HEALTHCARE/ALLIANCE NAME _________________________________

HOSPITAL MEDICAL CENTER NAME

Hospital Address

City, State, ZIP CATHETERIZATION REPORT

PATIENT INFO:

Cath Information Patient Information

Patient: Test patient Catheterization Date: 12/8/00 Cath Number: 00.4970 Cath Attending: Dr. John Cath Cath Fellows: Trish Johnson

Hospital ID: 00876604 Location: Inpatient Date of Birth: 01/01/1958 Sex: Male Referring MD: Dr. K. Smith

Patient History

acute myocardial infarction, Right Ventricular Infarction

Procedures

Left Heart Cath

Selective coronary angiography

PTCA of RCA

Intra-Coronary Stent to RCA

ReoPro Infusion

Diagnoses

Inferolateral wall myocardial infarction

Summary

Single Vessel Coronary Artery Disease

Anomalous RCA from Left Coronary Sinus

Successful PTCA of RCA

Successful Coronary Stent of RCA

Complications

:None

Procedural Details

Anesthetic: Xylocaine 2% Anticoagulant: Heparin 2500 units IA

Contrast Type: Omnipaque Contrast Amount: 140 cc's

Fluoro Time: 37.2 minutes

________________________ ________________________

Fellow: Attending:

Hemodynamic Data

Height: 183 cms. Weight 90.7 kgs. BSA: 2.13 State: REST

Oxygen Consumption Predicted: 266 (ml/min) Hemoglobin 14 (mg/100ml)

Pressures:

RA (a/v/m) 4/6/8 mm/Hg.

RV(s/edp): 26/12 mm/Hg.

PA(s/d/m): 26/14/17 mm/Hg

PCW (a/v/m) : 7/9/12 mm/Hg

LV(s/edp): 145/12 mm/Hg.

AO (s/d/m): 145/80/120 mm/Hg.

Oximetry:

PA: 77%

AO: 97%

Procedure Description:

The right and left groins were prepped and draped in the usual sterile fashion. After local infiltration with 2% Xylocaine, the right femoral artery was entered. 6fr Arterial sheath inserted in the right femoral artery. AO opening pressures were recorded. The pigtail catheter was advanced retrograde into the LV. After left heart pressures were recorded, LV-AO pullback was performed. Selective coronary angiography performed in multiple projections. Pre-dilatation of RCA performed. Stent to RCA deployed. Sheath sutured in place for subsequent angioplasty. DSD applied. Examination of peripheral pulses following procedure reveals adequate perfusion

ANGIOGRAPHIC FINDINGS:

LV ANGIOGRAM: The RAO projection showed a Mildly Impaired overall LV function with an ejection fraction of 35%. Mild Hypokenis was found in the Anterobasal Section. Hyperkinesis was found in the Apical Section. Akinesis was found in the Diaphragmatic Section. Dyskinesis was found in the Posterobasal Section. In addition, the RAO projection showed 2+ Regurgitation and a Mild Stenosis in the Mitral valve, and 1+ Regurgitation and a Moderate Stenosis in the Aortic valve.

End-diastole Systole

CORONARY ANGIOGRAPHY:

Overall Dominance: Right

Right Coronary Artery: A Complex, 99% occlusion was found in the Distal RCA region.

Left Main: The left main artery is angiographically unremarkable.

Left Anterior Descending: There were 2 lesions found in the Left Anterior Descending. An Eccentric, <30% occlusion was found in the Prox LAD region. An Eccentric, <30% occlusion was found in the Mid LAD region.

Left Circumflex: A Concentric, 75-80% occlusion was found. in the Prox Cx region.

Right Coronary Artery Left Coronary Artery

POST-INTERVENTIONAL SUMMARY:

Right Coronary Artery: A stent was successfully deployed in the distal section of the RCA. Post-intervention angiography shows this vessel to be normal.

Left Circumflex: Post-Stent Angiography demonstrates that a successful Stent procedure reverted this vessel to its normal anatomy.

RCA: Pre intervention Post Stent intervention.

LCA: Pre intervention Post Stent insertion

CONCLUSIONS:

Mild mitral and aortic valves stenosis.

RECOMMENDATIONS:

The patient should be medically. Valvular disease should continue to be monitored.

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Cath or interpreting physician’s name