case_images: PMC4008282_01
case_images: Left anterior oblique view of the left coronary artery. A JL4 catheter is seen engaging the left coronary artery. The ostial left main is tapered and has a 70% stenosis.
case_images: CRIM.CARDIOLOGY2012-652086.001.jpg
case_images: PMC4008282_01_CRIM.CARDIOLOGY2012-652086.001.jpg
case_images: fig1
case_images: Subsequent left heart catheterization (LHC) showed 70% ostial left main stenosis (Figure 1), 60% left anterior descending artery (LAD) stenosis, and complete occlusion of the mid circumflex artery with filling via right to left collaterals.
case_images: This is an angiogram of the left internal mammary artery as it anastomoses to a cardiac vein. Contrast fills the coronary sinus as it traverses the posterior atrioventricular groove.
case_images: CRIM.CARDIOLOGY2012-652086.002.jpg
case_images: PMC4008282_01_CRIM.CARDIOLOGY2012-652086.002.jpg
case_images: fig2
case_images: Angiography of the LIMA demonstrated that it was anastomosed to a cardiac vein with resultant flow into the coronary sinus (Figure 2).
case_images: Right anterior oblique view of the left coronary artery following left main and LAD intervention. The left main is no longer tapered and the contrast effluxes out of the left main into the left coronary cusp of the aortic valve.
case_images: CRIM.CARDIOLOGY2012-652086.003.jpg
case_images: PMC4008282_01_CRIM.CARDIOLOGY2012-652086.003.jpg
case_images: fig3
case_images: There was no residual stenosis (Figure 3).
case_images: Angiogram of the deployment of the coils in the distal left internal mammary artery. The catheter is accessing the LIMA via the left subclavian artery.
case_images: CRIM.CARDIOLOGY2012-652086.004.jpg
case_images: PMC4008282_01_CRIM.CARDIOLOGY2012-652086.004.jpg
case_images: fig4
case_images: Subsequently, eight 3 mm stainless steel coils were deployed in the distal portion of the LIMA just proximal to the anastomosis with the cardiac vein with resultant occlusion of the LIMA (Figure 4). 