A Challenging Case of Critical Coronary Trifurcation Disease–Managed Successfully with Percutaneous Coronary Angioplasty
Sunil Dighe
*
Department of Cardiology, Grant Medical College and Sir JJ Group of Hospital, Byculla, Mumbai, India.
Kalyan Munde
Department of Cardiology, Grant Medical College and Sir JJ Group of Hospital, Byculla, Mumbai, India.
Piyush Kalantri
Department of Cardiology, Grant Medical College and Sir JJ Group of Hospital, Byculla, Mumbai, India.
Mahesh Bodke
Department of Cardiology, Grant Medical College and Sir JJ Group of Hospital, Byculla, Mumbai, India.
Zahidullah Khan
Department of Cardiology, Grant Medical College and Sir JJ Group of Hospital, Byculla, Mumbai, India.
*Author to whom correspondence should be addressed.
Abstract
Coronary trifurcation lesions are a complex group of lesions. Percutaneous intervention of such trifurcation lesions which involve left anterior descending artery, left circumflex artery and RAMUS artery is difficult task. Trifurcating coronary artery disease is a complex atherosclerotic process involving the origin of one or more of three side branches arising from a main trunk. The approach to treat trifurcation lesions has not been standardized. We describe a technique to percutaneously treat this lesion using routine day-to-day hardware and a unique two guide catheter technique.
We present a case admitted in our hospital with unstable angina. CAG done suggestive of triple vessel disease and later PTCA was done. Staged PTCA was planned Initially RCA and subsequently Trifurcation PTCA was done for left system.No postprocedural complication was observed and then patient was discharged on third day.
Keywords: Angiography, balloon angioplasty, coronary artery disease