Key result
Double-vessel angioplasty with balloon counterpulsation in an inoperable 41-year-old woman improved ejection fraction from 17% to 50% at 2 months.
Why the study?
Does double-vessel angioplasty with balloon counterpulsation improve symptoms and ejection fraction in a patient with triple vessel disease and severe heart failure considered inoperable?
Case Report (n=1)
Does double-vessel angioplasty with balloon counterpulsation improve symptoms and ejection fraction in a patient with triple vessel disease and severe heart failure considered inoperable?
Answers are grounded in this paper and cite their sources.
Percutaneous transluminal coronary angioplasty can successfully improve symptoms and left ventricular function in high-risk, inoperable patients with severe ischemic cardiomyopathy.
Congestive heart failure, unstable angina, and moderate mitral regurgitation improved after double-vessel angioplasty in a 41-year-old woman who was considered inoperable because of high risk of bypass surgery. With the concomitant use of balloon counterpulsation, angioplasty reduced the cross-sectional stenosis in the left anterior descending coronary artery from 98 to 20% and in the left circumflex coronary artery from 90 to 0%. The right coronary artery was completely occluded and angioplasty was not attempted. The ejection fraction was 17% prior to angioplasty and 50% 2 months later at follow-up.
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Reinfeld et al. (1985) conducted a case report in Triple vessel disease, congestive heart failure, unstable angina, and mitral regurgitation (n=1). Double-vessel angioplasty with balloon counterpulsation was evaluated on Ejection fraction and clinical improvement. Double-vessel angioplasty with balloon counterpulsation in an inoperable 41-year-old woman improved ejection fraction from 17% to 50% at 2 months.
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