A 54-year-old gentleman was admitted with recurrent resting chest pain. He had hyperlipidemia. His ECG and cardiac enzyme were within normal limit. Echocardiogram showed a LVEF 62% without regional wall motion abnomality.

A right coronary angiogram showed near normal coronary artery. However, a left coronary angiogram showed the short left main coronary artery with haziness. ( Movie 1)

A 8 Fr JL 3.5 with side-hole guiding catheter was engaged into left coronary artery. The LAD and LCX were crossed with 0.014” Floppy BMW guidewire firstly. The left main to LAD lesion and LCX were sequentially predilated with a 3.0*15 mm Dura Star balloon. (Figure 1, Figure 2) A 3.0*15 mm Xience V stent and 3.0*15 mm Xience V stent were deployed using kissing stent technique at LM. (Figure 3) After stent deployment, adjunctive balloon dilatation using kissing balloon technique was applied with Dura Star 3.0*15 at LAD and Dura Star 3.5*15 at LCX. Later, Dura Star 3.5*15 at LM to LAD was inflated. (Figure 4) As underexpansion was noted, kissing balloon technique using Quantum 3.0*15 at LAD and Dura Star 3.0*15 at LCX was applied again. (Figure 5) Final angiogram showed a good result. ( Movie 2)