Coronary April 14

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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

PCI of Tortuous Lima to LAD Distal Anastomotic Lesion

Miscellaneous Coronary

66-year-old male with prior CABG and prior PCI of SVG to Ramus Intermedius presented with crescendo CCS Class II angina despite maximal medical therapy. Stress MPI revealed moderate-size severe anterior ischemia. A cardiac cath on Feb 7, 2014 revealed three vessel CAD with patent SVG to Ramus & OM, 80-90% calcified lesion of tortuous LIMA to LAD distal anastomosis and LVLF 65%. Patient is now planned for PCI of LIMA to LAD distal anastomosis.


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