# Triple-Vessel Disease in a High-Risk Surgical Patient Treated With Nine Drug-Eluting Stents

## TL;DR

A high-risk patient with severe heart disease was treated with nine drug-eluting stents instead of surgery.

## Contribution

Presents a novel case of managing triple-vessel disease with nine drug-eluting stents in a poor surgical candidate.

## Key findings

- The patient had severe triple-vessel coronary artery disease.
- Nine drug-eluting stents were placed due to high surgical risk.
- The case highlights an alternative to bypass surgery for complex CAD.

## Abstract

Coronary artery disease (CAD) is a major cause of morbidity and mortality in the United States, and as strides have been made in its management, outcomes have continued to improve. Management has evolved from expectant management to coronary artery bypass graft surgery and thrombolysis, to more recently percutaneous intervention with stenting and medical management in select cases. Here, we describe a case of a complex patient with severe triple-vessel disease who was deemed a poor surgical candidate for coronary artery bypass graft surgery and would instead undergo high-risk percutaneous intervention with the placement of nine drug-eluting stents.