Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease
نویسندگان
چکیده
We report the case of a 59-year-old woman who presented with symptoms of angina that was refractory to medical management. Although her cardiac catheterization revealed microvascular coronary artery disease, her symptoms were refractory to optimal medical management that included ranolazine. After undergoing transmyocardial revascularization, her myocardial ischemia completely resolved and her symptoms dramatically improved. This case suggests that combination of ranolazine and transmyocardial revascularization can be applied to patients with microvascular coronary artery disease.
منابع مشابه
Images in cardiovascular medicine. Improvement of myocardial perfusion after transmyocardial laser revascularization and coronary artery bypass graft surgery.
A69-year-old man with severe angina had severe 3-vessel disease by coronary angiography. At the time of coronary revascularization, he had left internal mammary artery implantation to the left anterior descending artery, a vein graft to the diagonal branch, and a vein graft to the marginal branch of the left circumflex artery. Transmyocardial laser revascularization was performed in the territo...
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BACKGROUND Transmyocardial laser revascularization (TMLR) is an alternative treatment modality for patients with refractory angina who are not candidates for conventional surgical or percutaneous revascularization. Clinical studies of TMLR have not shown one-to-one correlation between increased myocardial perfusion and improved clinical status. METHODS Three patients (51, 53, and 70 years old...
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Laser Revascularization To the Editor: I read with interest the report of Iskandrian et al.1 The authors described a case of improvement of perfusion in the right coronary artery territories (after transmyocardial revascularization), as well as in the territory of the left anterior descending artery and the circumflex artery (after CABG surgery). I’d like to ask the authors why they were sure t...
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