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Chronic Total Occlusion of the Left Main Coronary Artery in a 63-Year- Old Woman after Triple Coronary Bypass Surgery

Wojciech Zajdel, Marek Andres*, Monika Durak, Marek Tomala, Piotr Musialek and Krzysztof Zmudka

Background: A 63-year-old female with a chronic total occlusion (CTO) of the left main coronary artery (LMCA) after multiple percutaneous coronary interventions (PCI) and triple coronary bypass surgery (CABG).

Investigation: physical examination, EKG, TTE, coronary angiography, appropriate lesion preparation before stenting of the LMCA.

Diagnosis: Multivessel coronary artery disease presenting as CCS third class with ostial LMCA chronic total occlusion and unsuccessful consecutive revascularization.

Management: Recanalization of the LMCA CTO, preparation of the lesion by rotational atherectomy, reverses T-stenting of LMCA.