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Successful Percutaneous Intervention for Chronic Total Occlusion of Left Subclavian Artery-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Introduction: Subclavian artery stenosis is most commonly caused by atherosclerotic disease. Surgical treatment is associated with high morbidity and mortality. Intervention is generally reserved for the management of symptomatic patients who present with upper limb ischemia, Vertebrobasilar symptoms and subclavian steal syndrome. Endovascular stenting is preferred over surgery because of high success rate, less invasive and minimal complications. Case report: Here we report a case of 56 year old female patient with history of hypertension and diabetes presented with dizziness, vertigo and left arm claudication with use of her left upper extremity since last six months. She was diagnosed as a case of subclavian steal syndrome. Treatment: Patient underwent successful Percutaneous Transluminal Angioplasty (PTA) of the left subclavian artery with marked improvement of s...
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Thrombosis of the Left Main Stem following Steroid Abuse in a 21 Year Old Male Mimicking Spontaneous Dissection-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract A 23 year old man presented with anterior ST elevation myocardial infarction while playing football and gave a 3 week history of recreational intravenous steroid abuse. Coronary angiogram showed a large persistent filling defect in left main stem extending into LAD and intermediate arteries. This was felt to be either spontaneous left main dissection precipitated by heavy exertion or left main stem thrombosis facilitated by intravenous steroid abuse over the previous 3 weeks. He was offered immediate surgical revascularisation but elected instead to have delayed surgery after 2 weeks unless symptoms worsened. Repeat coronary angiogram, two weeks later, however, showed considerable improvement with only a small amount of residual thrombus in left anterior descending artery and hence it was elected to continue with medical treatment. Following further 6 weeks, repeat coronary a...
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