Krzysztof Żmudka
Poland
Case Report
Chronic Total Occlusion of the Left Main Coronary Artery in a 63-Year- Old Woman after Triple Coronary Bypass Surgery
Author(s): Wojciech Zajdel, Marek Andres, Monika Durak, Marek Tomala, Piotr Musialek and Krzysztof ŻmudkaWojciech Zajdel, Marek Andres, Monika Durak, Marek Tomala, Piotr Musialek and Krzysztof Żmudka
Background: A 63-year-old female with a chronic total occlusion (CTO) of the left main coronary artery (LMCA) after multiple percutaneous coronary interventions (PCI) and triple coronary bypass surgery (CABG).
Investigation: physical examination, EKG, TTE, coronary angiography, appropriate lesion preparation before stenting of the LMCA.
Diagnosis: Multivessel coronary artery disease presenting as CCS third class with ostial LMCA chronic total occlusion and unsuccessful consecutive revascularization.
Management: Recanalization of the LMCA CTO, preparation of the lesion by rotational atherectomy, reverses T-stenting of LMCA.
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