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Six months following modified Bentall procedure a patient presented with angina and acute ST depression. CT coronary angiogram revealed severe narrowing of the left main coronaryartery. Minimal invasive off p.
Objective Saphenous vein graft disease (SVGD) remains a challenging issue for patients with coronaryarterybypassgrafting (CABG). Methods We retrospectively enrolled 237 patients who underwent elective coronary angiography (CAG) for stable angina or positive stress test results >1 year after CABG.
Such a pattern is consistent with significant left main coronaryarterystenosis. Angiography done after initial stabilization showed severe stenosis of distal left main coronaryartery. This patient had reported with recent onset angina. ST elevation was 2 mm in aVR and 1 mm in V1.
In patients with chronic coronary syndrome, revascularisation did not demonstrate prognostic advantage in terms of mortality over optimal medical therapy (OMT). However, revascularisation of coronarystenosis, which induces myocardial ischaemia, has demonstrated better outcome than OMT alone.
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 CCF can be congenital or acquired and has many variations.
Angiogram: Severe two-vessel coronaryartery disease of a left dominant system including 70 to 80% stenosis involving the distal left main/bifurcation. The estimated left ventricular ejection fraction is 64%. There is no left ventricular wall motion abnormality identified. Smith: not sure why that is.
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