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8831695 tn?1400098287
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

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Native Vessels
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Summary: 1 vessel CAD
Dominance: Right dominant

Stenoses Details
-------------------------------------------------------------------------------
Segment Stenosis* Characteristics and Comments
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Left Main Normal
LAD (overall) Normal
Ramus Intermedius Normal
Proximal Circumflex Luminal irregularities
Proximal RCA 100 CTO, Receives collaterals from left coronary
system
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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
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1 Answers
Page 1 of 1
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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