case_images: PMC9924629_01
case_images: 12 lead ECG showing ST elevations in anterior leads.
case_images: jchim-13-01-073f1.jpg
case_images: PMC9924629_01_jchim-13-01-073f1.jpg
case_images: f1-jchim-13-01-073
case_images: His 12 lead ECG was performed which showed ST elevations in anterior leads (Fig. 1).
case_images: Shows distal LM 80-90% calcified lesion. Proximal LAD 80-90% calcified. LCX is 70-80% calcified stenosis.
case_images: jchim-13-01-073f2.jpg
case_images: PMC9924629_01_jchim-13-01-073f2.jpg
case_images: f2-jchim-13-01-073
case_images: His angiogram revealed severely calcified triple vessel coronary artery disease with left anterior descending (LAD) showing subtotal osteoproximal stenosis, left circumflex (LCX) 95% ostial stenosis with patent stent in proximal to mid segment along-with mild in-stent restenosis (ISR), right system was dominant with chronic total occlusion (CTO) after proximal stented segment with faint retrograde filling from left system (Figs. 2 and 3).
case_images: Before dye injection, shows severe calcification of LM, LCX and proximal LAD (tram-track appearance).
case_images: jchim-13-01-073f3.jpg
case_images: PMC9924629_01_jchim-13-01-073f3.jpg
case_images: f3-jchim-13-01-073
case_images: His angiogram revealed severely calcified triple vessel coronary artery disease with left anterior descending (LAD) showing subtotal osteoproximal stenosis, left circumflex (LCX) 95% ostial stenosis with patent stent in proximal to mid segment along-with mild in-stent restenosis (ISR), right system was dominant with chronic total occlusion (CTO) after proximal stented segment with faint retrograde filling from left system (Figs. 2 and 3).
case_images: Post PCI dye injection showing optimal final result and good flow after stenting of LMS to LAD.
case_images: jchim-13-01-073f4.jpg
case_images: PMC9924629_01_jchim-13-01-073f4.jpg
case_images: f4-jchim-13-01-073
case_images: Acceptable final result was achieved (Fig. 4).