PREOPERATIVE DIAGNOSES:
1. Angina pectoris.
2. High-grade left anterior descending coronary stenosis.
POSTOPERATIVE DIAGNOSIS: Successful percutaneous transluminal coronary angiogram drug-eluting stent deployment in left anterior descending in diagonal coronary stenosis.
PROCEDURE PERFORMED: Percutaneous transluminal coronary angiogram.
SURGEON: John Doe, MD
COMPLICATIONS: None.
DETAILS OF PROCEDURE: Following 1% Xylocaine local anesthesia in the right femoral region using Seldinger technique, a #6 French Hemaquet sheath was inserted in the right femoral artery.
Selective left coronary angiography was performed with a Judkins left 4 curved short tipped 6 French guiding catheter, after which time an Asahi Prowater wire was passed into the proximal left anterior descending diagonal, and a 3.0 mm catheter balloon was used to predilate the target stenosis.
A 3.0 x 18 mm Cypher stent was then deployed and post-dilated with a 3.5 x 12 mm Quantum balloon catheter at the origin of stent.
All catheters were removed, and the patient was taken to the holding area of the catheterization laboratory without incident. There were no complications at the end of the percutaneous transluminal coronary angiogram.
ANGIOGRAPHIC FINDINGS:
1. Predilatation angiography demonstrates a 70% proximal left anterior descending diagonal coronary stenosis as described.
2. Post stenting angiography demonstrates a 0% residual blockage.
CONCLUSIONS:
1. Successful percutaneous transluminal coronary angiogram with drug-eluting stent deployment and left anterior descending diagonal coronary stenosis as described.
2. No complications of the procedure.
