Totally Occlusive Diffuse In-stent Restenosis in Saphenous Vein Graft to Right Coronary Artery and Acute Coronary Syndrome

Authors

  • George Sitafidis University Hospital of Larissa, Larissa
  • Charalambos Parisis Larissa University Hospital, Larissa
  • Dimitrios Economou Larissa University Hospital, Larissa
  • Filippos Triposkiadis Larissa University Hospital, Larissa

DOI:

https://doi.org/10.2015/hc.v7i1%20Sup.493

Keywords:

acute coronary syndrome, coronary artery disease, coronary angioplasty, coronary stenting, saphenous vein graft, restenosis

Abstract

A 78-year-old gentleman presented with Canadian Cardiological Society (CCS) class III angina and had been getting excruciating substernal pain while walking 50 to 100 m on the flat over the last 15 days despite optimal medical therapy. From his past medical history the patient underwent CABG in 1997 (LIMA to LAD and SVG to dominant RCA); in 2006 he had an angioplasty done in his SVG and stents were implanted (no medical data regarding the angioplasty were found). Cardiac enzymes and troponin were negative; a mild increase of creatinine was noted on admission. The echocardiogram revealed severe basal inferior wall hypokinesia with overall reasonably preserved left ventricular and right ventricular systolic function... (excerpt)

Author Biography

George Sitafidis, University Hospital of Larissa, Larissa

Specialty: Cardiology

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Published

2012-04-11

Issue

Vol. 7 No. 1 Sup (2012)

Section

ATHENS CARDIOLOGY UPDATE 2012

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