Severe Stenosis of the Left Main Coronary Artery Detected on Electrophysiologic Study.
10.4070/kcj.2008.38.2.119
- Author:
Jae Hoon CHOI
1
;
Jun KIM
;
Tae Kun LEE
;
Han Cheol LEE
;
June Hong KIM
;
Kook Jin CHUN
;
Taek Jong HONG
;
Yung Woo SHIN
Author Information
1. Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. mdjunkim@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Electrophysiologic study, Cardiac;
Coronary artery disease;
Complications
- MeSH:
Aged;
Atrial Fibrillation;
Chest Pain;
Constriction, Pathologic;
Coronary Angiography;
Coronary Artery Disease;
Coronary Vessels;
Electrophysiologic Techniques, Cardiac;
Follow-Up Studies;
Humans;
Percutaneous Coronary Intervention;
Stents;
Thorax
- From:Korean Circulation Journal
2008;38(2):119-121
- CountryRepublic of Korea
- Language:English
-
Abstract:
A cardiac electrophysiologic study (EPS) is a safe procedure with a low complication rate. We report here a case of severe stenosis of the left main coronary artery (LMCA) that was incidentally detected during an EPS; this was successfully managed by stenting the LMCA. The patient was a 75-year-old man with recurrent chest fluttering and no previous angina underwent EPS and he developed acute ischemic chest pain due to induced atrial fibrillation. The coronary angiography showed a critical stenosis in the distal LMCA. The patient underwent percutaneous coronary intervention with a sirolimus-eluting stent in the LMCA. The patient has remained asymptomatic during a 1-year follow-up period. To prevent potentially catastrophic complications, performing a stress myocardial imaging test should be strongly considered before conducting EPS in elderly patients.
