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Specials: Rotablation of LIMA into LAD

  • Aaron Wong
  • Khung Keong Yeo
Chapter
Part of the Clinical Cases in Interventional Cardiology book series (CCIC)

Abstract

A 55-year-old woman with a history of CAD with prior CABG presented with unstable angina. Her other comorbidities include hypertension and hyperlipidaemia. The CABG was performed 10 years ago with LIMA to LAD and SVG to obtuse marginal. At this most recent presentation, her ECG showed T wave inversions anteriorly, and echocardiography showed mildly impaired left ventricular function with LVEF 40–45%.

Supplementary material

Video 28.1

Native left coronary system (MP4 2839 kb)

Video 28.2

Native left coronary system (MP4 3118 kb)

Video 28.3

Angiogram of LIMA graft to LAD showing the severe mid-LAD stenosis distal to graft insertion (MP4 4962 kb)

Video 28.4

Angiogram of LIMA graft to LAD showing the severe mid-LAD stenosis distal to graft insertion (MP4 2818 kb)

Video 28.5

Rotational atherectomy of the LIMA graft to LAD (MP4 5320 kb)

Video 28.6

Angioplasty after rotablation (MP4 1161 kb)

Video 28.7

Dissection in the LIMA graft with flow limitation (MP4 1425 kb)

Video 28.8

Final angiogram of LIMA graft after stenting (MP4 4247 kb)

Video 28.9

Final angiogram of LIMA graft after stenting (MP4 2236 kb)

Video 28.10

Occluded LIMA graft (MP4 2370 kb)

Video 28.11

Final angiogram after PCI to LAD CTO (MP4 3078 kb)

Video 28.12

Final angiogram after PCI to LAD CTO (MP4 2422 kb)

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of CardiologyNational Heart Centre SingaporeSingaporeSingapore
  2. 2.Department of CardiologyNational Heart Centre SingaporeSingaporeSingapore

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