Double Reducer implantation in the coronary venous system for treatment of refractory angina: a case report.

ABSTRACT:

Background

The coronary sinus (CS) Reducer can be considered for the treatment of refractory angina in patients unsuitable for coronary revascularization, but its effect can be influenced by the significant heterogeneity in the anatomy of the cardiac venous system.

Case summary

We report the case of a 70-year-old woman with recurrent episodes of rest angina refractory to optimal medical therapy [Canadian Cardiovascular Society (CCS) Class IV] and inducible ischaemia in a large myocardial territory. Given the diffuse and peripheral nature of the coronary disease, the patient was considered ineligible for percutaneous or surgical revascularization and she was regarded as a good candidate for a CS occluder. Since coronary venous angiography showed the middle cardiac vein (MCV)

SUBMITTER: Picchi A 

PROVIDER: S-EPMC9168669 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature