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

This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, mitral valve, pacemaker, PAD, stenosis, and stress tests.

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
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
63984_tn?1385441539
Blank
Flycaster305
97303, OR
612551_tn?1247839157
Blank
Jerry_NJ
NJ
Avatar_f_tn
Blank
skydnsr
212161_tn?1391090750
Blank
heartfluttersflyawayplz
hoschton, GA
MedHelp Health Answers
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
Avatar_m_tn
Blank
Supplement Change
25 mins ago by fred256
Avatar_m_tn
Blank
Rain
1 hr ago by fred256
1755089_tn?1376057155
Blank
drewlevas uploaded new photos
1 hr ago
Heart Disease Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
63984_tn?1385441539
Blank
Flycaster305
97303, OR
612551_tn?1247839157
Blank
Jerry_NJ
NJ
Avatar_f_tn
Blank
skydnsr
212161_tn?1391090750
Blank
heartfluttersflyawayplz
hoschton, GA