Case 3 Part 10



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Discussion Questions


 

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1. How decomposed is the heart?
 
 
2. Identify the aorta and pulmonary artery and aorta?
 
 
3. What’s the purpose of peeling down the pulmonary artery?
 
 
4. How much plaque is the left mainstem coronary artery?
 
 
5. Is this enough to cause death?
 
 
6. Is the plaque calcified?
 
 
7. How much plaque is in the left anterior descending coronary artery?
 
 
8. Is this enough to cause death?
 
 
9. Is the presence of plaque uniform in all areas of each vessels, or present only in some areas?
 
 
10. How many regions have significant blockage, overall? What named vessels are the blockages in?
 
 
11. How do you account for the presence of a large amount of plaque in some areas and very little or no plaque in other areas?
 
 
12. What diagnostic modalities might have helped this patient during life?
 
 
13. What treatment modalities might have helped this patient during life? Which would you recommend as a first line, knowing the patient’s coronary anatomy? Or what else might you need to know to make a decision?
 
 
14. What are current cardiac screening guidelines for asymptomatic men and women of middle age?




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