Case

[April 30] CTO LIVE_Severance Hospital, Seoul, Korea: Case #7

- Operator : Kambis Mashayekhi

1st Kambis Mashayekhi / 2nd Operator: Sung-Jin Hong

Brief Case Summary

61/M
Chest pain for 1 month

Past Medical History

  • Previous MI: N
  • Previous CABG : N
  • Previous PCI: N
  • 1999-03-22 CAD 1 VD, proximal LAD (NIR primo 4.0*16)

Demographic Characteristics

  • Diabetes: N
  • Hypertension: N
  • Hyperlipidemia: N
  • Smoking: N
  • Family History: N
  • Age: 61
  • Sex: MALE

Clinical Presentation

Stable angina

Non-invasive Studies

Echocardiography

No RWMA, EF = 62%

Treadmill test

11.7 METs, Positive

Thallium SPECT

Moderate sized, severe degree, partial reversibility in the apex and apico-mid-anterior wall

Coronary angiography (2019.4.10)

s/p proximal LAD (NIR primo 4.0*16) [1999-03-22]

Cardiac CT (2019.04.10)


J-CTO score: 2 (Difficult)
Probability of GW crossing 30 min: 35-42%

CT-RECTOR score: 4 (Very Difficult)
Probability of GW crossing 30 min: ~25%

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