Document Detail


Stenting of the unprotected left main coronary artery in a nonagenarian presenting with recurrent non-ST elevation myocardial infarction.
MedLine Citation:
PMID:  25076680     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Coronary artery disease (CAD) involving the left main (LM) artery has traditionally been considered an indication for coronary artery bypass surgery (CABG). With recent advances in the field of percutaneous coronary interventions (PCI), angioplasty and stenting of the unprotected' LM has been performed in patients at high surgical risk. This is a challenging intervention as a large area of myocardium is at risk during the procedure. Features that make it especially high risk are distal stenosis of this vessel and presence of coronary disease in other territories. Left ventricular assist devices need to be considered in these situations so as to minimize the risk involved. We present a case of a 90-year-old female with myocardial infarction who underwent complex angioplasty involving the distal LM and proximal left anterior descending (LAD) coronary artery, without left ventricular assist device or balloon pump support.
Authors:
Amol Raizada; Marian Petrasko; Tomasz P Stys; Adam T Stys
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  South Dakota medicine : the journal of the South Dakota State Medical Association     Volume:  67     ISSN:  0038-3317     ISO Abbreviation:  S D Med     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-07-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101265265     Medline TA:  S D Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  265-7     Citation Subset:  IM    
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