Coronary Miscellaneous Dec 2016

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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

BAV and Rota + DES of LM, LAD and LCx-OM2 Lesions in Preparation for TAVR

Miscellaneous Coronary

83 year old male presented with new onset CCS class II angina and progressive dyspnea. Patient has known severe aortic stenosis and normal EF and is being medically managed. A Cardiac Cath on November 22, 2016 revealed calcific 3V + LM CAD; 70% dLM, 80% mid LAD, 80% LCx-OM2 and 100% mid RCA with SYNTAX score of 38. STS mortality risk is 3.1. After Heart-Team discussion, high risk PCI and BAV is recommended due to aortic calcification and PAD followed by TAVR in few weeks. Patient is now planned for BAV and Rota + DES of LM, LAD and LCx-OM2 lesions in preparation for high risk TAVR.


Case Presentation


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