Fatal ventricular fibrillation 3 days after percutaneous transluminal coronary angioplasty in a 67-year-old woman.

Fatal ventricular fibrillation 3 days after percutaneous transluminal coronary angioplasty in a 67-year-old woman.

A 67-year-old black woman with hypertension and adult-onset diabetes mellitus presented to Hermann Hospital, Houston, Tex, with complaints of intermittent chest pain and shortness of breath. She stated that 5 days before presentation she had begun walking for exercise, starting with one block, and increasing by one block daily. During the past 2 days, she noted a pressure-type pain under the le...

Pathological findings after percutaneous transluminal coronary angioplasty.

Ten serial pathological cross sections at 1 mm intervals of both the left anterior descending artery at the site of a percutaneous transluminal coronary angioplasty and of the circumflex artery in the untreated stenotic area were studied at necropsy in a patient who died immediately after the procedure. The extent of calcification and atheroma were similar in both branches. Intimal or medial sp...

Percutaneous transluminal coronary angioplasty.

Percutaneous transluminal coronary angioplasty (PTCA) is a nonoperative mechanical dilatation of atherosclerotic coronary artery stenosis by a balloon-tipped dilating catheter system. This method can effectively reduce highly stenotic coronary lesions and provide early recovery of ischemic but viable myocardium. The technique of transluminal angioplasty was originally devised by Dotter and Judk...

Percutaneous transluminal coronary angioplasty.

Acute coronary syndrome in a 100-year-old woman treated successfully with primary percutaneous coronary angioplasty

We present a case of a 100-year-old woman living alone with ST-elevation myocardial infarction acute coronary syndrome of the infero-lateral wall treated with percutaneous coronary intervention. Coronary angiography revealed critical 99% stenosis in the marginal branch of the circumflex artery and insignificant lesions in other arteries. Two bare metal stents were implanted successfully in the ...