bypass grafting (CABG) for left main and mid-left anterior descending (LAD) coronary artery disease with the use of left internal mammary artery (LIMA) and a radial graft six years ago. He performed a treadmill stress test which documented extensive ischemia in V2-V6 precordial leads with significant blood pressure drop. Coronary angiogram revealed complete obstruction of the LIMA and patent radial graft. The patient preferred percutaneous intervention (PCI) to CABG as a revascularization strategy. The procedure was guided by intravascular ultrasound. We implanted two drug eluting stents, the first one in the mid-LAD overlapped with the second one which covered the vessel up to the ostium of the left main. Significant plaque shift to the ostium of the left circumflex was treated with a kissing balloon technique

Author Biography

Ilias Karabinos, Euroclinic Hospital, Athens

Specialty: Cardiology

Downloads

Issue

Vol. 5 No. 1 Sup (2010)

Section

Athens Cardiology Update 2010

License

Authors who publish with this journal agree to the following terms:

a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).