Sunday, 30 July 2017

Trans Ulnar Approach for Unprotected Left Main Coronary Artery Disease

A 65 year old male presented with chest pain, sweating and uneasiness for four hours and diagnosed as unstable angina. There was no history of hypertension diabetes mellitus or dyslipidemia.

 TIMI III flow achieved Dіer stent deployment
TIMI III flow achieved Dіer stent deployment
On general physical examination, pulse rate was 102 per minute, BP 140/86 mm of Hg, respiratory rate 18 per minute jugular venous pulse was normal. Auscultation of the heart and lung was unremarkable. Electrocardiogram showed ST segment depression of 2 mm in leads I, II, aVL, aVF and V3 to V6 with ST segment elevation in lead aVR. 
Two dimensional echocardiography revealed concentric left ventricular hypertrophy, normal left ventricular function, no regional wall motion abnormality, mild mitral and tricuspid regurgitation and normal chamber dimension. Hematological investigation and routine bio-chemistry were also normal. Read More>>>>>>

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