select ad.sno,ad.journal,ad.title,ad.author_names,ad.abstract,ad.abstractlink,j.j_name,vi.* from articles_data ad left join journals j on j.journal=ad.journal left join vol_issues vi on vi.issue_id_en=ad.issue_id where ad.sno_en='51385' and ad.lang_id='9' and j.lang_id='9' and vi.lang_id='9'
ISSN: 2155-9880
Wojciech Zajdel, Marek Andres*, Monika Durak, Marek Tomala, Piotr Musialek and Krzysztof Zmudka
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.