Complex Percutaneous Coronary Intervention Salvages a Patient with Recurrent Acute Coronary Syndrome and Ischaemic Heart Failure with Multiple Life Threatening Co-morbidities: A Case Report
Published: April 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/47184.14709
Brajesh Kunwar, Farah Ingle, Atul Ingle, Chandrasekhar Tulagseri
1. Senior Interventional Cardiologist, Head and Director of Cath Lab, Department of Cardiology, Fortis Hospital, Navi Mumbai, Maharastra, India.
2. Senior Physician, Department of Cardiology, Fortis Hospital, Navi Mumbai, Maharastra, India.
3. Senior Nephrologist, Department of Cardiology, Fortis Hospital, Navi Mumbai, Maharastra, India.
4. Senior Intensivist, Head ICU, Department of Intensive Care, Fortis Hospital, Navi Mumbai, Maharastra, India.
Correspondence
Dr. Brajesh Kunwar,
Fortis Hospital, Navi Mumbai, Maharastra, India.
E-mail: Kunwar_brajesh@yahoo.com
More than 422 million people are suffering from Diabetes Mellitus (DM) worldwide. Majority of the affected population resides in lower and middle income countries. This chronic, metabolic disease gradually does serious damage to heart, blood vessels, eyes, kidneys and nerves; eventually causing cardiovascular diseases, peripheral vascular diseases, retinopathy, nephropathy and neuropathy. Here, a rare case of a 58-year-old male was present who had history of uncontrolled DM with dry gangrene in right forefoot, acute kidney injury and Coronary Artery Disease (CAD) involving Left Main (LM) bifurcation presented with recurrent acute coronary syndrome with heart failure. Patient in view of multiple co-morbidities was unfit for Coronary Artery Bypass Grafting (CABG) was managed successfully with complex coronary intervention involving LM bifurcation.
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