

PCI of Tortuous Lima to LAD Distal Anastomotic Lesion
Miscellaneous Coronary66-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.