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Introduction The presence of non-coronary atherosclerosis (NCA) in patients with coronaryartery disease is associated with a poor prognosis. We have studied whether NCA is also a predictor of poorer outcomes in patients undergoing coronaryarterybypassgrafting (CABG).
We performed coronary angiography for the patient with ECMO support, indicating that the patient had an 80% critical stenosis of the left main coronaryartery and an 80%–90% stenosis in the middle section of the left anterior descending artery with an aneurysm.
Coronary angiography revealed a tortuous and extremely aneurysmal RCA, as well as multivessel coronaryartery disease (mvCAD) involving LAD, D1, LCx, OM1. Notably, the LAD had multiple aneurysmal segments and areas of eccentric stenosis upto 90%.Multislice
This is much safer than traditional open heart surgery with a large chest incision that temporarily stops the heart while the patient is hooked up to a bypass machine. CoronaryArteryBypassGraft (CABG): In a CABG, the surgeon makes a few small incisions so that only some parts of the arteries are exposed.
1-3, 5] As an aside, recall that a horizontal scar was identified on the patient’s sternum during rapid physical exam, thus eluding to prior corrective open thoracic surgery of some magnitude, to potentially include coronaryarterybypassgrafting, or valve replacement, for example.
There are no Q-waves to suggest old inferior MI, or inferior aneurysm as the etiology of the ST Elevation. The patient was again sent home with a plan for surgical aortic valve replacement and coronaryarterybypassgrafting to the PDA. Two months later, she had her surgery, which was successful.
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