PMC9924629_01
12 lead ECG showing ST elevations in anterior leads.
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His 12 lead ECG was performed which showed ST elevations in anterior leads (Fig. 1).
Shows distal LM 80-90% calcified lesion. Proximal LAD 80-90% calcified. LCX is 70-80% calcified stenosis.
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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).
Before dye injection, shows severe calcification of LM, LCX and proximal LAD (tram-track appearance).
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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).
Post PCI dye injection showing optimal final result and good flow after stenting of LMS to LAD.
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Acceptable final result was achieved (Fig. 4).