case_images: PMC11089169_01
case_images: Coronary angiography (A-D) and intravascular ultrasound examination (E and F) in an elderly patient with Sheehan's syndrome. (A) The stenosis degree is 40%, 80%, and 60%, respectively, at the end of the left main trunk, the proximal and middle segments of the left anterior descending branch. (B) The stenosis degree is 98% at the proximal segments of the left circumflex branch. (C) The stenosis degree is almost completely occluded at the middle segment of the right coronary artery. (D) Two stents are inserted in the middle segment of the RCA. (E) The minimum lumen area at the distal stenosis of the left main trunk is 4.51 mm2. (F) The plaque load at the most severe stenosis of the proximal left anterior descending branch is 80%, and the minimum lumen area is 2.88 mm2.
case_images: fcvm-11-1353392-g001.jpg
case_images: PMC11089169_01_fcvm-11-1353392-g001.jpg
case_images: F1
case_images: We found that the stenosis degree was 40%, 80%, and 60%, 98%, and almost completely occluded, respectively, in the left main trunk (LM), the proximal and middle segments of the left anterior descending branch (LAD), the proximal segments of the left circumflex branch (LCX), and the middle segment of the right coronary artery (RCA) (Figures 1A-C). The minimum lumen area at the distal stenosis of the LM was 4.51 mm2 (Figure 1E), the plaque load at the most severe stenosis of the proximal LAD was 80%, with a minimum lumen area of 2.88 mm2 (Figure 1F). Due to the patient's refusal to undergo coronary artery bypass grafting, two stents were inserted in the middle segment of the RCA (Figure 1D).