A 80 year old gentleman was having a critical narrowing of the aortic valve which is situated at junction between heart and the largest blood vessel of the body (known as aorta) which resulted in severe obstruction of blood flow across the valve. This incapacitated the patient significantly and he had recurrent episodes of heart failure requiring multiple hospital admissions…
63 year old diabetic and heavy smoker came with critical limb is chaemia of left leg, gangrene had set in 3rd toe of left foot. Patient was having severe, unbearable rest pain and ulcers…we took promise from patient to quit smoking first!!! Peripheral angio revealed long segment 100% occlusion of a major artery in left thigh( left SFA)…angioplasty successfully done…
Dr. Tapobrata De’s case presentation illustrates the intricate challenges and innovative solutions involved in managing acute coronary syndrome in complex patients. The 72-year-old female patient’s condition, compounded by severe anemia and significant rest angina even after Hb correction, presented a multifaceted medical puzzle. The decision to explore intravascular ultrasound imaging (IVUS) and rota ablation reflects a meticulous approach to diagnosis…