10 Oct 2018
Real Life Bifurcation Involving the Distal LM, LAD and LCX
Consult this Twitter Case concerning an 80-year-old patient with ACS and deemed too high risk for CABG
What would be your strategy in this case, assuming indicated PCI? #RadialFirst
This case was originally published on Twitter by @mirvatalasnag via #CardioTwitterCase
Clinical presentation
This is an 80-year-old female whose cardiovascular risk factors include hypertension and hyperlipidemia.
RAO Cranial Demonstrating LM LAD disease
Case Management
She had an ACS and a coronary angiogram showed 3 vessel disease. An echocardiogram showed EF 50%. Given her age and limited mobility, she was deemed too high risk for CABG. Accordingly, she was offered high risk multivessel PCI. Intracoronary imaging with IVUS showed distal LM and ostial LAD disease requiring a 2 stent strategy (DK Crush).
Original tweet and Twitter discussion
#RadialFirst Sunday challenge
— mirvat (مرفت عبدالله الأصنج) (@mirvatalasnag) 20 octobre 2018
How would u treat? Strategy assuming indicated PCI?@GoranEBC@SVRaoMD@mmamas1973@nolanjimradial@DocSavageTJU@fischman_david@Pooh_Velagapudi@adityadoc1@DrSheilaSahni@MilasinD18@DrAmirKaki@sbrugalettapic.twitter.com/iUghuEALD6
Author
1 comment
A very beautiful case.