Coronary angioplasty of a posterolateral branch with severe proximal vessel tortuosity

We present a case of a patient who experienced recurrent angina 15 months after coronary bypass surgery. A single lesion distal to a graft anastomosis was identified in the posterolateral coronary artery. There were two severe angulations, each greater than 90° proximal to the lesion, with access po...

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Bibliographic Details
Published in:Catheterization and cardiovascular diagnosis 1997-08, Vol.41 (4), p.426-429
Main Authors: Tishler, Steven, Popma, Jeffrey, Schwartz, Leonard
Format: Article
Language:English
Subjects:
Angina Pectoris - therapy
Angioplasty, Balloon, Coronary - methods
Biological and medical sciences
Cardiology. Vascular system
Coronary Angiography
coronary angioplasty
Coronary Artery Bypass
coronary artery disease
coronary bypass surgery
Coronary Disease - diagnostic imaging
Coronary Disease - therapy
Coronary heart disease
Heart
Humans
Male
Medical sciences
Middle Aged
Recurrence
Retreatment
Citations: Items that this one cites
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Description
Summary:We present a case of a patient who experienced recurrent angina 15 months after coronary bypass surgery. A single lesion distal to a graft anastomosis was identified in the posterolateral coronary artery. There were two severe angulations, each greater than 90° proximal to the lesion, with access possible only through the saphenous vein graft to the posterior descending artery. For ultimate success, such challenging anatomy required a combination of an array of guidewires, secondary support catheters, and a deflecting balloon. Cathet. Cardiovasc. Diagn. 41:426–429, 1997. © 1997 Wiley‐Liss, Inc.
ISSN:0098-6569
1097-0304
DOI:10.1002/(SICI)1097-0304(199708)41:4<426::AID-CCD20>3.0.CO;2-I