Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease

Peyman Mesbah Oskui; Guy S Mayeda; Steven Burstein; Ali Gheissari; William J French; Joseph Thomas; Robert A Kloner

doi:10.1177/2050313X14526873

Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease

SAGE Open Med Case Rep. 2014 Mar 4:2:2050313X14526873. doi: 10.1177/2050313X14526873. eCollection 2014.

Authors

Peyman Mesbah Oskui¹, Guy S Mayeda², Steven Burstein², Ali Gheissari³, William J French⁴, Joseph Thomas⁴, Robert A Kloner⁵

Affiliations

¹ Department of Cardiology, Harbor-UCLA Medical Center, Torrance, CA, USA; Heart Institute, Good Samaritan Hospital, Los Angeles, CA, USA.
² Heart Institute, Good Samaritan Hospital, Los Angeles, CA, USA; Department of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
³ Department of Cardiothoracic Surgery, Good Samaritan Hospital, Los Angeles, CA, USA.
⁴ Department of Cardiology, Harbor-UCLA Medical Center, Torrance, CA, USA.
⁵ Heart Institute, Good Samaritan Hospital, Los Angeles, CA, USA; Department of Cardiology, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA.

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.

Keywords: Transmyocardial laser revascularization; coronary artery disease; microvascular angina; ranolazine.

Publication types

Case Reports