Echocardiography
Stress Testing/
Nuclear Cardiology
Cardiac Catheterization/
Interventional Cardiology
Arrhythmia Service
EECP
Peripheral
Vascular
Anti-Coagulation
(Coumadin) Clinic
Research

 

Anterolateral Ischemia

In this case, there is transient left ventricular dilatation (the LV is more dilated after exercise than at rest) and there is a large anterior, apical and anterolateral defect with significant redistribution (ischemia). The patient had a cath which showed 75% mid LAD stenosis, a long distal 70% LAD stenosis and 100% occlusion of a diagonal artery. Coronary artery bypass surgery was recommended and performed. The patient had an internal mammary artery graft to the LAD and asaphenous vein graft to the diagonal artery.
 
The patient had repeat stress thallium 6 months after bypass surgery. This is a normal scan with resolution of the previously seen defects.