Influence of multimodality coronary imaging on revascularization strategy

Abstract

A 56-year-old male with a history of smoking, hypercholesterolemia, and diabetes mellitus presented with new-onset chest pain and claudication with occlusion of the left iliac artery. Coronary angiography showed severe triple-vessel coronary disease. After discussion in the medico-surgical MDT, the patient was scheduled for a hybrid procedure. Three days after an uneventful implantation of the left internal mammary artery on the LAD with lateral thoracotomy, an angiogram via the left radial artery demonstrating good patency of the graft was followed by an angioplasty of the left main coronary artery towards the left circumflex (LCx).