Double-vessel angioplasty with balloon counterpulsation in an inoperable 41-year-old woman improved ejection fraction from 17% to 50% at 2 months.
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?
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.
Reinfeld et al. (Tue,) 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.