Slides
[April 30] CTO LIVE_Asan Medical Center, Seoul, Korea: Case #3
- Operator : Seung-Whan Lee
1st Operator: Seung-Whan Lee / 2nd Operator: Jon Suh
Brief Case Summary
A 40 year-old male was admitted for effort chest pain started from 3 months ago. He had past medical history of spontaneous dissection at proximal LAD 6 years ago. Following coronary angiogram showed total occlusion at proximal LAD.
Past Medical History
- Previous MI: N
- Previous CABG : N
- Previous PCI: N
Demographic Characteristics
- Diabetes: Y
- Hypertension: N
- Hyperlipidemia: N
- Smoking: Y
- Family History: N
- Age: 40
- Sex: Male
Clinical Presentation
Stable angina
Non-invasive Studies
Echocardiography
None
Treadmill test
None
Thallium SPECT
None
Cardiac Catheterization Findings
- The left coronary angiogram showed total occlusion at proximal LAD.
- The right coronary angiogram showed no lesion and collateral flow from PDA to LAD.
Case Notes
Target Lesion(s)
CTO lesion at Proximal LAD
Planned device(s)
Intravascular ultrasound
Adjunctive Medication
- ASA: Y
- LMWH: N
- Clopidogrel: Y
- Heparin: N
- Nitrates: N
- IIb/IIIa: N
- Other(s): Statin
- Previous MI: N
- Previous CABG : N
- Previous PCI: N
- Diabetes: Y
- Hypertension: N
- Hyperlipidemia: N
- Smoking: Y
- Family History: N
- Age: 40
- Sex: Male
Echocardiography
NoneTreadmill test
NoneThallium SPECT
None- The left coronary angiogram showed total occlusion at proximal LAD.
- The right coronary angiogram showed no lesion and collateral flow from PDA to LAD.
Target Lesion(s)
CTO lesion at Proximal LADPlanned device(s)
Intravascular ultrasound- ASA: Y
- LMWH: N
- Clopidogrel: Y
- Heparin: N
- Nitrates: N
- IIb/IIIa: N
- Other(s): Statin
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