Vol 64, No 10 (2006)
Other
Published online: 2006-10-31
Case reports
Life saving angioplasty of left main coronary artery in a high risk patient
DOI: 10.33963/v.kp.81466
Kardiol Pol 2006;64(10):1121-1124.
Abstract
A case a of a life-saving angioplasty of left main coronary artery (LMCA) is presented. A 75 year old patient with a history of diabetes, previous CABG and carotid surgery was admitted to our hospital with symptoms of early post-infarct angina. Coronary angiography revealed significant stenosis of LMCA, in addition to previously known multi-vessel diffuse CAD. Taking into consideration a very high risk of repeat CABG surgery a decision was made to perform an angioplasty. The intervention was carried out with good angiographic effect and the patient was discharged home few days later, free from angina. In 9 month follow-up angiography there was no restenosis in LMCA. In patients to whom cardiac surgery presents very high risk, an angioplasty of LMCA can be life-saving, with good long term effects.
Keywords: left main coronary artery angioplastyhigh risk patientimpaired renal function