Abundes VA, Navarro-Robles J, Autrey CA, Montoya GAS, Luna PD, Farell CJ, Valencia SJS

Language: Spanish
References: 9
Page: 90-94
PDF size: 247.21 Kb.

ABSTRACT

We present the case of a male patient of 48 years old that in January of 1996 coursed with unstable angina variety recent onset, and documented by coronary arteriogram (CA) ostial disease of left anterior descendent coronary artery (DA) stenosis of 99%, which was treated primarily with coronary angioplasty in a successful form leaving a residual lesion of 30% documented 24 hours after. In April of the same year he had unstable angina, in the coronary arteriography was observed restenosis of 100%, which was treated through the application of stent (S) in successful manner without residual lesion. In November of 1996 was readmitted due to unstable angina, the CA revealed restenosis of the S and obstruction of the left main in 90% and of the ostium of the circumflex artery in 90%, he underwent to surgical treatment. This case makes us reflexion on the indications and possible contraindications of a stent, vs. surgical revascularization in the ostial disease of the DA.

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