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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.

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

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  1. 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

  2. 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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