Video : Complex Coronary PCI with giant aneuvrysms

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Cardiology / Coronary / Pci / Case in the box

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CASE 01: Complex Distal LM bifurcation PCI in patient with coronary giant aneuvrysm -Dr.Antonio COLOMBO

This coronary PCI procedure concerns a 62 years old male , with medical history of hypertension, Aorto-biiliac bypass for infra rena aortic aneuvrysm

Presenting Heart failure III NYHA and severe coronary lesions including LAD-Lcx ostium with giant aneuvrysm

Strategy Plan

Imaging studies

Coronary angiography: distal LM stenosis with critical lesions of LAD, Lcx ostium with giant aneuvrysm, Mid and distal LAD lesions
Echo: LV EF 65%
Coronary CT:LAD ostium 0.7mm, Landing zone:56mm

Clinical indication

Exertional anginal II CCS

Planned Procedure

1st session: LM bifurcation PCI with Crush technique
2nd session: LAD and Lcx aneuvrysm exclusion with DES and coils

CASE 02: Complex suboccluded LCX PCI complicated by distal vessel perforation -Dr.Antonio COLOMBO

This coronary PCI procedure concerns a 71 years old male , with hypertension and dyslipidemia

Presenting exertional angina II CCS and severe coronary lesions including Distal LM, LAD and subocclusive proximal Lcx

Strategy Plan

Imaging studies

Coronary angiography:Distal LM calcified lesion extending to proximal LAD, Mid LAD lesion, Proximal Lcx lesion, distal Lcx lesion
Echo: LVEF 65%, mild mitral regurgitation,

Clinical indication

Stable angina II CSS

Planned Procedure

1st session:LCx rotational atherectomy and PCI
2nd session: LAD PCI

Shooting date : 2018-02-22
Last update : 2018-07-12