Search Article 
  
 Advanced search 
  
 
About us - Editorial board - Browse articles - Submit article - Instructions - Subscribe - Advertise - Contacts - Login 
  Users Online: 208 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size   

CASE REPORT
Year : 2016  |  Volume : 6  |  Issue : 1  |  Page : 42

Telescoping Technique to Engage Left Main Coronary Artery in a Case of Giant Aortic Aneurysm in a Geriatric Patient


1 Department of Cardiology, St. Joseph's Regional Medical Center, New York Medical College, Paterson, NJ 07503, USA
2 Department of Internal Medicine, St. Joseph's Regional Medical Center, New York Medical College, Paterson, NJ 07503, USA

Correspondence Address:
Rahul Vasudev
Department of Internal Medicine, New York Medical College, St. Joseph's Regional Medical Center, Paterson, NJ 07503
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2156-7514.192829

Rights and Permissions

We present a case of a geriatric male with giant ascending aortic aneurysm (AAA) who underwent successful coronary angiography using telescoping technique for evaluation his coronary arteries before surgery for AAA. Since the ascending aorta and root were extremely dilated, we knew it would not have been possible to engage the coronaries using regular catheters and standard technique. Hence, telescopic technique was used. Amplatz left 3 (AL3) 7F (French) guide catheter (90 cm) was initially used, and nonselective injection of contrast was done to see the coronary ostium. After that, a 5F multipurpose catheter (110 cm) was telescoped through 7F AL3 guide catheter to engage the ostium of the left main coronary artery. Using this technique, images of coronaries were obtained, and it showed minimal luminal irregularities in major epicardial coronary arteries. The patient underwent successful surgery with aortic valve replacement and excision of aneurysm with graft placement. Although this technique has been described previously in enlarged aortas, this is the first to our knowledge use of telescoping technique in giant aortic aneurysm in a geriatric patient.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1207    
    Printed3    
    Emailed0    
    PDF Downloaded37    
    Comments [Add]    

Recommend this journal