Heart and Right Femoral Artery Essay

PROCEDURE The right wall was prepped and draped in the usual fashion. Seldinger proficiency was consumptiond, and a 6-French sheath was placed in the right femoral artery. A local anesthetic was used and sublingual glyceryl trinitrate was given no heparin was used. The left-hand(a) and right coronary arteries were selectively opacified in the LAO and RAO projections using manual injections of Optiray. A ventriculogram was done in the RAO projection with the use of a 6-French pigtail catheter. The catheters were and so withdrawn, the sheath was remote and VasoSeal applied, and the patient was sent to her room in good condition without complications.PRESSURES Aorta 117/63, LV one hundred ten/2-6RIGHT CORONARY ARTERY This is a dominant vessel. in that location is a bulky plane section of severe subtotal disease extending from the proximal portion to almost the mid third. The recess of this vessel also appears to be diffusely diseased. The posterior descending dissever is ide ntify and this is 80% narrowed at its ostium. There is some other 90% lesion in the distal 1/3 of this vessel. The AV counterbalance is diminutive.LEFT CORONARY ARTERY unexpended principal(prenominal) trunk is calcified and has a 60%70% distal narrowing. Left anterior descending is severely diseased from its origin, and gives clear up a diagonal and septal perforator and then the LAD is totally occluded. The circumflex calcification is seen in the main trunk where moderate plaque is seen elastic the lumen about 50%60%. The circumflex then divides into two single outes the first is the askant branch and then a back up lateral branch. The first lateral branch is severely narrowed in its proximal portion to 90%, and then has another long component of about 75% narrowing. This does appear to be a diffusely diseased vessel. The second lateral branch also has a long segment of 90% disease distally. The terminal AV branch of the circumflex is completely occluded.LEFT ventricle E nd systolic and end diastolic volumes argon increased. There is diffuse wrong of contractility indicating diffuse multiwall ischemia. Overall contractility is mild-to-moderately impaired with an elision fraction of the post PVC thrum being around 40% or so. No major wall segment abnormalities are noted. The mitral and aortic valves are normal. The descending aorta is slightly dilated.