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CASE SUMMARY: Live case 12
Patient: H. A., male, 73 yrs.
Clinical presentation
• Angina CCS III
Cardiovascular risk factors
• HTN, ex-smoker (25py)
Past medical history
• Coronary angiography 28.04.2015 with 3VD without intervention.
• Failed attempt RCA CTO PCI 20.05.2015.
Coronary angiography
• Proximal RCA CTO.
• Mid LAD with 50-70% Stenosis with sign. iFR 0.82
• CTO of the small LCX.
Noninvasive testing
• Echo: Normal systolic function with inferior hypokinesia.
• PET: inferior and inferolateral ischemia
Target lesion: RCA
6th retrograde CTO Summit, Zurich, 2017
Coronary angiography
Failed attempt RCA CTO PCI 20.05.2015
Target lesion: RCA
PET
inferior and inferolateral ischemia
Target lesion: RCA
6th retrograde CTO Summit, Zurich, 2017
X
X
X
X
X
3
Target lesion: RCA

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6th European Live Summit - Live Case 12

  • 1. CASE SUMMARY: Live case 12 Patient: H. A., male, 73 yrs. Clinical presentation • Angina CCS III Cardiovascular risk factors • HTN, ex-smoker (25py) Past medical history • Coronary angiography 28.04.2015 with 3VD without intervention. • Failed attempt RCA CTO PCI 20.05.2015. Coronary angiography • Proximal RCA CTO. • Mid LAD with 50-70% Stenosis with sign. iFR 0.82 • CTO of the small LCX. Noninvasive testing • Echo: Normal systolic function with inferior hypokinesia. • PET: inferior and inferolateral ischemia Target lesion: RCA 6th retrograde CTO Summit, Zurich, 2017
  • 2. Coronary angiography Failed attempt RCA CTO PCI 20.05.2015 Target lesion: RCA
  • 3. PET inferior and inferolateral ischemia Target lesion: RCA
  • 4. 6th retrograde CTO Summit, Zurich, 2017 X X X X X 3 Target lesion: RCA