Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A 71-year-old female patient reported to the hospital with chest pain and a left-arm strain.
Eleven years ago, the patient had undergone a left internal mammary artery-coronary arterial bypass graft surgery (LIMA-CABG). Medical history Besides coronary artery disease, the patient suffered from bradycardia, atrial fibrillation, arterial hypertension, type II diabetes mellitus, hypercholesterolemia, obesity, Fountain’s stage IIa peripheral arterial occlusive disease (PAOD), pulmonary hypertension, stage III chronic kidney disease, and hepatitis B. She underwent multiple interventional therapies for PAOD, an internal carotid artery (ICA) thrombendarterectomy due to ipsilateral stenosis, and occlusion…
