Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease. (3rd March 2014)

• Record Type: Journal Article
• Authors: Oskui, Peyman Mesbah; Mayeda, Guy S; Burstein, Steven; Gheissari, Ali; French, William J; Thomas, Joseph; Kloner, Robert A
• Is Part Of: SAGE open medical case reports. Volume 2(2014)
• Publication Date: 2014-03-03
• Subjects: Transmyocardial laser revascularization -- microvascular angina -- coronary artery disease -- ranolazine; Clinical medicine -- Case studies -- Periodicals; 616.09
• DOI: 10.1177/2050313X14526873
• Languages: English
• ISSNs: 2050-313X

Abstract

We report the case of a 59-year-old woman who presented with symptoms of angina that was refractory to medical management. Although her cardiac catheterization revealed microvascular coronary artery disease, her symptoms were refractory to optimal medical management that included ranolazine. After undergoing transmyocardial revascularization, her myocardial ischemia completely resolved and her symptoms dramatically improved. This case suggests that combination of ranolazine and transmyocardial revascularization can be applied to patients with microvascular coronary artery disease.