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Acute LAD occlusion by calcified plaque embolisation from the ascending aorta after contralateral LCA angiography

EuroIntervention 2016;11:1125. DOI: 10.4244/EIJV11I10A227

Department of Cardiology, Tenri Hospital, Tenri, Japan

A 65-year-old female was admitted to our hospital for percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) of the right coronary artery (RCA). Coronary angiography showed a CTO lesion in the mid RCA with good collateral circulation supplied from the left coronary artery (LCA) without significant stenosis or calcification (Panel A, Moving image 1). However, after simultaneous angiography, the patient had sudden chest pain with ST-elevation in leads V1-4. LCA angiography showed total occlusion in the mid left anterior descending coronary artery (LAD) (Panel B, Moving image 2). Emergent PCI of the LAD was then undertaken. While thrombus ...

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