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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

IVUS Guided PCI of Distal LM Bifurcation Lesion


79 year-old male with hepatitis, cirrhosis and prior PCI of RCA in remote past, presented on June 12, 2015 with new onset CCS Class III angina and dyspnea. A stress MPI revealed 2mm ST-seg depression, but normal myocardial perfusion. Patient underwent Cath revealing distal left main bifurcation with prox LAD and circumflex disease with normal LV function and SYNTAX Score of 26. Heart Team discussion declined CABG due to cirrhosis. Now planned for IVUS guided PCI of distal left main bifurcation lesion.


Case presentation


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