Abstract
A 78 year old diabetic male who was a case of chronic stable angina had undergone coronary arterial angiogram 4 months back. He was diagnosed as a case of triple vessel disease and had undergone CABG about 3 months back. 1 arterial [Left internal mammary artery (LIMA) to left anterior descending (LAD)] and 3 venous grafts [to diagonal, obtuse marginal (OM) and right coronary artery (RCA)] were used for CABG.
Highlights
A 78 year old diabetic male who was a case of chronic stable angina had undergone coronary arterial angiogram 4 months back
He was diagnosed as a case of triple vessel disease and had undergone CABG about 3 months back. 1 arterial [Left internal mammary artery (LIMA) to left anterior descending (LAD)] and 3 venous grafts [to diagonal, obtuse marginal (OM) and right coronary artery (RCA)] were used for CABG
3 If we plan for PCI, should we even attempt native vessel PCI of RCA in this patient or should we directly plan for PCI to Saphenous Venous Graft (SVG) to RCA?
Summary
A 78 year old diabetic male who was a case of chronic stable angina had undergone coronary arterial angiogram 4 months back. He was diagnosed as a case of triple vessel disease and had undergone CABG about 3 months back. We did a coronary arterial angiogram of native and graft vessels (Figures 1-6) which shows proximal LAD 95-99% lesion, proximal RCA 100 %, proximal OM 1 50% lesion, proximal to mid SVG to RCA long segment lesion 95 % ( TIMI 2 flow) , variable degree of stenosis of the other graft-native vessel anastomotic points.
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