Case of the Month

Operator: Dr. Kevin KWOK


Puncture the Graft

85 years old lady has history of hypertension, DM and hyperlipidaemia presented with NSTEMI. Echocardiography showed poor EF 30% with global hypokinesia and mild MR. Despite of optimal medical treatment, she still had angina. Hence, she underwent coro +/- PCI. Coronary angiography showed ostial RCA CTO, short left main 50%, calcified ostial LAD 90%, mid LAD diffuse calcified disease and proximal LCX 90%. In view of recent NSTEMI, poor EF and severe triple vessels disease with high Syntax score, planned to have Impella assisted PCI to LM/LAD/LCX .....

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