CORONARY - Complications
Is Exaggeration of Non-culprit Stenosis Following PCI?
Mohammad Shafiqur Rahman Patwary1
National Institute of Cardiovascular Diseases (NICVD), Bangladesh1,
Mr. X, 65 years old gentleman, normotensive, non-diabetic, smoker presented with complaints of central chest pain radiate to left arm.
On examination, pulse was 80/minutes. Blood pressure was 130/80 mmHg. S1 and S2 were normal. Lung base was clear.
He also developed sudden cardiac arrest in hospital and was managed with prompt emergency treatment.
He gave a history of PCI to LCX and OM1 one month back.
He was labelled as NSTEMI with post PCI status and managed conservatively with LMWH.
Our patients had PCI to OM1 and LCX one month ago for unstable coronary disease. He was well and uneventful. After one month of PCI, admitted with cardiac arrest and Non STEMI. He had no or minimal lesion in osteo proximal part of the LM previously when he underwent PCI. Now his both stent had no stenosis with TIMI flow III, but LM had critical stenosis. We manage it with stenting to LM and proximal LAD with IVUS imaging. Is first PCI can induce lesion in LM?