Slides
[April 25] CTO LIVE_Asan Medical Center, Seoul, Korea: Case #3
- Operator : Nae-Hee Lee
1st Operator: Nae Hee Lee / 2nd Operator: Jon Suh
Brief Case Summary
A 50 year-old male was admitted for effort chest pain in other hospital. The coronary angiogram showed total occlusion at proximal LAD and significant stenosis at distal LCX. Distal LCX lesion was stented but proximal LAD lesion was failed. Then he was referred to our hospital for PCI.
Past Medical History
- Previous MI: N
- Previous CABG : N
- Previous PCI: Y
- Other: HT, DM, Current smoker
Demographic Characteristics
- Diabetes: Y
- Hypertension: Y
- Hyperlipidemia: N
- Smoking: Y
- Family History: N
- Age: 50
- Sex: Male
Clinical Presentation
Stable angina
Non-invasive Studies
Echocardiography
Akinesia of RCA territory with Normal LV systolic function
Treadmill test
Not done
Thallium SPECT
Not done
Cardiac Catheterization Findings
Not done
Case Notes
Target Lesion(s)
Proximal LAD
Adjunctive Medication
- ASA: Y
- LMWH: N
- Clopidogrel: Y
- Heparin: N
- Nitrates: N
- IIb/IIIa: N
- Other: Beta-blocker, ARB, statin
Teaching Points
- Anterograde or retrograde approach of total occlusion of LAD
Coronary Angiography
- Previous MI: N
- Previous CABG : N
- Previous PCI: Y
- Other: HT, DM, Current smoker
- Diabetes: Y
- Hypertension: Y
- Hyperlipidemia: N
- Smoking: Y
- Family History: N
- Age: 50
- Sex: Male
Echocardiography
Akinesia of RCA territory with Normal LV systolic functionTreadmill test
Not doneThallium SPECT
Not doneTarget Lesion(s)
Proximal LAD- ASA: Y
- LMWH: N
- Clopidogrel: Y
- Heparin: N
- Nitrates: N
- IIb/IIIa: N
- Other: Beta-blocker, ARB, statin
- Anterograde or retrograde approach of total occlusion of LAD
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