Diabetic patient with three-vessel disease and left main involvement. Surgery yes, but not always

被引：4

作者：

Boukhris, Marouane ^{[1
,2
,3
]}

Azzarelli, Salvatore ^{[1
,2
]}

Tomasello, Salvatore Davide ^{[1
,2
]}

Ibn Elhadj, Zied ^{[3
]}

Marza, Francesco ^{[1
,2
]}

Galassi, Alfredo Ruggero ^{[1
,2
]}

机构：

[1] Univ Catania, Cannizzaro Hosp, Dept Med Sci & Pediat, Catheterizat Lab, Catania, Italy

[2] Univ Catania, Cannizzaro Hosp, Div Cardiol, Cardiovasc Intervent Unit, Catania, Italy

[3] Univ Tunis El Manar, Fac Med Tunis, Tunis, Tunisia

来源：

EGYPTIAN HEART JOURNAL | 2015年 / 67卷 / 01期

关键词：

Percutaneous coronary intervention; Diabetes mellitus; Multi-vessel disease; Unprotected left main; Intra-aortic balloon counterpulsation; Intravascular ultrasound;

D O I：

10.1016/j.ehj.2014.11.004

中图分类号：

R5 [内科学];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

Coronary artery disease (CAD) is known to be the main cause of morbidity and mortality in patients with diabetes mellitus. Although they do not often show typical recognized symptoms, diabetic patients suffer from more extensive CAD and hence higher incidence of multi-vessel CAD than in non-diabetic subjects. Literature has given the strength of evidence in favor of surgical revascularization in diabetic patients with multi-vessel disease. We report the case of a 61-year old active smoker and diabetic man with atypical symptoms and positive treadmill test. The coronary angiography revealed a severe three-vessel disease and distal left main involvement (SYNTAX score = 49). As the patient refused to follow heart team indication to undergo coronary bypass grafting, a percutaneous coronary intervention was successfully performed with intra-aortic balloon counterpulsation support and intravascular ultrasound optimization. The mid-term outcome was good. (C) 2014 The Authors. Production and hosting by Elsevier B.V. on behalf of Egyptian Society of Cardiology. This is an open access article under the CC BY-NC-ND license.

引用

页码：83 / 87

页数：5

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