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
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author Oskui, Peyman Mesbah
Mayeda, Guy S
Burstein, Steven
Gheissari, Ali
French, William J
Thomas, Joseph
Kloner, Robert A
author_facet Oskui, Peyman Mesbah
Mayeda, Guy S
Burstein, Steven
Gheissari, Ali
French, William J
Thomas, Joseph
Kloner, Robert A
author_sort Oskui, Peyman Mesbah
collection PubMed
description 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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spelling pubmed-48573402016-08-03 Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease Oskui, Peyman Mesbah Mayeda, Guy S Burstein, Steven Gheissari, Ali French, William J Thomas, Joseph Kloner, Robert A SAGE Open Med Case Rep Case Report 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. SAGE Publications 2014-03-04 /pmc/articles/PMC4857340/ /pubmed/27489642 http://dx.doi.org/10.1177/2050313X14526873 Text en © The Author(s) 2014 This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle Case Report
Oskui, Peyman Mesbah
Mayeda, Guy S
Burstein, Steven
Gheissari, Ali
French, William J
Thomas, Joseph
Kloner, Robert A
Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease
title Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease
title_full Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease
title_fullStr Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease
title_full_unstemmed Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease
title_short Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease
title_sort improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857340/
https://www.ncbi.nlm.nih.gov/pubmed/27489642
http://dx.doi.org/10.1177/2050313X14526873
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