Little old lady with little old vein grafts: History
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81/F with SVG to LAD, PDA, OM1 and OM2 in 1990 Hypertension, Hypercholesterolemia, hypothyroid PowerPoint PPT Presentation


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Little old lady with little old vein grafts: History. 81/F with SVG to LAD, PDA, OM1 and OM2 in 1990 Hypertension, Hypercholesterolemia, hypothyroid Preop workup for cholecystectomy showed positive Nuclear test with reversible ischemia in postlat wall.

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81/F with SVG to LAD, PDA, OM1 and OM2 in 1990 Hypertension, Hypercholesterolemia, hypothyroid

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81 f with svg to lad pda om1 and om2 in 1990 hypertension hypercholesterolemia hypothyroid

Little old lady with little old vein grafts: History

  • 81/F with SVG to LAD, PDA, OM1 and OM2 in 1990

  • Hypertension, Hypercholesterolemia, hypothyroid

  • Preop workup for cholecystectomy showed positive

  • Nuclear test with reversible ischemia in postlat wall.

  • Cath shows 70% lesion in SVG to OM1 and 100% in

  • SVG to OM2.

  • Post op had one episode of chest pain – repeat nuclear

  • Study same as before – for cath.

Eugene Wu, Brigham and Women’s Hospital

SCAI C3 Summit Chicago May 12-13, 2006


81 f with svg to lad pda om1 and om2 in 1990 hypertension hypercholesterolemia hypothyroid

Little old lady with little old vein grafts :

Take Home Points

  • Don’t panic, keep calm.

  • Inflate balloon to stop further bleeding.

  • Wait out/ reverse anticoagulation.

  • Prolong balloon inflations.

  • Covered stents.

  • Beware of little old ladies with little old vein grafts – they might explode.

SCAI C3 Summit Chicago May 12-13, 2006

Eugene Wu, Brigham and Women’s Hospital


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