Lots of interesting abstracts and cases were submitted for TCTAP 2022. Below are the accepted ones after a thorough review by our official reviewers. Don’t miss the opportunity to expand your knowledge and interact with authors as well as virtual participants by sharing your opinion in the comment section!
TCTAP C-065
A Wellen’s Syndrome: Crucial Patterns to Recognize
By Erly Tibyan Wahyuly, Yusra Pintaningrum, Nada Nafisha Humaera
Presenter
Erly Tibyan Wahyuly
Authors
Erly Tibyan Wahyuly1, Yusra Pintaningrum2, Nada Nafisha Humaera2
Affiliation
University of Mataram, Indonesia1, Mataram University, Indonesia2,
View Study Report
TCTAP C-065
CORONARY - Chronic Total Occlusion
A Wellen’s Syndrome: Crucial Patterns to Recognize
Erly Tibyan Wahyuly1, Yusra Pintaningrum2, Nada Nafisha Humaera2
University of Mataram, Indonesia1, Mataram University, Indonesia2,
Clinical Information
Patient initials or Identifier Number
Mr. SD
Relevant Clinical History and Physical Exam
A 55-year-old-male patient with main complaint of chest pain in Canadian Cardiovascular Society (CCS) 2-3. No history of hypertension. Blood pressure was found 130/89 mmHg, heart rate 75 bpm, respiratory rate 20 per minutes, and temperature 37℃. No abnormalities found in physical axaminations.
Relevant Test Results Prior to Catheterization
Electrocardiographic (ECG) showed sinus rhythm 75 bpm with biphasic T wave in leads V1-V3, anteroseptal ischemia suggesting Wellens Syndrome type A. No elevated cardiac enzyme.
Relevant Catheterization Findings
Coronary angiogram showed normal left main, chronic total occlusion (CTO) in proximal segment of LAD, CTO in distal segment of left circumflex (LCX) with collateral bridging, and stenosis 70% in the proximal segment of right coronary artery.
1.RCA.mp4
4.LAD_view RAO CRA.mov
1.RCA.mp4 4.LAD_view RAO CRA.movInterventional Management
Procedural Step
Patient was underwent percutaneous coronary intervention (PCI) to the LAD. Pilot 50 wire was advanced successfully into distal LAD, predilatation with balloon 1.0 mm x10 mm, followed with monorail balloon 2.0 mm x 15 mm and DES 3.0 mm x 32 mm in proximal segment of LAD was implanted with TIMI 3 flow. Patient was given pharmacological treatment such as Clopidogrel 75 mg, Miniaspilet 320 mg, Atrovastatin 20 mg, Bisprolol 2.5 mg, and Nitrokaf 5 mg. The patient refused for coronary artery bypass surgery (CABG).
6. balloon LAD 1.0.mov
9. stent DES.mov
10.final result view RAO CRA.mov
6. balloon LAD 1.0.mov 9. stent DES.mov 10.final result view RAO CRA.movCase Summary
Coronary angiography and alsorevascularization are recommended in this case. The prognosis of this casewhich are managed with surgery or primary coronary intervention (PCI) is good,but if treatment is delayed or medical therapy is undertaken, the outcomes canlead to poor prognosis.