Abstract
An 81-year-old Vietnamese man presented with worsening angina, with previous coronary angiography and intravascular ultrasonography findings with ostial left anterior descending artery (LAD) narrowing. He flew to our center for a second opinion. We offered intracoronary optical coherence tomography (OCT) evaluation for the measurement of critical ostial LAD, minimal lumen area (MLA). Provisional stent implantation to left main (LM) bifurcation (MEDINA 0,1,0) with dedicated self-apposing stent was performed with good angiographic result and mid-term follow up without major adverse event.
Highlights
An 81-year-old Vietnamese man presented with worsening angina, with previous coronary angiography and intravascular ultrasonography findings with ostial left anterior descending artery (LAD) narrowing
From visualization the left main (LM) caliber is larger than 4.5mm and the proximal LAD is smaller as usual around 3.5mm
optical coherence tomography (OCT) findings was shown as mild intimal hyperplasia of the in-stent LAD and uncovered stent strut with a small gap between stent strut and vessel wall at the more proximal stented segment (Figure 3)
Summary
An 81-year-old Vietnamese man presented with worsening angina, with previous coronary angiography and intravascular ultrasonography findings with ostial left anterior descending artery (LAD) narrowing. Senior Director of Cardiology Medicine Chief Faculty of CoE Cardiovascular Institute Bangkok Heart Hospital, 2 Soi Soonvijai 7, New Petchburi Rd., Huaykwang, Bangkok 10310 Thailand email: damras.tr@bangkokhospital.com
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