Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease

We report the case of a 59-year-old woman who presented with symptoms of angina that was refractory to medical management. Although her cardiac catheterization revealed microvascular coronary artery disease, her symptoms were refractory to optimal medical management that included ranolazine. After u...

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Detalles Bibliográficos
Autores principales: Oskui, Peyman Mesbah, Mayeda, Guy S, Burstein, Steven, Gheissari, Ali, French, William J, Thomas, Joseph, Kloner, Robert A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857340/
https://www.ncbi.nlm.nih.gov/pubmed/27489642
http://dx.doi.org/10.1177/2050313X14526873
Descripción
Sumario:We report the case of a 59-year-old woman who presented with symptoms of angina that was refractory to medical management. Although her cardiac catheterization revealed microvascular coronary artery disease, her symptoms were refractory to optimal medical management that included ranolazine. After undergoing transmyocardial revascularization, her myocardial ischemia completely resolved and her symptoms dramatically improved. This case suggests that combination of ranolazine and transmyocardial revascularization can be applied to patients with microvascular coronary artery disease.

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