Slides TCTAP
[April 29] CTO LIVE_Severance Hospital, Seoul, Korea: Case #5
- Operator : Yangsoo Jang
1st Operator: Yangsoo Jang / 2nd Operator: Sung-Jin Hong
Brief Case Summary
61-year-old male was presented with exertional angina. CAG revealed 3-vessel disease.
Past Medical History
- Previous MI: N
- Previous CABG : N
- Previous PCI: Y (tried in Dec 2017, but failed)
- Other: none
Demographic Characteristics
- Diabetes: Y
- Hypertension: Y
- Hyperlipidemia: N
- Smoking: N
- Family History: N
- Age: 61
- Sex: Male
Clinical Presentation
Stable angina
Non-invasive Studies
TTE (Jan 2018)
LVEF 52%, severe hypokinesia of inferior, inferoseptal wall of mid-LV and apical wall.
Cardiac Catheterization Findings
Total occlusion of mLAD (TIMI 0)
Collateral flow from PD and RV branch to dLAD
Discrete eccentric 80% LN of LCx os
Discrete eccentric 70% LN of dRCA
Case Notes
Target Lesion(s)
CTO at mLAD
Adjunctive Medication
- ASA: Y
- LMWH: N
- Clopidogrel: Y
- Heparin: N
- Nitrates: N
- IIb/IIIa: N
- Other: Rosuvastatin 20 mg, losartan 50 mg, carvedilol SR 16 mg
Heart CT (2017.12.12)
Coronary angiography (2017.12.19)
PCI (2017.12.19)
- Previous MI: N
- Previous CABG : N
- Previous PCI: Y (tried in Dec 2017, but failed)
- Other: none
- Diabetes: Y
- Hypertension: Y
- Hyperlipidemia: N
- Smoking: N
- Family History: N
- Age: 61
- Sex: Male
TTE (Jan 2018)
LVEF 52%, severe hypokinesia of inferior, inferoseptal wall of mid-LV and apical wall.Collateral flow from PD and RV branch to dLAD
Discrete eccentric 80% LN of LCx os
Discrete eccentric 70% LN of dRCA
Target Lesion(s)
CTO at mLAD- ASA: Y
- LMWH: N
- Clopidogrel: Y
- Heparin: N
- Nitrates: N
- IIb/IIIa: N
- Other: Rosuvastatin 20 mg, losartan 50 mg, carvedilol SR 16 mg
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