SHERIF WAGDY AYAD SRG Ass. Lecturer of cardiology Alexandria ...

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• Few seconds later, the patient c/o <strong>of</strong>severe chest pain associated with hypotension, hisBP fell to 60/40, bradycardia with HR 35/min.• ECG at this moment showed ST elevation 2mm in theinferior leads.• Immediate control angio for the RCA which revealed

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• After discussion with the patient & the family decisionwas PCI to LAD with 2 BMS .• 6 FR XB 3.5 guiding catheter for engagement <strong>of</strong>LMCA was chosen.Before eoeengagement, e t,during test dye‐injection,the manifold fractured due to badmanufacture allowing AIR into the system !!!!!

Page 2: • The patient was admitted to CCU
Page 9 and 10: • The decision of auto transfusio
Page 11 and 12: • We tried to do for the LAD the
Page 13: So now…What do YOU think ??• To
Page 20: • Review of literature for manage

SHERIF WAGDY AYAD SRG Ass. Lecturer of cardiology Alexandria ...

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