PMC9906126_01
Left anterior oblique caudal view of left coronary system. Ostium to proximal left anterior descending 99% stenosis (yellow arrow) and ostium to proximal left circumflex 90% stenosis (red arrow) are seen.
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FIG1
Results included: ostium LAD to proximal LAD 99% stenosed, ostium to proximal Circumflex 90% stenosed, Ramus 10% stenosis, distal right coronary artery (RCA) 50% stenosed, right posterior descending artery (RPDA) 70% stenosed, and mid RCA 30% stenosed (Figure 1). 
Left anterior oblique caudal view. Ostium left anterior descending complete stenosis (yellow arrow) and ostium left circumflex 90% stenosis (red arrow) are seen.
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FIG2
Upon arrival at a different hospital, the patient had an acute thrombotic episode manifesting as an anterior STEMI and he was immediately taken to the cardiac catheterization lab and had a successful salvage STEMI PCI with a 3.5 x 23 mm Xience Skypoint DES in the ostial LAD (Figure 2).
Left anterior oblique caudal view. Mid-Left anterior descending 99% stenosis (yellow arrow), which was not amenable for percutaneous coronary intervention and was managed medically.
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FIG3
The mid-LAD was occluded and unsuccessfully opened (Figure 3).