Secondary Percutaneous Revascularization for Severe Unprotected Left Main Disease After Surgical Turndown

Authors

  • Konstantinos Triantafyllou Department of Cardiology, Evagelismos Hospital, Athens, Greece
  • Catherine Liontou Evagelismos Hospital, Athens, Greece
  • Serafeim Liapis Evagelismos Hospital, Athens, Greece
  • Eleni Margioula Evagelismos Hospital, Athens, Greece
  • Dimitrios Stalikas Evagelismos Hospital, Athens, Greece
  • Nikolaos Sakellaris Evagelismos Hospital, Athens, Greece
  • Kostas Kappos Evagelismos Hospital, Athens, Greece

Keywords:

secondary revascularization, left main disease, percutaneous coronary intervention

Abstract

Patients with severe left main and/or multi-vessel coronary artery disease (CAD) and contraindications or extremely high risk for surgical revascularization that are subsequently referred for percutaneous coronary intervention (PCI) have been increasing in clinical practice. We present the case of a patient with a previous history of aortic valve replacement and coronary artery bypass grafting (CABG) hospitalized because of angina recurrence and a functional test with myocardial scintigraphy that showed extensive myocardial ischemia. The coronary angiogram revealed severe left main and two-vessel disease with totally occluded bypass grafts, while revascularization by re-do CABG was rejected. The patient was finally treated by a technically challenging high-risk unprotected left main PCI.   Rhythmos 2017;12(2):29-32.

Downloads

Published

2017-04-21

Issue

Vol. 12 No. 2 (2017)

Section

Case Report

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).