Viable or not viable? The problem of managing very advanced coronary artery disease

Authors

  • Alejandro Travieso-González Servicio de Cardiología. Hospital Clínico San Carlos de Madrid
  • Tania Sonia Luque-Díaz Servicio de Cardiología. Hospital Clínico San Carlos de Madrid
  • José Juan Gómez-de Diego Servicio de Cardiología. Hospital Clínico San Carlos de Madrid
  • Beatriz Cabeza Martínez Servicio de Radiología Hospital Clínico San Carlos de Madrid
  • Leopoldo Pérez-de Isla Servicio de Cardiología. Hospital Clínico San Carlos de Madrid

DOI:

https://doi.org/10.37615/retic.v1n1a9

Keywords:

coronary disease, myocardial viability, peripheral arterial disease.

Abstract

Patients with very advanced coronary disease are a hard challenge for the clinician. This clinical report is a good example, with a patient with very extensive and severe arteriosclerosis in several vascular territories that debuted as acute leg arterial ischemia but in which the coronary disease became the worst problem. Despite myocardial viability demonstration, the extent and complexity of coronary lesions made it impossible treat them. In this kind of cases, although we know what the ideal treatment should be, the trip ends without reaching the goal of the revascularization.

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References

Schwitter J, Arai AE. Assessment of cardiac ischaemia and viability: role of cardiovascular magnetic resonance. Eur Heart J 2011; 32: 799-809. DOI: https://doi.org/10.1093/eurheartj/ehq481

Gimelli A, Lancellotti P, Badano L, et al. Non-invasive cardiac imaging evaluation of patients with chronic systolic heart failure: a report from the European Association of Cardiovascular Imaging (EACVI). Eur Hear J 2014; 35: 3.417-3.425. DOI: https://doi.org/10.1093/eurheartj/ehu433

Wijns W, Kolh P, Danchin N, et al. Guidelines on myocardial revascularization. Eur Heart J 2010; 31: 2501-2555. DOI: https://doi.org/10.1093/eurheartj/ehq172

Aboyans V, Ricco J, Bartelink M, et al. 2017 ESC guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS). Eur Heart J 2017; 00: 1-60. DOI: https://doi.org/10.5603/KP.2017.0216

Published

2018-04-30

How to Cite

1.
Travieso-González A, Luque-Díaz TS, Gómez-de Diego JJ, Cabeza Martínez B, Pérez-de Isla L. Viable or not viable? The problem of managing very advanced coronary artery disease. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2018 Apr. 30 [cited 2024 Jul. 3];1(1):39-41. Available from: https://imagenretic.org/RevEcocarPract/article/view/150