1st Operator: Yasumi Igarashi / 2nd Operator: Jung Rae Cho

A 73-year-old man underwent PCI at LCX and RCA in 2007. He has stable angina with positive finding on MIBI scan at apex and septum. Recent diagnostic angiography revealed LAD-CTO. Revascularization was tried for LAD-CTO, but it was not successful.

• Previous MI: N

• Previous CABG : N

• Previous PCI: Y

• Diabetes: N
• Hypertension: Y
• Hyperlipidemia: Y

• Smoking: N
• Family History: N

• Age: 73
• Sex: Male

Stable angina

Echocardiography

No RWMA, LVEF 71%

Treadmill test

Not done

Thallium SPECT

Mild degree, moderate sized reversibility in the apex and septum.

Patent previous stents at pRCA and LCx
Total occlusion of mLAD (TIMI 1)
Collateral flow GI/III from dRCA to Septal

Target Lesion(s)

LAD

• ASA: Y
• LMWH: N

• Clopidogrel: Y
• Heparin: N

• Nitrates: Y
• IIb/IIIa: N

• Other: carvedilol SR 8 mg, rosuvastatin 20 mg