Case of the Month

Operator: Dr. Candy CHEUK

Safely Save an Ellis Type 3 Perforation with One Guiding Catheter

73 year-old gentleman with history of hyperlipidemia, TIA, IFG, complained of exertional angina. CT coronary angiogram showed severe TVD. Coronary angiogram showed calcified mid-LAD stenosis and LCx stenosis. Blocked distal RCA retrogradely filled by left-to-right collaterals. RCA was dominant and quite anteriorly take off. There was also diffusely disease from proximal to distal RCA, and the distal RCA was blocked and PDA, rPAV filled by collaterals from LAD .....


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