Successful PTCA with IVUS Guidance for Critical LAD and LCX Stenosis in a 65 Y.O. Female with NSTEMI
PACE Hospitals’ expert cardiology team successfully performed a Percutaneous Transluminal Coronary Angioplasty (PTCA) of the Left Anterior Descending (LAD) artery and Left Circumflex (LCX) artery using Intravascular Ultrasound (IVUS) guidance in a 65-year-old female diagnosed with Coronary Artery Disease (CAD) and Non-ST Elevation Myocardial Infarction (NSTEMI). The aim of the procedure was to restore normal blood flow to the heart muscle by treating the critical stenosis, thereby relieving anginal symptoms, preserving left ventricular function, and reducing the risk of future cardiac complications.
PACE Hospitals is recognized as the Best Cardiology Hospital in Hyderabad, Telangana, India, offering a full spectrum of advanced heart care services.
We specialize in treating a wide range of heart diseases and conditions, including interventional cardiology, complex heart surgeries, preventive cardiology programs, and comprehensive cardiac care. Our team of expert cardiologists, heart specialists, cardiac surgeons, and electrophysiologists provides world-class treatment for conditions such as coronary artery disease, heart failure, arrhythmias, and valve disorders. Utilizing the latest Philips Azurion Cath Lab, we ensure precise diagnostics and image-guided therapy, delivering exceptional interventional cardiac
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Past Medical History
There is no documented history of other chronic conditions, such as diabetes, hypertension, or liver disease, at the time of admission.
On Examination
On examination, the patient was conscious, cooperative, and oriented. There was no pallor, icterus, cyanosis, or pedal edema. Vital signs were stable. Cardiovascular examination revealed normal heart sounds without murmurs. Respiratory examination showed clear bilateral breath sounds with no added sounds. The abdomen was soft and non-tender, with no ascites. Neurological examination was normal, with no focal deficits noted.
Diagnosis
Upon admission to PACE Hospitals, the patient was evaluated by the cardiology team, which included a detailed review of her presenting symptoms and a comprehensive clinical examination. The patient underwent a comprehensive diagnostic evaluation to determine the extent of coronary artery disease.
Coronary angiography (CAG) confirmed significant Coronary Artery Disease (CAD) with 99% stenosis in the left anterior descending (LAD) artery and 90% stenosis in the left circumflex (LCX) artery. Echocardiography demonstrated good left ventricular (LV) function, consistent with the clinical findings.
Based on these confirmed findings, the patient was advised to undergo Coronary Artery Disease Treatment in Hyderabad, India, under the expert care of the Cardiology Department.
Medical Decision Making
After a detailed consultation with Dr. Seshi Vardhan Janjirala, Consultant Interventional Cardiologist, a comprehensive evaluation was conducted focusing on the patient’s coronary artery disease (CAD) with critical stenosis in two major vessels. Clinical and diagnostic findings confirmed 99% stenosis in the left anterior descending (LAD) artery and 90% stenosis in the left circumflex (LCX) artery.
It was determined that Percutaneous Transluminal Coronary Angioplasty (PTCA) of the LAD and LCX arteries under Intravascular Ultrasound (IVUS) guidance was identified as the most appropriate intervention to restore coronary blood flow, relieve anginal symptoms, and reduce the risk of further ischemic events.
The patient and her family members were informed about her diagnosis, the planned procedure, associated risks, and expected benefits aimed at preserving heart function and enhancing her overall prognosis.
PACE Hospitals is One of the Best Hospitals in Hitec City, Hyderabad, Telangana, India. We are dedicated to supporting you at every stage of your gastric health journey with expert guidance, advanced medical and surgical treatments, and compassionate care.
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