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Proximal RCA 100 CTO, PCI Unsuccessful
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Proximal RCA 100 CTO, PCI Unsuccessful

I am a 54 year old male and had a recent angiogram and was diagnosed with Proximal RCA 100 CTO, Receives collaterals from left coronary system. PCI was unsuccessful and opted to manage with meds as per cardiologists advice.

I have worked as a carpenter building single family homes for 30 years now. I do the carpenter work from the footings to the ridge cap. This is hard work that I have done most of my life. Can I safely continue to do so or should I start thinking about disability?
I have an appointment with cardiologist in a week and am just curious as to what he might say.

Blood pressure and cholesterol are now under control with diet and medications. Quit smoking 5 months ago.
My resting pulse rate is 55-60.
Results of the angiogram follow.

Indications: Positive Functional Study

ACCESS
Primary Arterial: Right Femoral, 6F sheath, Other closure,
closure deferred for PCI

CATHETERS
Right coronary artery: JR 4, 6 fr
Left coronary artery: JL 4, 6 fr

LEFT HEART CATHETERIZATION

Heart Rate: 67
Pressures (mmHg)
Aorta: 148/70, mean 99
LV Systolic: 142
LVEDP: 11

No Aortic valve stenosis

LV-ANGIOGRAPHY
EF = 60% Normal wall motion

No Mitral valve regurgitation

CORONARY ANGIOGRAPHY

--------------
Native Vessels
--------------
Summary: 1 vessel CAD
Dominance: Right dominant

Stenoses Details
-------------------------------------------------------------------------------
Segment Stenosis* Characteristics and Comments
-------------------------------------------------------------------------------
Left Main Normal
LAD (overall) Normal
Ramus Intermedius Normal
Proximal Circumflex Luminal irregularities
Proximal RCA 100 CTO, Receives collaterals from left coronary
system
-------------------------------------------------------------------------------


MEDICATIONS
Fentanyl 50 mcg, Given during visit
Midazolam 2 mg, Given during visit

Start of procedure: 12/06/2013 09:08 End of procedure: 12/06/2013 09:35
Summary Data:
Total Contrast: 105 mL, Isovue-370 (iopamidol)

COMPLICATIONS IN LAB
No Complications

FINAL DIAGNOSIS
One vessel CAD- CTO of RCA
Normal LV systolic function

RECOMMENDATIONS
PCI of RCA

The attending was present throughout the proced
976897 tn?1379171202
It all depends on how you feel and what you can achieve physically. Your right artery is receiving blood from the left side meaning you have a natural bypass in place. If you feel up to it, then I would continue with your profession. I also notice that the circumflex shows irregularities but it doesn't state to what extent then are?
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