PMC3891393_01
Left coronary angiogram with 80% stenosis on the proximal portion of the left circumflex (arrow).
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F1
Nine years and 5 months after disease onset, selective coronary angiography revealed two saccular aneurysms in the proximal portion of the LAD, and in the proximal portion of the RCA as well as stenosis (minimal lesion in the proximal portion of the LAD, discrete lesion in the left circumflex, and total obstruction in the RCA with collateral arteries supplying blood to the distal portion of the RCA.)(Figure 1).
Left circumflex stenosis improved from 80% to <25% after PTCA.
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F2
The area of stenosis was 80% before PTCA and there was no residual stenosis after PTCA (Figure 2).
IVUS imaging at the left circumflex coronary artery site showed calcification (arrow).
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F3
The IVUS imaging revealed a calcified lesion and atheroma at the site of the left circumflex coronary artery (Figure 3).