Department of Cardiology at Aster RV, witnessed potpourri of niche cases

Cardiology- Potpuri Niche Case
Posted on : Jul 25, 2025

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Case Study

74 yr old Mr R, presented with chest pain while walking , his angiogram done elsewhere revealed tight blockage of Major artery (LAD-aka Widow maker artery) however in lieu of heavy calcium deposition near the lesion, was advised open-heart surgery. He was not keen on the same so came to us for further management. His angiogram on analysis was showing heavily calcified lesion in LAD, we planned for rotablation (drilling of calcium) followed by stenting after explaining the risks.

Rotablation uses a tiny drill with a diamond-tipped burr, powered by compressed air to break up calcified plaque (hard block) that is clogging the coronary artery. Removing the plaque helps re-establish normal blood circulation to the heart.

Mr R successfully underwent angioplasty with stent to LAD after drilling of calcium, with no complications and was discharged next day. He is presently symptom-free and continues with routine follow-up care.

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