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Published on: May 14, 2013

Treatment of intractable angina in a nonagenarian patient by direct coronary stenting

J Byrne1, J M Cotton, R J Wainwright

  • 1Department of Cardiology, King's College Hospital, Bessemer Road, London SE5 9RS, UK. jonathan.byrne@kcl.ac.uk

Age and Ageing
|August 18, 2001
PubMed

Insights

Percutaneous coronary intervention effectively treated severe left main coronary artery stenosis in a high-risk elderly patient. This minimally invasive approach offers a successful alternative to surgery, regardless of biological age.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Geriatric Cardiology

Background:

  • A 91-year-old male presented with a 6-month history of exertional angina.
  • Maximally tolerated medical therapy was insufficient for symptom management.
  • Coronary angiography revealed severe stenosis in the distal left main coronary artery.

Observation:

  • The distal left main coronary artery lesion was successfully crossed with an intracoronary wire.
  • A stent was deployed to cover the lesion without prior balloon angioplasty.
  • The percutaneous coronary intervention procedure yielded a satisfactory angiographic result.

Findings:

  • The patient remained symptom-free at 6-month follow-up.
  • Percutaneous intervention for left main stem lesions proved effective in this elderly patient.
  • Successful stenting of the distal left main coronary artery was achieved.

Implications:

  • Percutaneous coronary intervention is a viable alternative to coronary artery bypass grafting for high-risk elderly patients with left main stem disease.
  • Chronological age alone should not preclude consideration of percutaneous coronary intervention for left main stem lesions.
  • Interventional cardiology offers a high success rate for treating very elderly patients with complex coronary artery disease.
Abstract

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