Heart Disease Community
Proximal RCA 100 CTO, PCI Unsuccessful
About This Community:

A community of people with Heart Disease to guide and support your heart-health journey. Ask a question, join a conversation, share experiences: symptoms, nutrition, and management.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

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?
Blank
Post a Comment
To
Top Heart Disease Answerers
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
11548417_tn?1440481484
Blank
Ger57
Netherlands
Avatar_m_tn
Blank
Occupant
IL
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
Avatar_f_tn
Blank
Niki0315 is ...anxious Comment
Aug 26
Avatar_m_tn
Blank
Paxiled commented on Foods For Weight Loss...
Aug 26
212161_tn?1432037254
Blank
heartfluttersflyawayplz, and remar commented on mommy52's status
Aug 26
Heart Disease Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Top Heart Disease Answerers
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
11548417_tn?1440481484
Blank
Ger57
Netherlands
Avatar_m_tn
Blank
Occupant
IL
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway