BACKGROUND: A 67-year-old lady, with history of exertional angina, admitted with deterioration in her symptoms, suggestive of unstable angina.
INVESTIGATION: Physical examination, serial troponin (high sensitivity) measurement, ECG and coronary angiography.
DIAGNOSIS: Calcified mid-left anterior descending (LAD) coronary artery stenosis.
TREATMENT: Percutaneous coronary intervention (PCI) using rotational atherectomy via a right radial approach.
KEYWORDS: acute coronary syndrome, percutaneous coronary intervention (PCI), rotational atherectomy, entrapped burr, Kokesi phenomenon
Presentation of the case
A 67-year-old woman, with a background of exertional angina for five years, was admitted in our institution with symptoms suggestive ...
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