EBC - ON DEMAND
European Bifurcation Club 2018 – EBC 2018 – Brussels, Belgium
BIFURCATION CLUBS AT EBC: CASE SESSION
Culotte stenting in a Y shaped saphenous vein graft bifurcation
Author: Lu Cao, MD, Tianjin Chest Hospital
CLINICAL HISTORY
- 80 years old, male.
- Chief complaint: intermittent chest depression for sixteen years, aggravated for one month.
- Risk factors: Hypertension, Diabetes Mellitus .
- History of present illness: He had bypass surgery 8 years prior to admission:Y-shaped vein graft – LAD and DIG, and vein graft -PDA. After that ,the patient insisted on taking medicine. However, he suffered recurrent chest depression on mild exertion from one month ago, which could be relieved by sublingual nitroglycerin. So he was admi’ed to our hospital for further therapy.
PRIMARY DIAGNOSIS
- Coronary AtheroscleroGc Heart Disease Unstable Pectoris Angina
Cardiac Enlargement, Post CABG, Heart Function: Grade III (NYHA) - Type 2 Diabetes Mellitus
- Primary Hypertension
FOLLOW UP
- No recurrent angina.
- Discharged four days after PCI.
- 6 months later, the patient had not suffered chest pain, dyspnea and palpitation on moderate exertion. NO stroke and bleeding complications happened.