A Case of Advanced Peripheral Artery Disease with Advanced Coronary Artery Disease- A case report

Objective: This case report describes a rare presentation of triple-vessel coronary artery disease (3 CAD) co-existing with advanced peripheral arterial disease (PAD) in a 65-year-old patient, focusing on the challenges in diagnosis and management. Methods: A 65-year-old patient presented with retrosternal chest pain. A thorough clinical examination, electrocardiography (ECG), and additional diagnostic tests revealed STEMI. Coronary angiography confirmed advanced PAD alongside triple-vessel coronary artery disease (CAD). The patient was advised to undergo coronary artery bypass grafting (CABG), and a full-body aortogram was conducted to further assess the extent of PAD. Results: Significant blockages were identified in major peripheral arteries, including the right brachial artery and both femoral arteries, along with three major coronary arteries: the right coronary artery (RCA), left anterior descending artery (LAD), and left circumflex artery (LCX). Conclusion: This case highlights the importance of a multidisciplinary approach in managing complex cases involving both advanced CAD and advanced PAD. Early and coordinated interventions can significantly improve patient outcomes in these high-risk situations.