Treating Diffuse Three-vessel Coronary Artery Disease with Percutaneous Coronary Intervention

Authors

  • Ilias Karabinos
  • Vassilis Spanos

DOI:

https://doi.org/10.2015/hc.v3i1%20sup.126

Abstract

We present a case of a 57-year-old man, with a history of heavy smoking, noninsulin dependent diabetes mellitus (NIDDM) and untreated hypercholesterolemia.He was complaining for typical angina on effort which started one month ago. He had a treadmill stress test which was terminated very early because of angina and ECG changes evident of myocardial ischemia.Coronary angiogram showed diffuse disease of the right coronary artery (RCA) and 100% obstruction (Fig. 1), a non significant plaque at the distal part of left main coronary artery, diffuse disease in the left anterior descending (LAD) and left circumflex (LCx) (Fig. 2 & 3) with very significant and complex lesions at the proximal parts, and left ventricular ejection fraction impaired, estimated about 35%. We proposed that according to the evidence and the guidelines he should have surgery (CABG).Although we insisted on CABG, the patient rejected this treatment and asked for coronary angioplasty (PTCA).

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Issue

Vol. 3 No. 1 sup (2008)

Section

Athens Cardiology Update 2008

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