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Peripheral Arterial Disease (PAD) (Expert Forum)
CLL & Heart Disease
Answered by
Lee Kirksey, MD - Peripheral Arterial Disease, PAD, Cardiovascular Disease, stroke, treatment, angioplasty, spider veins, laser ablation, wound treatment, surgery, leg pain, Prevention, Varicose veins
Penn Presbyterian Medical Center of the Univ. of Pennsylvania Healthcare Clinical Assistant Professor at The University of Pennsylvania School of Medicine
Philadelphia - PA
Questions in the Peripheral Arterial Disease forum are answered by Dr. Lee Kirksey, associate professor at The University of Pennsylvania School of Medicine. Topics covered include abdominal aortic aneurysm , amputation, arteriovenous fistula, atherectomy, carotid artery surgery , cholesterol , claudication, deep vein thrombosis (DVT) , endovascular aortic stent graft (EVAR), stent placement , stroke prevention, varicose veins , and venous insufficiency .
CLL & Heart Disease
by peeperga, Aug 26, 2008 11:38AM
My mom is a 68 year old w/f with a 14 year history of CLL with a current WBC of 39,000. In the last 12 months she has had to have 4 angioplasty surgery procedures with several of them involving restenosis. Several months ago she had a cath done and began having chest pains about one week later. Pain increased so another cath was performed yesterday and two new stents were put in place. Her cardiologist does not have any other patients with CLL. My question is can there be a corelation between CLL and artery disease? If so, what is the best course of action for her to take? According to heart surgeons in our area she is not a candidate for by pass because her arteries are too small plus there is a significant risk of infection with heart surgery as a result of the CLL.
Thanks,
Lori Wilkins
Thanks,
Lori Wilkins
Doctor's Answer
by Lee Kirksey, MD, Aug 26, 2008 03:07PM
, Aug 26, 2008 03:07PMTo: peeperga
Hello
What treatment has she received for CLL. Any other medical condtions? Hypertension, cholesterol, DM? Smoking? Family history? It sounds like youre saying that other than the CLL, she's quite healthy. There have been sporadic, case reports in the literature of leukemic cells invading the walls of the coronary vessels. In most of these cases it was felt that the abnormal cells were superimposed on regular atherosclerotic blockages and the leukemic cells were not the cause of heart disease and blockage.
What treatment has she received for CLL. Any other medical condtions? Hypertension, cholesterol, DM? Smoking? Family history? It sounds like youre saying that other than the CLL, she's quite healthy. There have been sporadic, case reports in the literature of leukemic cells invading the walls of the coronary vessels. In most of these cases it was felt that the abnormal cells were superimposed on regular atherosclerotic blockages and the leukemic cells were not the cause of heart disease and blockage.
