LONGEST LAD ENDARTRECTOMY RECORDED AND DOCUMENTED TILL DATE IN AFIC/NIHD

As the world advances, living standards are getting changed with inclination more toward sedentary life style and junk food, we are seeing a worldwide increased incidence of coronary artery disease. A 73 year of age gentleman with progressive shortness of breath NYHA-II/III since last 6 months and e...

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Autores principales:	Nasir Ali, Faiq Ahmed Khan, Asif Mahmood Janjua, Ala Eldin, Muhammad Ashfaq, Kifayatullah .
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	endartrectomy incidence left anterior descending tvcad Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/e0ed9907b693493890e04ff8f052cceb
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spelling	oai:doaj.org-article:e0ed9907b693493890e04ff8f052cceb2021-12-02T19:18:15ZLONGEST LAD ENDARTRECTOMY RECORDED AND DOCUMENTED TILL DATE IN AFIC/NIHDdoi.org/10.51253/pafmj.v70iSuppl-4.60080030-96482411-8842https://doaj.org/article/e0ed9907b693493890e04ff8f052cceb2020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6008https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842As the world advances, living standards are getting changed with inclination more toward sedentary life style and junk food, we are seeing a worldwide increased incidence of coronary artery disease. A 73 year of age gentleman with progressive shortness of breath NYHA-II/III since last 6 months and epigastric discomfort with effort angina CCS-III. Was having no other co-morbidities, except of 35 pack years of smoking. On evaluation his Coro-angiogram revealed Diffuses TVCAD with Lad diffusely diseased throughout its middle course >90%, LCX 80%, RCA mid-Course critical discrete lesion of 90%. His 2D, TTE showed normal valvular apparatus and ejection fraction of 55%. Literature review further furnishes the fact that LAD is most commonly being affected by atheroma formation hence making it the most common site for endartrectomy, though peri-operative MI is still a grave concern, but half dose protamine slow reversal of the heparin and keeping ACT at 150-160 sec greatly reduces the incidence of peri-operative MI.Nasir AliFaiq Ahmed KhanAsif Mahmood JanjuaAla EldinMuhammad AshfaqKifayatullah .Army Medical College Rawalpindiarticleendartrectomyincidenceleft anterior descendingtvcadMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 4, Pp 904-906 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	endartrectomy incidence left anterior descending tvcad Medicine R Medicine (General) R5-920
spellingShingle	endartrectomy incidence left anterior descending tvcad Medicine R Medicine (General) R5-920 Nasir Ali Faiq Ahmed Khan Asif Mahmood Janjua Ala Eldin Muhammad Ashfaq Kifayatullah . LONGEST LAD ENDARTRECTOMY RECORDED AND DOCUMENTED TILL DATE IN AFIC/NIHD
description	As the world advances, living standards are getting changed with inclination more toward sedentary life style and junk food, we are seeing a worldwide increased incidence of coronary artery disease. A 73 year of age gentleman with progressive shortness of breath NYHA-II/III since last 6 months and epigastric discomfort with effort angina CCS-III. Was having no other co-morbidities, except of 35 pack years of smoking. On evaluation his Coro-angiogram revealed Diffuses TVCAD with Lad diffusely diseased throughout its middle course >90%, LCX 80%, RCA mid-Course critical discrete lesion of 90%. His 2D, TTE showed normal valvular apparatus and ejection fraction of 55%. Literature review further furnishes the fact that LAD is most commonly being affected by atheroma formation hence making it the most common site for endartrectomy, though peri-operative MI is still a grave concern, but half dose protamine slow reversal of the heparin and keeping ACT at 150-160 sec greatly reduces the incidence of peri-operative MI.
format	article
author	Nasir Ali Faiq Ahmed Khan Asif Mahmood Janjua Ala Eldin Muhammad Ashfaq Kifayatullah .
author_facet	Nasir Ali Faiq Ahmed Khan Asif Mahmood Janjua Ala Eldin Muhammad Ashfaq Kifayatullah .
author_sort	Nasir Ali
title	LONGEST LAD ENDARTRECTOMY RECORDED AND DOCUMENTED TILL DATE IN AFIC/NIHD
title_short	LONGEST LAD ENDARTRECTOMY RECORDED AND DOCUMENTED TILL DATE IN AFIC/NIHD
title_full	LONGEST LAD ENDARTRECTOMY RECORDED AND DOCUMENTED TILL DATE IN AFIC/NIHD
title_fullStr	LONGEST LAD ENDARTRECTOMY RECORDED AND DOCUMENTED TILL DATE IN AFIC/NIHD
title_full_unstemmed	LONGEST LAD ENDARTRECTOMY RECORDED AND DOCUMENTED TILL DATE IN AFIC/NIHD
title_sort	longest lad endartrectomy recorded and documented till date in afic/nihd
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/e0ed9907b693493890e04ff8f052cceb
work_keys_str_mv	AT nasirali longestladendartrectomyrecordedanddocumentedtilldateinaficnihd AT faiqahmedkhan longestladendartrectomyrecordedanddocumentedtilldateinaficnihd AT asifmahmoodjanjua longestladendartrectomyrecordedanddocumentedtilldateinaficnihd AT alaeldin longestladendartrectomyrecordedanddocumentedtilldateinaficnihd AT muhammadashfaq longestladendartrectomyrecordedanddocumentedtilldateinaficnihd AT kifayatullah longestladendartrectomyrecordedanddocumentedtilldateinaficnihd
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LONGEST LAD ENDARTRECTOMY RECORDED AND DOCUMENTED TILL DATE IN AFIC/NIHD

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