It was reported that the patient experienced cardiac angina and in-stent restenosis occurred.In (b)(6) 2013, the patient presented due to unstable angina.Subsequently, the index procedure and coronary angiography were performed.The target lesion was a de novo lesion located in the mid right coronary artery (rca) with 99% stenosis and was 12mm long with a reference vessel diameter of 3.75mm.The target lesion was treated with pre-dilatation and placement of a 3.50x16mm promus element¿ plus drug-eluting stent.Following post dilatation residual stenosis was 0%.On the following day, the patient was discharged on aspirin and clopidogrel.In (b)(6) 2017, the patient came for a follow-up visit for chronic coronary disease and severe dyslipoproteinemia.The patient had a generalized fatigue, weakness, shortness of breath and pain in her upper arms.The patient was treated with medication in response to the event.The patient was referred for cardiac catheterization due to chest pain, dyspnea and positive stress test.The 99% stenosis from mid rca to distal rca was treated with placement of 3.00 x 32mm synergy stent with 0% residual stenosis.On the same day, the event was considered as resolved.In (b)(6) 2017, the patient was diagnosed with cardiac angina.Subsequently, the patient was treated with stent to left circumflex (lcx) artery.On the same day, outcome of the event was considered as resolved.
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