Trans-Ulnar Vein Graft PCI in an Octogenarian-Juniper Publishers
JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abbreviations: LIMA : Left Internal Mammary Artery; LAD: Left Anterior Descending artery; ACS: Acute Coronary Syndrome; SVG: Saphenous Vein Graft; PCI: Percutaneous Intervene; DES: Drug Eluting Stents Case Report An 86-year-old gentleman was admitted to our cardiac centre with chest pain and a troponin I rise to 4.85 ng/ml (normal value < 0.03 ng/ml).His serial ECGs were unremarkable for any dynamic changes. Significant past history included coronary artery bypass graft in 1985 with presumed four grafts of unknown anatomy. Two years back, he was admitted with a collapse secondary to complete heart block requiring a permanent pacemaker. Coronary angiogram prior to pacemaker insertion was challenging with failed femoral access on both sides. Finally, angiography via left radial route revealed severe native vessel disease and a patent vein graft to the left circumflex. The operator...