Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract We present a patient with symptomatic multi-vessel ischemic heart disease requiring surgical intervention. The saphenous veins and radial arteries were unsuitable conduits and the ascending aorta was near porcelain. Six off-pump coronary artery bypass (OP-CAB) were performed utilizing five grafts derived from the basilic-cephalic veins and one from the internal mammary artery. Coronary angiography one year later showed complete patency of all the grafts. Introduction The choice of conduits for coronary artery bypass grafting (CABG) includes arterial and venous options with the most common combination being the internal mammary artery (IMA) and greater saphenous vein (GSV). Additional bypass conduits include the radial artery (RA), gastroepiploic artery (GEA), and lesser saphenous vein [ 1 ]. On rare occasions, cadaver vein is used as a last resort ...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract We present a patient with symptomatic multi-vessel ischemic heart disease requiring surgical intervention. The saphenous veins and radial arteries were unsuitable conduits and the ascending aorta was near porcelain. Six off-pump coronary artery bypass (OP-CAB) were performed utilizing five grafts derived from the basilic-cephalic veins and one from the internal mammary artery. Coronary angiography one year later showed complete patency of all the grafts. Background Although uncommon, cardiac fibromas can have dangerous consequences, usually arise in the ventricular muscle and may become quite large. Heart failure is the most common symptom, due to obstruction of blood flow or interference with alvular function and conduction disturbances. Here we present a rare case of acute occlusion of coronary arteries due to an interventricular cardiac fibroma ...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract The effectiveness of rotational atherectomy has been established for hard, calcified lesions rotablator burr entrapment is a rare complication of rotational atherectomy, estimated to occur in 0.4% of cases. A 54-year-old woman was admitted to our hospital to undergo percutaneous coronary intervention for an atherosclerotic lesion of left anterior descending coronary artery. Coronary angiography revealed diffuse narrowing with severe calcification in her left anterior descending coronary artery, which seemed to be refractory to conventional devices. We decided to perform lesion modification by rotablator. During rotablation, the burr suddenly stalled and became trapped at the distal portion of the left anterior descending coronary artery just beyond the severely calcified lesion. We successfully retrieved the entrapped burr by balloon inflation after the insertion of a second guide ...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract Due to the demographic progression of our societies and the increasing prevalence with age of coronary artery disease, we will increasingly face the treatment of acute coronary syndrome in elderly patients (>70 years). Very little data has been published in Africa, particularly in the South of the Sahara. This series shows the severity of coronary lesions in subjects aged over 70 years admitted to the cardiology department of the Aristide Le Dantec hospital and the interest of the invasive strategy in this population. Introduction: Coronary artery disease in the elderly is often more diffuse and severe. The objective of our study was to describe the results of coronary angiography and angioplasty in the elderly in Senegal. Methodology: A monocentric, retrospective and descriptive study over a period of 39 months from 1 May 2013 to 31 July 2016 was carried out within the c...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Introduction The art and technique of CTO PCI have been growing at an amazing pace since past one decade. Despite many CTO specific hardware and techniques like CTO specific wires, parallel wire technique, IVUS guided side branch access, sub-intimal tracking and re-entry technique (STAR), micro-channel technique and limited antegrade sub-adventitial tracking (LAST) have been proven to be useful in antegrade approach; about 20-30% of CTOs require retrograde approach, as advocated first by Hartzler (1990) and later championed by Japanese operators (2006-2014). Retrograde approach through collateral channels (CC) is gaining acceptance to improve the success rates of CTO recanalization from 65-70% to 90-94% as distal cap is softer because it is exposed to low haemodynamic pressure shear stress from collateral flow whereas proximal cap is harder as it is exposed to high aortic pressure shea...