72 years old
Angina dyspnea class II.
Risk factor:DNID , HTA , obesity , dyslipidemia
Distal Arteriopathy.
History:
2004 : CABG : LIMA-LAD / Saph-Mg1 / Saph-Mg2
2010 : ACT proximal RCA (BMS: Medtronic driver 3,0*15)
2014 : dual chamber PM
05/2015: angina class II coronarography :
CTO RCA before the stent
Good patency of the 3 bypass
TTE :EF 47% mild inferior hypokinesia. Mild MR